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| Surgery or minimally-invasive endovascular coiling techniques can be used in the treatment of brain aneurysms. It is important to note, however, that not all aneurysms are treated at the time of diagnosis or are amenable to both forms of treatment. Patients need to consult a neurovascular specialist to determine if they are candidates for either treatment. |
| Surgical Treatment |
| To get to the aneurysm, surgeons must first remove a section of the skull, a procedure called a craniotomy. The surgeon then spreads the brain tissue apart and places a tiny metal clip across the neck to stop blood flow into the aneurysm. After clipping the aneurysm, the bone is secured in its original place, and the wound is closed. |
Minimally-Invasive Treatment
Coil Embolization or Endovascular Coiling |
| Endovascular therapy is a minimally invasive procedure that accesses the treatment area from within the blood vessel. In the case of aneurysms, this treatment is called coil embolization, or "coiling". In contrast to surgery, endovascular coiling does not require open surgery. Instead, physicians use real-time X-ray technology, called fluoroscopic imaging, to visualize the patient's vascular system and treat the disease from inside the blood vessel. |
| Endovascular treatment of brain aneurysms involves insertion of a catheter (small plastic tube) into the femoral artery in the patient's leg and navigating it through the vascular system, into the head and into the aneurysm. Tiny platinum coils are threaded through the catheter and deployed into the aneurysm, blocking blood flow into the aneurysm and preventing rupture. The coils are made of platinum so that they can be visible via X-ray and be flexible enough to conform to the aneurysm shape. This endovascular coiling, or filling, of the aneurysm is called embolization and can be performed under general anesthesia or light sedation. More than 125,000 patients worldwide have been treated with detachable platinum coils. |
| Dr. Perlov |
| Dr. Bakun |
| Dr. Maimon |
The past decade has witnessed an exponential growth in the scope of diseases amenable to neuro-endovascular intervention and treatment. A new Neuro-radiology Interventional Service initiated in the Tel Aviv Sourasky Medical Center last year is headed by Dr. Shimon Maimon, one of Israel's top imaging physicians and a world leader in this field. Imaging, diagnosis and treatment of patients with a pathology of cranial (head and neck) blood vessels is performed by this service, which offers treatment to patients who suffer from Brain Arteriovenous Malformation (AVM) and Fistula (malformed pathways between blood vessels); the narrowing of blood vessels in the skull, neck and in the brain; brain aneurysms (where blood vessels in the brain area become locally dilated); intra-cranial tumors and various spinal cord diseases. The service offers a comprehensive approach applying advanced techniques such as the insertion of coated stents into the brain's most delicate arteries, with the ultimate goal of preventing the need for surgical intervention. |
For more information please contact IMS |
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