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What Is Endovascular Coiling?

Endovascular coiling is a minimally invasive technique used to treat brain aneurysms by sealing them off from the bloodstream. It involves threading a catheter through the blood vessels to the aneurysm and placing tiny platinum coils inside it. These coils promote blood clotting within the aneurysm, effectively preventing it from rupturing and causing a potentially life-threatening brain hemorrhage.

Why Is Endovascular Coiling Performed?

Endovascular coiling is primarily done to prevent aneurysms from bursting. When an aneurysm ruptures, it can lead to a stroke, brain damage, or death. This procedure is often recommended for aneurysms that are at high risk of bleeding or for patients who are not ideal candidates for open surgery due to age or other health conditions.

How Is the Procedure Carried Out?

The procedure begins with a small incision, usually in the groin, where a catheter is inserted into an artery. The catheter is guided through the blood vessels up to the brain using real-time X-ray imaging. Once in place, the surgeon carefully deploys soft metal coils into the aneurysm. These coils fill the aneurysm, causing blood to clot and blocking blood flow into it.

What Are the Benefits of Endovascular Coiling?

Endovascular coiling offers several advantages over traditional open surgery. It is less invasive, involves shorter recovery time, and reduces the risk of complications like infection and bleeding. Patients usually spend less time in the hospital and experience a quicker return to daily activities. Additionally, it is highly effective for aneurysms located deep within the brain.

Who Is a Good Candidate for Endovascular Coiling?

Candidates for endovascular coiling include individuals diagnosed with either ruptured or unruptured brain aneurysms. It’s often recommended for patients whose aneurysms are in hard-to-reach areas of the brain, or for those who may not tolerate open surgery due to age or other medical conditions. A detailed evaluation with brain imaging helps determine suitability.