Aneurysm mozga – clipping of the aneurysm – Capillary cropping

Description aneurysm clipping

Клипирование аневризмы – операция, выполняемая для прекращения притока крови к аневризме мозга, which prevents her bleeding and rupture. Usually, surgery is performed открытым способом после трепанации черепа.

Reasons aneurysm clipping

Aneurysm clipping is used in the treatment of brain aneurysm. The operation will not restore the already damaged parts of the brain, but it will help stop the bleeding or to prevent aneurysm rupture.

Possible complications of aneurysm clipping

If you plan to clipping of the aneurysm, you need to know about possible complications, which may include:

• Weakness;
• Numbness or tingling;
• Speech disorders;
• Changes in vision;
• Confusion, memory loss;
• Seizures;
• Infection;
• Reaction to anesthesia (eg, dizziness, lowering blood pressure, breathlessness);
• Renal;
• The formation of blood clots (possible stroke);
• Aneurysm rupture during surgery.

Factors, that may increase the risk of complications include:

• Smoking;
• Obesity;
• High blood pressure.

We need to discuss these risks with your doctor before surgery.

How is the clipping of the aneurysm?

Preparation for the procedure (when elective surgery)

Before operations are carried out:

• Medical checkup, blood tests and tests using medical imaging techniques;
• Screening for allergies;
• Revision of the list of drugs taken, including prescription and non-prescription dietary supplements;
• Screening for disease or other disorders;
• Determination of risks and benefits of surgery.

Women should inform your doctor about pregnancy or plans to get pregnant.

Before performing the procedure, you will meet a neurosurgeon.

Additionally:

• Before the operation to take pictures of the brain (used ultrasound, CT, MRI or angiography);
• It is necessary to organize the return home from the hospital;
• Do not eat or drink anything the night before surgery;
• Consult your doctor about the drugs taken. A week before surgery you may be asked to stop taking certain drugs: aspirin, non-steroidal anti-inflammatory drugs (NSAIDs) or blood thinners.

Anesthesia

Применяется общая анестезия, which blocks the pain and the patient support in a sleep state during operation. Introduced in the arm or hand.

Procedure aneurysm clipping

In the operating room nurse sensor is connected, to control blood pressure, heart rate and pulse. It is introduced catheter urine collection during surgery. The arm will be introduced needle feed sedative and anesthetic. Nurse shave off the hair on the head in the area of ​​operations.

Врач проводит трепанацию черепа – удаление небольшой части черепа, to get access to the brain. Using x-rays and inspection with a microscope, doctor is weakened portion of the vessel. Aneurysm is separated from the adjacent normal brain tissue. Then the doctor will place a small titanium clip at the bottom (neck) Aneurysm, stopping the flow of blood to her. The clip is left in place, To prevent bleeding and / or rupture.

Separation of part of the skull is placed on the place, the skin on the head is sewn.

Immediately after the procedure aneurysm clipping

When the transaction is completed, the catheter and IV line will be removed. You will need to lie still for 6-8 hours or more. You will stay in the intensive care unit for about a day. Will monitor blood pressure and other vital parameters.

How long will the clipping of the aneurysm?

3-5 hours or more.

Клипирование аневризмы мозга – будет ли это больно?

You can feel the pressure, when introduced venous catheter for anesthesia. Anesthesia prevents pain during surgery. Pain or soreness after the procedure are removed with the help of painkillers.

The average time of stay in the hospital after clipping the aneurysm

The operation is performed in a hospital. Usually the duration of stay of 4-6 days. The doctor can extend the period of stay, If there are complications.

Care after clipping the aneurysm

In the hospital

• You have to rest for a few hours after the operation;
• A nurse will monitor vital signs.

Home Care

Recovery will take at least 3-6 weeks. When you return home, Follow these steps:, to ensure the normal recovery:

• Get plenty of rest;
• Control your blood pressure;
• Clean Operating incision, as indicated by a physician. Use a soft cloth to gently wipe the incision area and keep it in dry;
• Take prescribed medications;
• Take part in rehabilitation activities;
• Ask the doctor, when it is safe to shower, bathe, or to expose the surgical site to water.

Be sure to follow all instructions from your doctor.

Contact your doctor after clipping the aneurysm

After discharge from the hospital need to see a doctor, If the following symptoms:

• Любые изменения физических возможностей – силы, motion, coordination;
• Изменения психического состояния – уровня сознания, memory, thinking or reactions;
• Weakness, numbness, pricking;
• Signs of infection, including fever and chills;
• Redness, edema, strong pain, bleeding or discharge from the incision;
• Lingering headache;
• Changes in vision;
• Fainting;
• Pain, which does not pass after taking pain medication appointed;
• Nausea and / or vomiting, which do not disappear after taking the prescribed medicines, and persist for more than two days after discharge from the hospital;
• Problems control bladder and / or bowel.

Immediately call an ambulance for any of the following symptoms:

• Convulsions;
• Shortness of breath or chest pain;
• Loss of consciousness.