Aneurysm Treatment at NYU Winthrop Hospital
The latest advances in aneurysm surgery
An aneurysm is a balloon-like bulge in an artery wall. The aneurysm can thin out and weaken as it grows, causing it to leak or rupture completely. This releases blood into the space around the brain, which could be life-threatening. Aneurysm treatment is often necessary to stop the leak or rupture before it can do any harm.
Aneurysm coiling and clipping are minimally invasive endovascular procedures. This means the procedures involve inserting a catheter (a small plastic tube) into the femoral artery in the patient’s leg and navigating the tube through the vascular system, into the head and into the aneurysm. Tiny platinum coils are threaded through the catheter and placed within the aneurysm, blocking blood flow and preventing rupture. The coils are made of platinum so that they can be visible via X-ray and flexible enough to conform to the aneurysm’s shape.
Aneurysm coiling is a form of minimally invasive endovascular aneurysm treatment that enables the surgeon to access the treatment area from within the blood vessel. In the case of aneurysms, this treatment (coil embolization) does not require open surgery. Instead, surgeons use real-time fluoroscopic imaging to visualize the patient’s vascular system and treat the disease from inside the blood vessel.
Aneurysm clipping involves a craniotomy (removing a section of the skull) and placing a tiny metal clip across the neck to stop blood flow into the aneurysm. After clipping, the bone is secured in its original place, and the wound is closed.