The patient is Mr. H.T.Q (55 years old, Da Nang), who had undergone Coil intervention to embolize a cerebral aneurysm in 2021 due to spontaneous subarachnoid hemorrhage due to rupture of a carotid artery aneurysm. Recently, Mr. Q had frequent headaches again, so he went to the doctor and was diagnosed with multiple aneurysms of the internal carotid artery on both sides, with a high risk of rupture.
Recognizing that this was a complicated case, Mr. Q had many underlying diseases such as high blood pressure, high blood fat, sinus tachycardia, doctors at Da Nang Family Hospital invited Dr. Nguyen Trong Tuyen, Head of the Department of Neurovascular Intervention, 108 Central Military Hospital to participate in the treatment consultation.
After many hours of consultation, the doctors decided to place a flow-reversing stent to completely treat the aneurysms in Mr. Q's brain.
This is a new endovascular intervention method that has been widely applied in recent years. With this technique, the interventional doctor will use soft, thin, and densely meshed metal stents placed into the cerebral artery at the patient's aneurysm location. The stent blocks across the aneurysm to help redirect blood flow out instead of into the cerebral aneurysm. Thanks to that, the blood clot formed inside the aneurysm gradually develops and solidifies the entire aneurysm, eliminating the risk of aneurysm rupture.
After 2 hours of surgery, the doctors successfully placed 2 stents to reverse the flow into the internal carotid arteries on both sides to treat the patient's aneurysms. Mr. Q recovered quickly and was discharged from the hospital 2 days after the procedure, with his headache significantly reduced.
Doctors recommend that cerebral aneurysms account for up to 85% of spontaneous subarachnoid hemorrhages, a dangerous medical condition with high mortality and disability rates. Therefore, prevention through regular screening is very important, especially for people who often have headaches.
Currently, there are two main groups of methods for treating cerebral aneurysms: endovascular intervention and surgery. Although it was born late, endovascular intervention was quickly recognized for its advantages: minimally invasive, quick recovery time, and very low risk of complications during intervention. Therefore, in many cases, this method is considered superior to surgery.
