A team of doctors at Apollo Hospitals, Ahmedabad, led by senior Interventional Neurologist Dr. Devashish Vyas gave a new lease of life to a 49-year-old woman who was suffering from subarachnoid hemorrhage with wide-necked right ICA aneurysm at origin of the superior hypophyseal artery. In simple terms, this refers to bleeding between the brain and its covering (hemorrhage) which further leads to a bulge in the blood vessels (aneurysm).
Subarachnoid hemorrhage with wide-necked right ICA aneurysm at the origin of the superior hypophyseal artery. These aneurysms are tricky to access as they point away from the natural curve of the artery. The coiling catheter was custom-shaped using steam on the table and coiling with balloon assistance.
As per the case details, the woman was admitted to the hospital with complaints of severe headaches among other problems. Upon further diagnosis and a CT scan, the doctors discovered a subarachnoid hemorrhage with a wide-necked right ICA aneurysm at the origin of the superior hypophyseal artery.
Following the diagnosis, the doctors decided to go for a Digital Subtraction Angiography (DSA) test, which is done to detect the blood flow in the blood vessels of the brain. The test results revealed the location of the aneurysm—a tricky region in the case of the woman.
The team of doctors led by Dr. Devashish Vyas performed a coiling surgery to block the blood flow into the brain aneurysm. During the coiling surgery, a catheter is passed through the leg up into the artery containing the aneurysm in the brain thereby making the surgery extremely challenging.
Following the surgery, the patient’s recovery was monitored for a week and she was recently discharged from the hospital.
In the past, we have talked about clinical cases from other systems.
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