Vinmec Nha Trang Hospital has just saved the life of a patient with subarachnoid hemorrhage due to a rupture of the right internal carotid aneurysm by endovascular intervention to block the ruptured cerebral aneurysm using coils under the guidance of DSA - Digital Subtraction Angiography. After 17 days of intensive treatment, Ms. Nhi Hong was able to communicate normally. Up to now, Vinmec Nha Trang is the first hospital in Khanh Hoa to successfully perform this advanced intervention technique.
Mobilize total resources to intervene as the patient had poor prognosis
While working under the sun, Ms. Nhi Hong (47 years old) suddenly became fainted and lethargic with her limbs contracting and foaming in her mouth. When she was admitted to Vinmec Nha Trang International General Hospital, the doctors diagnosed that she was in critical condition. A CT scan of her brain showed that she had a grade IV subarachnoid hemorrhage due to a ruptured aneurysm in the right internal carotid artery. This disease has a poor prognosis and a very high risk of death. Even after successful aneurysm surgery, the patients may still experience seizures and irreversible coma unless intensive care and treatment are professional. The urgent requirement at that time was an intervention to block the ruptured cerebral aneurysm as soon as possible and timely resuscitation to protect the brain. That way, there could be a better chance of saving the patient's life.
The leadership and professional council of Vinmec Nha Trang Hospital had a direct consultation with other experts via the Telemedicine system and decided to let the patient be treated at Vinmec Nha Trang because the patient's condition was very serious and she could not be transported to the central hospitals. Doctors at the hospital quickly activated the multi-specialty team for stroke treatment at HT Vinmec, prepared the DSA machine and the means of cerebral vascular intervention, and mobilized a team of doctors and technicians from Vinmec Times City Hospital - Hanoi, to perform an endovascular intervention to plug a ruptured cerebral aneurysm with coils, under the professional support of Dr. Le Van Truong from 108 Military Central Hospital.
Spectacular recovery after 17 days
After an hour of endovascular intervention in the DSA room, the doctors helped the patient escape from the "scythe of death". Ms. Hong continued to be sedated to sleep deeply for a week continuously, under the support of mechanical ventilation, to help the recovery process to progress smoothly. On the 9th day, the patient began to open her eyes and became conscious. On the 10th day, Ms. Hong's consciousness continued to improve as she was able to follow the doctor's orders such as closing her eyes and moving her limbs. She was then also taken off the ventilator. On the 12th day, the patient was extubated and fully breathing on her own. On the 15th day, she was taken out of the intensive care unit to continue to be monitored, treated, and rehabilitated at the inpatient treatment area. On the 17th day, Ms. Hong's condition was stable. She had recovered well and was able to communicate normally.
Up to now, Vinmec Nha Trang International General Hospital is the first unit to successfully implement and treat a patient using the endovascular intervention technique with coils. According to the doctors, this method of endovascular intervention does not require the doctor to open the skull, thereby significantly reducing the risk of seizures and impaired consciousness. It has a 24% reduction in mortality, a 16% reduction in disability after treatment, and low risk of recurrent bleeding and stroke.
Subarachnoid hemorrhage is a dangerous condition with a high mortality rate and a number of serious complications. The only way to prevent this condition is to have regular general health check-ups to identify the underlying problem in the brain. If the condition is detected early and treated promptly, the patient is likely to be successfully treated and the complications will be significantly limited.
Currently, Vinmec Nha Trang International General Hospital offers a variety of General Health Check-up Packages designed to suit the needs, ages, and professional and economic characteristics of a wide range of patients. The results of the patient's examination will be returned to the patient's home. If patients experience conditions that require intensive examination and treatment, they can use services from other specialties right at the hospital with an outstanding quality of examination, treatment, and customer service.
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