Nghe An Friendship General Hospital performed cerebral artery embolization using metal coils on a patient.
Coil embolization is a highly specialized technique used at central hospitals in the field of cranial neurosurgery. Currently, this technique is being implemented at Nghe An Friendship General Hospital and offers a chance of survival and complete recovery for many cases of complex cerebral aneurysms.
On July 23, 2024, the Stroke Center of Nghe An Friendship General Hospital admitted patient LTS (49 years old) from Yen Thanh district, who presented with headache and dizziness. The patient had a history of cerebral aneurysm, which had been detected one month prior.
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Four days prior to admission, the patient experienced headache, dizziness, and nausea at home, but no vomiting or fever. The patient sought medical attention at Yen Thanh District General Hospital and was diagnosed with a left internal carotid artery aneurysm. The patient was then transferred to Nghe An Friendship General Hospital for further treatment.
After examination and complete paraclinical tests, the patient was diagnosed with left internal carotid artery aneurysm/hypertension. On July 25, 2024, the patient underwent digital subtraction angiography (DSA) which revealed an aneurysm in the ophthalmic segment of the left internal carotid artery, measuring 4.5x4 mm with a neck of 3.2 mm.
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Digital subtraction angiography (DSA) is an advanced medical imaging technique that uses X-rays to create detailed, clear images of the cerebral vascular system. This technique is particularly useful in diagnosing and treating cerebrovascular diseases. In Nghe An province, Nghe An Friendship General Hospital is the first hospital to routinely use and perform this technique, successfully diagnosing and treating many patients.
On July 29, 2024, the patient underwent aneurysm embolization. The intervention team, including Dr. Nguyen Thanh Long and other medical staff from the Stroke Center, established an access point in the right femoral artery, then threaded a guide catheter into the left internal carotid artery; inserted a balloon to block the aneurysm neck first, followed by a microcatheter into the cerebral aneurysm; successively released metal coils into the aneurysm; and coordinated the inflation and deflation of the balloon to ensure the metal coils remained inside the aneurysm and did not protrude, causing vascular obstruction...
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Ultimately, the aneurysm was completely occluded, and the branches of the left internal carotid artery were preserved. Four days after the intervention, the patient was discharged in stable condition with no sequelae.
Aneurysm coil embolization is a minimally invasive medical procedure used to treat cerebral aneurysms. It is one of the most modern and effective methods for preventing aneurysm rupture and reducing the risk of stroke. The main goal of this intervention is to prevent the aneurysm from rupturing by filling it with platinum coils. This helps reduce pressure on the aneurysm wall and prevent blood from flowing into the aneurysm.
The advantages of aneurysm coil embolization are that it is minimally invasive. The procedure is performed through a catheter, causing minimal damage to the body, and is highly effective; it prevents the risk of aneurysm rupture, minimizes the risk of stroke, and allows for faster recovery... patients can usually be discharged after a few days, compared to open surgery. Coil embolization also causes fewer serious complications.
