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Brain Aneurysm Coiling and Stent

by | Jun 21, 2023

To treat brain aneurysms in Singapore, Dr. Manish Taneja, performs a procedure called coiling, where small platinum coils are inserted into the aneurysm to promote blood clotting, or in some cases, a stent may be placed to provide support and prevent rupture of the blood vessel.

life and recovery after brain aneurysm coiling and tent

Also known as cerebral aneurysms, brain aneurysms are serious medical conditions that require prompt attention and treatment. When detected early, doctors may recommend minimally invasive procedures such as coiling and stenting to repair the aneurysm and prevent potential complications. Here’s what you need to know about the procedure, postoperative instructions, and recovery process associated with brain aneurysm coiling and stenting.

 

Indication: What Do I Need to Know Before the Procedure?

A brain aneurysm is a weak or thin spot on a brain artery (blood vessel), which can cause it to balloon or bulge. Unruptured brain aneurysms occasionally cause visual disturbances, difficulty concentrating, loss of balance, pain around your eye, numbness or weakness on one side of the face, difficulty speaking, headache, etc. Left untreated, it can pose severe health risks, such as rupture, and lead to life-threatening bleeding in the brain. The Ultimate Guide to Brain Aneurysm post can help you learn about the causes, symptoms, and treatments for this potentially life-threatening condition.

Coiling and stent placement are minimally invasive procedures typically recommended for patients with a ruptured or unruptured brain aneurysm. They help reinforce and stabilize the weakened blood vessel walls to reduce the risk of rupture or re-rupture. An interventional radiologist or brain aneurysm doctor specializing in these procedures can assess the aneurysm and determine an appropriate treatment approach. We provide brain aneurysm care and treatment options at our specialized brain aneurysm clinic at Supreme Vascular and Interventional Clinic in Singapore.

 

Preoperative Instructions

If your healthcare provider has determined that brain aneurysm coiling and stent placement are the appropriate courses of action, you must be well-prepared for the procedure. Before the surgery, you’ll have specific preoperative instructions, including fasting guidelines, medication adjustments, and other necessary lifestyle modifications.

Following these directives diligently will help minimize any potential risks. You must also disclose any preexisting medical conditions, allergies, or previous surgeries to the medical team to ensure your safety during the procedure.

 

How the Procedure is Performed

Brain aneurysm coiling and stent placement are performed under image guidance using a minimally invasive technique called endovascular coiling. A vascular surgeon or neurointervention specialist accesses the aneurysm through a small incision in the groin or wrist. They use a catheter to navigate the blood vessels and then place a platinum coil in the aneurysm to promote blood clotting and prevent rupture.

These technologically advanced interventional techniques enable doctors to treat nearly all types of brain aneurysms without resorting to open surgery. They offer several benefits, including shorter recovery time and reduced risk of complications. In some cases, stenting may be combined with coiling. A stent is a small metal mesh tube placed within the blood vessel to provide structural support and reduce the risk of coil migration.

At Supreme Vascular and Interventional Clinic, our neurointervention specialist, Dr. Manish Taneja provides the latest treatment options using such technologies for brain aneurysms.  As a state-of-the-art brain aneurysm clinic in Singapore, we combine the latest advancements in medical technology to ensure your comfort and well-being for the procedure, treatment, and recovery. Visit our clinic for brain aneurysm treatment options. 

 

Recovery after Brain Aneurysm Coiling

The recovery process following an elective unruptured brain aneurysm is relatively quick. You may spend a short time in the hospital for monitoring and observation, but most patients often return home within 1-2 days. Your doctor will provide you with postoperative instructions, including restrictions on physical activities, medication guidelines, and signs to watch out for that may indicate a complication. You’ll also attend any necessary follow-up appointments to ensure a successful recovery.

 

Risks and Alternative Procedures

As with any surgical intervention, brain aneurysm coiling and stent placement carry certain risks. These risks may include blood vessel injury, blood clots, infection, or recurrence of the aneurysm. Discuss the risks with your doctor to better understand the procedure. Your doctor may discuss alternative treatment options based on your unique circumstances, such as surgical clipping or observation, to help you make an informed decision about your care. Discover the latest brain aneurysm treatment options at Supreme Vascular and Interventional Clinic and when a brain aneurysm specialist in Singapore will order a cerebral angiogram.

Best Brain Aneurysm Minimally Invasive Treatments with Dr. Manish Taneja

My first brain aneurysm coiling in 1999, it took almost eight hours. Today, the same aneurysm can be fixed in under 90 minutes with a less than a one per cent risk of stroke. I see tremendous growth coming over the next few years in neurointerventional treatments for stroke and other vascular conditions affecting the brain and the spine.

Conversation on Brain Aneurysm Advances and Care

One of the most important recent advances has been in clot removal for acute stroke and better endovascular devices for the management of brain aneurysms. More than 90 percent of aneurysms can be treated with this approach. (We provide care for brain aneurysm treatments at Supreme Vascular and Interventional Clinic in Singapore.)

