Treatment for Brain Aneurysm

Specific treatment for a brain aneurysm will be determined by your doctor based on:

• Your age, overall health, and medical history
• Extent of the condition
• Your signs and symptoms
• Your tolerance for specific medications, procedures, or therapies
• Expectations for the course of the condition
• Your opinion or preference

Depending on your situation, the doctor will make recommendations for the intervention that is appropriate. Whichever intervention is chosen, the main goal is to decrease the risk of subarachnoid hemorrhage, either initially or from a repeated episode of bleeding.

Many factors are considered when making treatment decisions for a brain aneurysm. The size and location of the aneurysm, the presence or absence of symptoms, the patient's age and medical condition, and the presence or absence of other risk factors for aneurysm rupture are considered. In some cases, the aneurysm may not be treated and the patient will be closely followed by a doctor. In other cases, surgical treatment may be indicated.

Pipeline Embolization for Large, Giant and Wide-Necked Aneurysms

Large, giant and wide-necked aneurysms can be challenging to treat with traditional methods. The pipeline embolization is a new treatment option for large or giant aneurysms with wide necks. Endovascular coiling and open neurosurgical clipping only repair the aneurysm. They do not treat the actual blood vessel, the walls of which became weak and an aneurysm was formed. Pipeline endovascular reconstruction has revolutionized the way we treat cerebral aneurysms. Only a few centers throughout the country have such technology or have physicians trained and certified to perform this procedure.