Aneurysms should be treated with early surgery or endoluminal repair, and are generally not treated with medication.
Aneurysm refers to the limited expansion of arteries, which is divided into peripheral aneurysm, visceral aneurysm, abdominal aortic aneurysm and intracranial aneurysm. Its causes are complex and diverse, and common ones include atherosclerosis, injury and infection.
The aneurysm can expand continuously under pressure, and eventually rupture, hemorrhage and endanger life. Especially the aneurysms occurring in the arteries or aorta of intracranial area should be treated as early as possible once diagnosis is made, and commonly used surgical treatment, endoluminal repair of aneurysm, or composite surgery combining the both of them.
1. Surgical treatment: the aneurysm should be removed and arterial reconstruction should be completed. If the defect is large after resection, artificial blood vessel or autologous vein grafting can be used. If the aneurysm is infected, the aneurysm should be thoroughly debrided and the artificial blood vessel or autologous vein should be bypassed from outside the infected area.
2. Endoluminal repair: a coated stent is placed in the affected arterial segment to isolate the aneurysm and restore normal blood flow in the artery.
3. Compound surgery combining open surgery and endoluminal repair: when the location of the aneurysm is deep, the open surgery is traumatic, or the patient is unable to tolerate the surgery, a smaller open surgery can be performed to reconstruct the important arteries, and then a coated stent can be used to isolate other aneurysms.
It is recommended that patients who find aneurysms should seek timely medical treatment and be actively treated under the guidance of professional physicians to avoid delays.