Brain Aneurysm Treatment Options at Supreme Vascular and Interventional Clinic

Brain aneurysm is a weak or thin spot on an artery in the brain that balloons or bulges out and fills with blood. The bulging aneurysm can put increased pressure on the nerves or brain tissue. It may also burst or rupture, spilling blood into the surrounding tissue (called a hemorrhage). Brain aneurysm is a fully treatable and curable condition. The best time to treat is before it ruptures. Traditional treatment method of open surgery called clipping is largely replaced in majority of patients with minimally invasive endovascular technique called coiling. This technique involves a 5 mm incision in the groin or wrist to get into a blood vessel. Through this, multiple small tubes called catheters and wires are advanced into the brain and the aneurysm is completely blocked from inside. No open surgery to skull is required with quicker treatment and recovery.

What is the Latest in Treating Brain Aneurysms?

  • Majority of patients are able to walk home within 1-2 days of treatment of an elective un-ruptured brain aneurysm.
  • There are newer technologies available for treating brain aneurysms. These enable us to treat almost all types of brain aneurysms using interventional techniques without resorting to open surgery. These include advanced techniques of balloon assisted coiling /stent assisted coiling/other bridging devices assisted coiling
  • Flow diverters: these are stent type devices that are placed across the neck of the aneurysm enabling gradual occlusion of the aneurysms while preserving flow in normal branches to the brain. These devices are extremely useful in treating all types of aneurysms including those with complex and challenging anatomy
  • Intrasaccular occlusion device (like webdevice/ contour device)

Common Uses of a Cerebral Angiogram

Cerebral angiograms are commonly used for the following purposes:

1. Diagnosis of Brain Conditions: Cerebral angiography is an important diagnostic tool for various brain conditions, including:

  • Brain Aneurysms: It helps identify abnormal bulges in blood vessels that could potentially rupture.
  • Arteriovenous Malformations (AVMs): It helps visualize tangles of abnormal blood vessels.
  • Stroke: It can reveal blockages or narrowing of blood vessels that may cause a stroke.
  • Tumors: It helps identify blood supply patterns to brain tumors.
  • Vascular Abnormalities: It can detect abnormalities such as blood vessel narrowing, dilation, or irregularities.
  • Vascular Dissection: A tear in the wall of an artery.
  • A blood clot

2. Treatment Planning:

  • Cerebral angiograms provide detailed information about the blood vessels in the brain, which is crucial for planning treatment options.
  • They help guide surgical interventions, endovascular procedures (e.g., embolization), and radiation therapy.
  • To prepare for minimally invasive treatments of a vessel abnormality

3. Evaluation of Blood Flow and Perfusion:

  • Cerebral angiography allows the assessment of blood flow and perfusion in the brain.
  • It helps identify areas of reduced blood flow or abnormal patterns, aiding in the evaluation of ischemic stroke or vascular disorders.

4. Follow-up Assessments:

After certain interventions (e.g., aneurysm coiling or AVM embolization), cerebral angiograms may be performed to evaluate the success of the procedure and monitor the condition over time.

Consult a Seasoned Brain Aneurysm Specialist

Brain aneurysm coiling and stent placement are minimally invasive procedures used to treat brain aneurysms and minimize the risk of rupture. If you or a loved one is looking for the right doctor to deliver proper care and treat their brain aneurysm, look no further than brain aneurysm specialist, Dr. Manish Taneja.

Dr. Manish, a certified neurointervention specialist based in Singapore, has extensive experience treating complex vascular and non-vascular disorders. He and his dedicated team will guide you through this journey and provide personalized care. Contact us today to schedule a comprehensive consultation. 

Dr. Manish Taneja performing surgery

Brain Aneurysm Resources

Discover brain aneurysm resources that go beyond the basics designed for patients. Understand the meaning of  a brain aneurysm condition, the causes, symptoms, signs, and more. Connect with your brain health.

Put Brain Aneurysm on Your Health Radar

Did you experience the worst headache of your life? Could it be a brain aneurysm that ruptures, which means bleeding in the brain? Thoughts could be racing through your mind. Then what is the difference between unruptured (a weak or thin spot on an artery in the brain that balloons) or ruptured brain aneurysm? If you’re wondering, then the Supreme Vascular and Interventional Clinic is here to help. It’s important to look out for the tell-tale brain aneurysm symptoms, signs, causes, and risk factors.

Dr. Manish Taneja has been performing brain aneurysm treatments since 1995 from surgical clipping to latest minimally invasive procedures. Each patient is unique as is the size and location of the aneurysm. Your brain has different conditions to treat the aneurysm and artery vessel walls of a blood vessel in the brain. This calls for personalised brain aneurysm treatment depending on your symptoms, family, history, medication, and more. A simple CT scan could be just what the doctor ordered and the first step in early detection and prevention of a brain aneurysm. Come in for an easy consultation with our brain aneurysm specialist in Singapore to be on your health radar.

Other Health Conditions

The Supreme Vascular and Interventional Clinic is your “go-to” facility for various conditions and treatments. To arrange an appointment with Dr. Manish Taneja, our neurointervention specialist, contact us. You can also call us at (+65) 6904 8084 for a consultation.