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What are possible complications?
As with all major surgical procedures, complications can
occur. Some of the most common complications following
carpal tunnel release include:
• Infection
• Scar tenderness
• Post‐operative pain, tenderness, and/or hypersensi‐
tivity Colen Surgical Medi‐Card
• Aneurysm rupture
• Thromboembolic complications
• Bleeding
What is Endovascular aneurysm coiling?
• Weakness or paralysis of an arm or a leg
Endovascular aneurysm coiling is a minimally invasive pro‐
• Vision impairment
cedure that allows for treatment of the aneurysm from
• Confusion, memory loss and/or seizures
within the blood vessel. During the procedure, physicians
use real‐time X‐ray (fluoroscopic imaging) to visualize the
Be sure to discuss the risks and your medical history with patient's vascular system. A small plastic tube (catheter) is
anesthesia with your surgeon. inserted into the femoral artery in the patient's leg and
through the vascular system reaches the aneurysm,
What happens after surgery? ______________________________________________________________________
(Figure 4). The coils are inserted through the catheter and
After surgery, you need to keep your wound clean by packed into the aneurysm closing it off and preventing
I have read and understood the content presented in this brochure. All my questions
showering. Always dry the incision well after washing. blood from entering.
regarding this surgical procedure have been answered satisfactorily.
Soaking in a tub should be avoided until the incision has
completely healed.
You should call your physician if the region of the incision ______________________________________________________________________
becomes warm, red, and swollen, or if you develop fever, PATIENT’S SIGNATURE DATE
nausea, vomiting or new onset weakness or pain. Disclaimer: The content presented in this brochure may vary slightly from the actual
Eat healthy foods. surgical procedure.
Patients may experience mild headaches. If the headaches
become very severe, it is important to call your doctor. If Developed by:
there is any bleeding, patients should call their doctors Colen Publishing, L.L.C.
immediately.
Expect to return to work approximately 2 weeks after sur‐ Authors: Faculty Reviewer:
gery. Chaim B. Colen, M.D., PhD.
Roxanne E. Colen, PA‐C
Setti S. Rengachary, M.D.
What is the recovery time? Infinite possibilities to learning….
Endovascular aneurysm coiling is often performed as an Colen Publishing is dedicated to the promotion and dissemination of professional medical books
inpatient operation. After surgery, the patient is sent to and related topics. Through our publications we endorse and propagate innovative medical and
Figure 1: Cerebral Aneurysm is a dilatation of an artery in
healthcare research and education within the community. Visit us on the web at:
ICU (Intensive Care Unit) and monitored carefully. The pa‐ www.colenpublishing.com. the brain. They are caused by weakening of the vessel wall.
tient is discharged after 36 hours.
What are the indications? When is it used? aneurysm. This procedure can be performed under general anesthe‐
Endovascular aneurysm coiling is used to treat ruptured / sia or light sedation. The surgeon will make one incision in
What are the benefits of endovascular aneu‐
unruptured aneurysms. A the groin / inner thigh. This opens up the femoral artery
rysm coiling? so that the surgeon can insert the catheter, (Figure 4).
patient with an unruptured
A patient undergoing endovascular aneurysm coiling
aneurysm might not have
might not require general anesthesia, and avoids all as‐
any symptoms, (Figure 2).
sociated risks. Because no surgical incision is made, the
However, common symp‐
patient avoids the risks of traditional neurosurgery
toms of unruptured aneu‐
(intracranial bleeding, stroke, leakage of cerebrospinal
rysms are: headache, visual
fluid, etc). Also, endovascular aneurysm coiling can treat
changes, sudden changes in
aneurysms that are very difficult for neurosurgeons to
behavior, short‐term mem‐
reach and clip. Hospital stay is usually shorter following
ory difficulty and speech
endovascular coiling.
problems. Severe headache
could be the presenting How will I prepare for surgery?
symptom of patients with The decision to proceed with surgery must be made
Figure 2: Normal head CT
ruptured aneurysms. Other jointly by you and your surgeon. You should understand
symptoms of ruptured aneu‐ (no bleeding). as much about the procedure as possible. If you have Figure 5: Coil entering aneurysm
rysms include: nausea, vom‐ concerns or questions, you should talk to your surgeon
iting, neck pain and loss of sensation, (Figure 3). before undergoing the operation.
Once you decide on surgery,
most surgeons will have you
undergo a complete physical
examination by your regular
doctor. This exam helps
evaluate whether you are
physically fit to tolerate the
upcoming operation.
On the day of your surgery,
you will probably be admit‐
ted to the hospital early in
the morning. You shouldn't Figure 6: The aneurysm fully coiled.
eat or drink anything after
Figure 3: A. Head CT showing subarachnoid hemorrhage. B. From there, the surgeons can reach the aneurysm with
midnight the night before
Brain angiogram demonstrating aneurysm. your surgery. the assistance of fluoroscopic imaging. Afterwards, tiny
platinum coils are threaded through the catheter and de‐
What happens during ployed into the aneurysm, blocking blood flow into the
Another treatment option for aneurysms is surgical clip‐ endovascular aneurysm Figure 4: Catheter insertion
ping. A clip is used by a neurosurgeon to obliterate the aneurysm and preventing its rupture, (Figures 5 and 6).
coiling? into the femoral artery.