On July 10, Dr. Ton That Tri Dung, Head of the Internal Medicine Division at Vinmec Da Nang Hospital, successfully recanalized a massive brain aneurysm for Mr. Nguyen Van Hung (46), a resident of Son Tra district, Da Nang, by using a coil and stent diversion.
Accepting individuals at great risk of mortality who have massive aneurysms
It is known that Mr. Nguyen Van Hung, 46, of Da Nang's Son Tra area, suddenly lost consciousness, stopped breathing, and had his heart stopped. His relatives rushed him to the hospital. Here, the medical professionals discovered that the patient had a coil placed and a ruptured brain aneurysm. The patient was more awake yet blind in the right eye immediately after the coil was placed. Doctors found that the aneurysm had reopened during follow-up. Mr. Hung has visited many of Ho Chi Minh City's main hospitals. Both in Hanoi and Ho Chi Minh City, but also there, no additional care was given. Mr. Hung came for an examination after learning about Vinmec Da Nang's successful intervention in cerebrovascular illness.
The patient had a very significant right internal carotid aneurysm in the ophthalmic section, which was nearly entirely revascularized after coil installation, according to Vinmec Da Nang medical professionals who treated Mr. Hung. The massive internal carotid aneurysm (26 x 18 mm, neck width 7.8 mm) has ruptured once, making this a unique case of cerebral aneurysm. When the aneurysm ruptured, the first coil implantation was successful in hemostasis. The blood pressure inside the aneurysm is very high, which causes the coil to collapse and produce a new aneurysm. As a result, this procedure will not be able to remove the aneurysm, and if it ruptures again, there is a 100% chance of dying. and is profitable before, during, and after the intervention.
The large aneurysm was effectively excised by Vinmec Da Nang using Coil and Stent diversion techniques.
Doctors at Vinmec Da Nang met and decided to assess the patient's risk as being extremely high. Patients have no other options besides endovascular procedures and clip-on neurosurgery, which can eliminate aneurysms. patient.
The placement of the aneurysm prevents surgery when it is too large, and open cranial surgery carries a number of risks and problems (craniotomy causing meningitis...). Therefore, in this situation, adding coils to the aneurysm and plugging it with a transfusion stent to intervene and fully eliminate it is the proper course of action, according to Dr. Ton That Tri Dung.
The patient was awake and pain-free right away following the intervention. Anh Hung was given preventative medication that was supposed to totally cure the aneurysm in three months.
"I made the decision to travel to Vinmec Danang Hospital with great optimism after learning about the successes of cerebral vascular intervention there. And I wasn't let down. When I was released from the hospital on July 15, Anh Hung said, "Not only can I entirely eliminate the chance of having a brain aneurysm again, but I also feel quite comfortable and like I am completely healthy.
Brain aneurysm is a highly serious condition, says Dr. Ton That Tri Dung, Head of the Examination and Internal Medicine Department at Vinmec Da Nang International General Hospital. When it ruptures, it results in a very high death rate and is regarded as a very severe condition. named "Silent Assassin." The disease affects persons of all ages, but is more prevalent in those who smoke heavily, have high blood pressure, or have dyslipidemia (about 2-3% of the community).
Although cerebral aneurysm illness is a severe condition, most patients are typically overlooked until the aneurysm sac forms because the disease's symptoms are frequently quite ambiguous (primarily a chronic headache...). Patients frequently present to the hospital with emergency situations like vomiting, headaches, and confusion after the brain ruptures, which can result in death before or in the hospital if not addressed. timely medical care.
The risks and consequences associated with endovascular intervention are minimized because the patient does not need to open their skull. However, because of the complexity of this, skilled experts are required to assemble the crew and cutting-edge facilities before deployment. Vinmec Danang Hospital is one of the few hospitals now using this method successfully in the central region.
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