How should cerebral aneurysm intervention be performed?

How should cerebral aneurysm intervention be performed? Cerebral aneurysms should be treated surgically. If conservative treatment is used, about 70% of the patients will die from rebleeding of the aneurysm, which is a high risk. Currently, microsurgery has reduced the mortality rate of aneurysm surgery to less than 2%. I hope you can pay attention to the knowledge of cerebral aneurysm interventional surgery. For the surgical treatment methods are as follows: How should cerebral aneurysm interventional surgery be carried out? 1.Timing of surgery: For patients whose condition belongs to Grade I or Grade II, they should undergo imaging as early as possible and strive for surgery within one week. Patients whose condition belongs to grade three or above, suggesting that bleeding is serious and there may be symptoms of cerebral vasospasm and hydrocephalus, at this time, surgery is more dangerous, and surgery should be carried out after the condition improves in a few days. 2.Surgical method: Craniotomy and clamping of cerebral aneurysm tip is the most ideal method and should be the first choice. It should be the first choice because it neither blocks the aneurysm-carrying artery nor completely eliminates the aneurysm. Isolated surgery is to clamp the aneurysm-carrying artery at both ends of the aneurysm, which should be used with caution when it fails to prove the good supply of side branches of the brain. Aneurysm wall reinforcement is of uncertain efficacy and should be used sparingly. For aneurysms that are not clinically amenable to surgery and are accessible by catheterization, interventional therapy with balloon or spring coil embolization is an option. Postoperative cerebral angiography should be repeated to confirm the disappearance of the aneurysm. It is important to understand the interventional surgery of cerebral aneurysm. 3.Treatment during the waiting period: after the rupture of aneurysm, the patient should have absolute bed rest, minimize the adverse sound and light stimulation, and it is better to put the patient in ICU for supervision. Transcranial Doppler ultrasonography can monitor the changes of cerebral blood flow, which is helpful to observe the progress of the disease. Constipation should be given laxatives, maintain normal blood pressure, and appropriate sedation. When combined with cerebral vasospasm, vasoprotective treatments such as calcium ion antagonists can be tried at an early stage. In order to prevent the aneurysm rupture at the clot dissolution and re-bleeding, the use of a larger dose of anti-fibrinolytic agents, such as aminocaproic acid, in order to inhibit the formation of fibrinolytic zymogen, but renal dysfunction should be used with caution, because the side effects may lead to thrombus formation. How should cerebral aneurysm intervention be performed? In summary, the explanation is about the brain disease related knowledge, I hope that your life is very helpful, cerebral aneurysm interventional surgery is very important for the treatment of your condition, must pay attention to a little. Don’t ignore the information about cerebral aneurysm intervention surgery, and I wish you a speedy recovery.