Microvascular OcclusionPronounced: my-CROW-vas-q-lar oh-CLUE-shun
by
Deanna M. Neff, MPH DefinitionMicrovascular occlusion uses a metal coil to fill the aneurysm. The metal coil prevents bleeding or a rupture. It may also fix a ruptured aneurysm. This may also be called endovascular coil embolization. Reasons for Procedure TOPEndovascular coil embolization prevents a brain aneurysm from causing more damage. It will not fix damaged areas of the brain. But, it can improve quality of life by stopping bleeding.
Possible Complications TOPProblems from the procedure are rare, but all procedures have some risk. Your doctor will review possible problems such as:
Your chances of problems are higher for: What to Expect TOPPrior to ProcedureIf there is no emergency, you may have:
Leading up to the procedure:
AnesthesiaLocal anesthesia is usually be used. It will block pain. A sedative may be used to help you relax. Description of the Procedure TOPA cut is made near the groin or upper thigh. A thin, hollow tube or sheath is inserted into the artery wall. A catheter is used to guide a wire. It goes through the artery to the brain. X-rays will direct the catheter to the aneurysm. A dye is placed to outline the aneurysm. A smaller catheter with a platinum coils are advanced to the spot. The coils fill and block the aneurysm. The catheter is removed and the wound is closed. Immediately After Procedure TOPYou will need to lie still for at least 6-8 hours. Your blood pressure and other vital signs will be watched. How Long Will It Take? TOP1-2 hours, maybe more How Much Will It Hurt? TOPAnesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications. Average Hospital Stay TOPNormally, the length of stay is 1-2 days. You will need to stay longer if you have any problems. Post-procedure Care TOPAt the HospitalDuring your stay, the healthcare staff will take steps to lower your chances of infection such as:
There are also steps you can take to lower your chance of infection such as:
At HomeWhen you get home, you may have to adjust your activity level while you recover. This may take 3-6 weeks. To help with healing, you may need:
Call Your Doctor TOPCall your doctor if any of these occur:
Call for emergency medical services right away for:
If you think you have an emergency, call for emergency medical services right away. RESOURCES:Brain Aneurysm Foundation https://www.bafound.org National Institute of Neurological Disorders and Stroke https://www.ninds.nih.gov CANADIAN RESOURCES:Brain Injury Canada https://www.braininjurycanada.ca Heart and Stroke Foundation http://www.heartandstroke.ca References:Cerebral aneurysm. American Association of Neurological Surgeons website. Available at: ...(Click grey area to select URL) Accessed July 18, 2018.
Subarachnoid hemorrhage. EBSCO DynaMed Plus website. Available at:
http://www.dynamed...
. Updated June 6, 2018. Accessed July 18, 2018.
Treatment of brain aneurysm. The Aneurysm and AVM Foundation website. Available at: ...(Click grey area to select URL) Accessed July 18, 2018. Williams LN, Brown RD Jr. Management of unruptured aneurysms. Neurol Clin Pract. 2013;3(2):99-108. Last reviewed May 2018 by
EBSCO Medical Review Board
Michael Fucci, DO, FACC Last Updated: 7/18/2018 | |
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