Nghe An General Friendship Hospital performed cerebral embolization with a metal coil for a patient
The method of cerebral embolization using metal coils (coils) is a high-level, specialized technique of the Central level in the field of cranial neurointervention. Currently, this technique is being deployed at Nghe An General Hospital and brings the opportunity to live and fully recover for many complicated cases of cerebral aneurysms.
On July 23, 2024, the Stroke Center, Nghe An General Hospital, admitted patient LTS (49 years old), from Yen Thanh district, to the hospital with a headache and dizziness. The patient had a history of cerebral aneurysm, which was discovered 1 month earlier.
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Four days before being admitted to the hospital, the patient had a headache, dizziness, and nausea at home but no vomiting or fever. The patient went to Yen Thanh District General Hospital and was diagnosed with a left internal carotid artery aneurysm. The patient was transferred to Nghe An 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) showing an aneurysm of the left internal carotid artery, measuring 4.5x4 mm, neck 3.2 mm.
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Digital subtraction angiography is an advanced medical imaging technique that uses X-rays to create detailed, clear images of the brain's blood vessel system. This technique is especially useful in diagnosing and treating diseases related to the blood vessels in the brain. In Nghe An, Nghe An General Hospital is the first hospital to use and perform this technique routinely, helping to diagnose and treat many patients successfully.
On July 29, 2024, the patient underwent aneurysm coil embolization intervention. The intervention team, including Dr. Nguyen Thanh Long and other medical staff of the Stroke Center, placed an access line in the right femoral artery, then inserted a guide catheter into the left internal carotid artery; inserted the aneurysm neck balloon first, and inserted the microcatheter into the cerebral aneurysm later; released the metal coils into the aneurysm one by one; coordinated with balloon inflation and deflation to ensure that the metal coils remained inside the aneurysm and did not protrude out, causing blockage of the lumen...
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The final result was that the aneurysm was completely blocked, and the vascular branches of the left internal carotid artery were preserved. After 4 days of intervention, the patient was discharged from the hospital in stable health condition, without any sequelae.
Coiling is a minimally invasive medical procedure used to treat brain aneurysms. It is one of the most modern and effective methods to prevent aneurysms from rupturing, reducing the risk of stroke. The main goal of this procedure is to prevent the aneurysm from rupturing by filling it with platinum coils. This will help reduce pressure on the aneurysm wall and prevent blood from flowing into the aneurysm.
The advantage of aneurysm coil embolization is that it is minimally invasive. The procedure is performed through a catheter, causing little damage to the body, bringing high efficiency; preventing the risk of aneurysm rupture, minimizing the risk of stroke, quick recovery time... patients can usually be discharged after a few days, compared to open surgery. Coil embolization rarely causes serious complications./.
