Type of Surgery

Information

Doctor Certified

Last updated: 11/24/2009

Alternatives

A promising new alternative to open surgery is the use of inventional neuroradiology to treat aneurysms. The greatest advantages to this technique are that it is less invasive and requires less recovery time in most patients. This technique is also...

more effective than craniotomy for certain positions of aneurysms or for patients that have complicating conditions that would make them unable to tolerate the stress of the more traditional surgery. The decision of whether an aneurysm should be treated surgically with a clip or through inventional neuroradiological techniques should be made as a team by the neurosurgeon and the endovascular radiologist.

Inventional neuroradiology, also known as endovascular neuroradiology, utilizes fluoroscopic angiography, described as a diagnostic imaging technique. Besides delivering the contrast material, the catheter can be used to place small coils, known as Gugliemlimi detachable coils, within the neck of the aneurysm using a delivery wire. Once the coil has been maneuvered into place, an electrical charge is sent through the delivery wire. This charge disintegrates the stainless steel of the coil, separating it from the delivery wire, which is removed from the body, leaving the coil. Anywhere from one to 30 coils may be necessary to block the neck of the aneurysm from the normal circulation and obliterate it, as occurs with the clip procedure. Although more research is needed to compare the two procedures, recent results indicate that intervention surgery for ruptured aneurysms may be safer than the traditionally more invasive procedure and may increase the chances of survival without disability after SAH.


NEXT:
11. Resources
PREVIOUS:

Advertisement

An artist's representation of what nerves and nerve bundles look like at the microscopic level. It also shows how the anatomy of a nerve allows it to transmit electrical signals and communicate with other neurons (nerves).

Related Videos

Coronary Angiography

This video describes how the circulatory system works, how disease can affect blood vessels (atherosclerosis), and how doctors use angiography to test for coronary artery blockage.

What is ANGIOPLASTY and STENTING?

Sometimes used interchangeably, coronary angioplasty and stenting are actually two separate procedures. This video shows how coronary angioplasty and stenting are performed and how the two procedures differ.

How open abdominal aortic aneurysm surgery is carried out

Your aorta is the major artery leaving the heart, but extends to the abdomen. The video shows how a bulging out of the aorta (abdominal aortic aneurysm) is treated with a stent.

Face Transplant (Health Guru)

This video shows before and after pictures of the women who received the first full face transplant in the United States. It recounts her story and how she has overcome some of these challenges through face transplant. Note, this video may be disturbing to some viewers due to its graphic nature.

To repair a cerebral aneurysm by craniotomy, an incision is made in the skin on the side of the head (A). Small holes are drilled in the skull (B), and a special saw is used to cut the bone between the holes (C). The bone is removed (D), and the aneurysm is treated (E). The bone is replaced, and the skin is sutured closed (F). (Illustration by GGS Inc.) To repair a cerebral aneurysm by craniotomy, an incision is made in the skin on the side of the head (A). Small holes are drilled in the skull (B), and a special saw is used to cut the bone between the holes (C). The bone is removed (D), and the aneurysm is treated (E). The bone is replaced, and the skin is sutured closed (F). (Illustration by GGS Inc.)




Search

Other Information

Definition

Cerebral aneurysm repair involves corrective treatment of an abnormal blood-filled sac formed by localized expansion of an artery or vein within the brain. These sacs tend to form at the juncture between a primary vessel and a branch. If the vessel involved is an artery, the lesion is also known as a berry aneurysm because of its round, berry-like appearance.

Purpose

The purpose of the surgical treatment of cerebral aneurysms is to isolate the weakened vessel area from the blood supply. This is commonly done through the strategic placement of small, surgical clips to the neck of the lesion. Thus, the aneurysm becomes isolated from the normal circulation without damaging adjacent vessels or their branches and shrinks in size to become undetectable, a process known as aneurysm obliteration.


From http://www.answers.com/topic/cerebral-aneurysm-repair

Other Information

More than 60 percent of procedures neurosurgeons perform are spine-related, according to the National Neurosurgical Procedural Statistics 2006 Survey from the American Association of Neurological Surgeons (AANS).


From: AANS

Find a Qualified Specialist

Looking for a specialist?

Please enter your zip code.