A brain aneurysm is a weak spot in an artery that supplies blood to the brain that causes widening or a ballooning effect. This weakened area puts the artery wall at risk for rupture (bursting).
Top: images are the AP (left) and lateral (right) pre-operative angiographic views demonstrating the large Aneueysm.
Bottom: same angiographic views, AP (left) and lateral (right), 6-months post-op, demonstrating obliteration of the aneurysm.
An aneurysm usually occurs in an artery at the front part of the brain, which supplies oxygen-rich blood to the tissue. While a normal artery wall is three layers deep, the aneurysms wall is only two layers deep putting the aneurysm at risk for rupturing. Someone that has a brain aneurysm may not know it until it ruptures however, sometimes there are symptoms that prompt further investigation. Often times, brain aneurysms are discovered after it has ruptured or by chance during other diagnostic screening for other conditions.
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Each brain aneurysm is different and treatment is determined through careful consideration by Dr. Yashar. The goal of treatment is to close off blood flow to the aneurysm to prevent the risk of hemorrhage in the safest way possible.
This may be achieved by procedures such as Coil Embolization of Aneurysm, Clip Ligation or Flowing Diverting Stents for Aneurysm.
Flow-diverter stent treatment of a large, wide-neck left vertebral artery aneurysm using a Pipeline Embolization Device (PED, Medtronic)
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