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The treatment for a brain aneurysm depends on whether the aneurysm is ruptured
or unruptured. A ruptured aneurysm requires immediate surgery. There are
two common surgery options used to treat a ruptured brain aneurysm:
Surgical Clipping: This is a procedure to close of an aneurysm and should only be performed
by an experienced neurosurgeon. The neurosurgeon will need to remove a
section of your skull (craniotomy) to access the aneurysm and locate the
blood vessel that is feeding the aneurysm. The surgeon will then place
a tiny metal clip on the base of the aneurysm. This prevents blood from
entering the aneurysm and causing growth or further bleeding.
Coiling: Although less invasive than surgical clipping, it should still only be
performed by an expert it the field. The surgeon inserts a catheter (hollow
tube) into an artery (this is usually done in the groin area) and threads
it through your body to the aneurysm. Once in place, the surgeon uses
a wire to push a soft platinum wire through the catheter into the aneurysm.
The wire will coil up inside the aneurysm preventing further blood from
entering the aneurysm.
In the case of an unruptured, both surgical clipping or coiling can be
used to seal off an the aneurysm and prevent it from rupturing however
each case is evaluated on an individual basis to weigh the benefits versus
the potential risks. Our expert neurosurgeons at SCCNS will help you determine
whether surgery is the best option for you.