Angiography (DSA) p.a.
Angiography of a typical intracerebral aneurysm of the anterior communicating artery. This localization is one of the most common for intracranial aneurysms. This aneurysm measures about 7 mm in size.The digital subtraction angiography (DSA) is still, despite the possibilities of high-resolution MRI and CT angiography, the best tool for diagnosis and enables the surgeon an unmatched image of the aneurysm, especially with modern 3D displays.Situation, Size and form of the aneurysm as well as age, condition and wishes of the patient, are crucial factors that influence the treatment options.Here are essentially three possibilities:*1.surgical exposure after craniotomy and clipping of the aneurysm,*2. Embolization (coiling) with platinum coils (GDC coils) via a percutaneous endoluminal catheter technique *3. Observation with follow-ups without treatment.It should be noted, however, that observation without treatment poses a high risk of the patient developing a dangerous subarachnoid hemorrhage due to rupture of the aneurysm. In general, intracranial aneurysms, depending on the prognostic factors (previous history of SAH, age and condition of the patient, treatment risks) should be always treated, because the risk of a rupture is high and the outcome after a ruptured aneurysm is often fatal or associated with severe neurological deficits.This aneurysm was successfully treated by percutaneous embolization.
See also: giant aneurysm of the right middle cerebral artery; Treated first with embolisation, and was then after increase of size and reperfusion surgically removed.
