Why do I get aneurysms?
Most common clinical aneurysms are true aneurysms, which are usually related to congenital factors and gradually form under the action of acquired factors.
Are aneurysms hereditary?
Aneurysms are hereditary, but it does not mean that if a parent has an aneurysm, the child must have an aneurysm, only that the chances of having an aneurysm are increased.
Are aneurysms benign or malignant?
An aneurysm is a localized lesion in the arterial wall (which can be caused by weakness or structural damage) that bulges outward to form a permanent, confined dilatation. It is not a true tumor and does not matter if it is malignant or benign. If the patient’s general condition before surgery is good and the surgery goes well, he or she can survive normally for a long time without affecting life expectancy.
Is surgical treatment of aneurysm necessary?
For patients who have ruptured and bleeding, the possibility of rebleeding is high and surgery is necessary. For patients who have not ruptured but develop neurological symptoms, such as arteriovenous nerve palsy, indicating that the aneurysm has recently grown significantly, surgery should also be actively considered. For unruptured aneurysms larger than 5mm in diameter, which have a higher chance of bleeding, surgery should be considered. For patients with less than 5mm in diameter, unruptured bleeding, without any symptoms and only incidentally detected, surgery can be considered on a case-by-case basis and at the discretion of the patient.
What treatments are available for aneurysms?
The main treatments are surgical clamping and interventional embolization.
What are the advantages and disadvantages of surgical clamping and interventional embolization?
Surgical clamping is less expensive but more traumatic than interventional embolization, while interventional embolization does not require craniotomy and is therefore less traumatic but more expensive. Currently, in Europe and the United States, most patients are treated with interventional embolization.
How many days of hospitalization are required?
If the patient’s general condition is good before surgery and there are no postoperative complications, it takes 1-2 weeks.
What is the exact cost of the procedure?
Because of regional and hospital differences, as well as the size and shape of the aneurysm, the cost varies greatly from patient to patient.
What should I do before surgery?
Absolute bed rest, sedation, lowering of blood pressure, keeping bowels open, and maintaining emotional stability to prevent rebleeding.
Precautions after surgery?
1. Control blood pressure, blood sugar and blood lipids
2. Keep the stool open and maintain emotional stability
3. Regular outpatient review
4. Patients with stent implantation should also take aspirin and poliovel.
What are the risks of surgery?
There are mainly cerebral hemorrhage and cerebral infarction.
Can aneurysms be treated conservatively?
For patients with indications for surgical treatment, surgical clamping or interventional embolization should be actively pursued. There is no clear and effective conservative treatment method.
Do aneurysms recur?
Aneurysms have a certain recurrence rate, so regular review is necessary.
Are there any dietary concerns?
There is no special requirement, but it is better to eat more vegetables, fruits and light diet, and less greasy, salty and fried diet.
Can I work after treatment?
You can do general work, but avoid heavy physical work.
Can I have MRI examination?
The current spring coil and aneurysm clip have been demagnetized, and MRI is possible, but it is best to double check with your doctor for safety.