Learn the method of plugging brain aneurysms at Vinmec

This is an automatically translated article.

The article is professionally consulted by Dr. Ton That Tri Dung, Department of Medical Examination & Internal Medicine - Vinmec International Hospital Da Nang.
Brain aneurysm is one of the causes of stroke, which is life-threatening because of its very high mortality rate - considered a "silent killer". The principle of treatment is by all means to "remove the aneurysm".

1. How is brain node technique performed?

The technique of brain aneurysm knotting or commonly known as brain aneurysm buttoning with a metal spiral. When performing this technique, the doctor will insert a specialized instrument from the femoral artery about 2mm in size. From here, a catheter will be threaded into the femoral artery to go up to the brain.
Under the support and guidance of a modern DSA machine, a metal coil is passed through the catheter into the brain aneurysm and is placed there, resulting in the coil filling the aneurysm, that is, not allowing the aneurysm. Blood flows into the aneurysm again, meaning the aneurysm has been removed. This method of intervention only requires anesthesia for about 40-60 minutes and the advantage is that there is no need to open the skull despite intracranial surgery.

2. What are the advantages and disadvantages of the brain aneurysm node technique at Vinmec?

Currently, there are two treatment methods to remove brain aneurysms: Clip surgery and endovascular intervention. In which, the method of endovascular interventional brain aneurysm node is a "minimally invasive" method with high efficiency and safety, with little risk or complications.
Endovascular intervention method is very popular in the world because of the advantages of this method. There are many techniques used in endovascular intervention to help remove cerebral aneurysms, this depends on the characteristics of each type of aneurysm (size, width of the aneurysm neck, location of the aneurysm). aneurysm, number of aneurysms, status of aneurysm has ruptured or not....) that the doctor specified techniques and selected appropriate interventional materials. Techniques that can be performed such as: Coil alone, stent-coil technique, double catheter technique, Balloon-assistant, flow-switching stent..., in which single-coil technique is the most common. These techniques are deployed at Vinmec Da Nang.
Advantages of brain aneurysm node method at Vinmec International Hospital:
● The method has a high success rate, over 95%.
● This is a non-surgical, minimally invasive treatment.
● This is a high-tech, safe treatment method for the patient's health.
● The team is well-trained and experienced.
● The hospital has standard technical procedures.
● The hospital has extremely modern equipment.
● The patient's hospital stay is short, only 3-5 days.
● Vinmec Hospital has the most modern 640-segment CT system in Southeast Asia, with a short scan time, for accurate images.

3. Procedure for performing cerebral embolization at Vinmec International General Hospital

Brain embolization technique at Vinmec Da Nang International General Hospital is performed by the team of experienced Cerebral Interventional doctors:
● Dr. Ton That Tri Dung
● Ths.Bs Huynh An Nhien
● MSc. Nguyen Thanh Nam
.
The process of performing embolization technique at Vinmec International General Hospital includes 4 steps as follows (except for emergency cases):
Step 1: Brain DSA to diagnose and select treatment methods: Once a brain aneurysm is identified (based on clinical, CTA or MRA) Patients are counseled about the disease, risk of complications, and treatment options, agreed, and pre-tested. surgery...admitted brain DSA scan to identify aneurysm, aneurysm characteristics, from which to choose treatment methods and re-consult the patient, including financial projections.
Step 2: Intervention to remove brain aneurysm. Performed as step 1 but this stage has anesthesia.
Complications of endovascular intervention are about 1-2% (for diagnostic scan
or 3-5% (for intervention) Common complications:
Drug allergy Bleeding, hematoma blood vessels in the femoral region - the location of specialized equipment placement. Vascular dissection, stroke, paralysis or reduced mobility (rare) The risks of complications mostly depend on the location of each patient and the medical conditions. comorbid medical conditions (atherosclerosis, diabetes, hypertension, renal failure, atopy...) that have little to do with techniques, but are related to skills and experience of the surgeons
The technique of brain embolization by metal helix is ​​a high technique in neurological intervention that has been routinely and successfully implemented by Vinmec Danang International General Hospital. is a difficult technique in neurointervention with high efficiency and safety in the treatment of cerebral aneurysms.

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