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Stanford Health Care offers all of the latest treatment options for brain aneurysm care. We use microsurgical surgery techniques and minimally invasive endovascular techniques, treating the aneurysm from inside the blood vessel.
Our integrated team approach sets us apart. Our highly experienced team works together with you and your family to develop the right customized treatment plan for your unique needs. Our team of specialists includes:
Brain Aneurysm Care: Determining Your Treatment Plan
Each brain aneurysm is different. Our team determines your specific treatment plan based on your condition and needs. The goal of treatment is to close off blood flow to the aneurysm to prevent the risk of hemorrhage in the safest way possible.
Specific treatment for a brain aneurysm will be determined by your care team based on:
Your age, overall health and medical history
Extent of the condition, including size and location of the aneurysm
Your signs and symptoms
Your tolerance for specific medications, procedures or therapies
Expectations for the course of the condition
Your opinion or preference
Presence of other risk factors for aneurysm rupture
Brain Aneurysm Treatment
In some cases, we may choose not to treat the aneurysm. Instead, we will closely monitor you for any changes. In other cases, we may recommend surgical treatment.
Surgery for Brain Aneurysms
Our brain aneurysm team performs hundreds of surgeries each year, using the most advanced equipment and technologies available to achieve excellent outcomes. Stanford's neuroradiologists have been pioneers in developing safer, more effective endovascular therapies for more than 25 years.
Surgical options include:
Open Craniotomy (Surgical Clipping)
This procedure involves the surgical removal of part of the skull. We will:
Expose the aneurysm and place a metal clip across the neck of the aneurysm to prevent blood flow into the aneurysm sac.
Suture the skull back together once the clipping is complete.
Endovascular coiling is a minimally invasive technique, which means it does not require an incision in the skull. We will use either general or local anesthesia. To perform this procedure, we will:
Thread a catheter from a blood vessel in the groin up into the blood vessels in the brain.
Use fluoroscopy (a special type of X-ray) to assist in advancing the catheter to the head and into the aneurysm.
Advance tiny platinum coils through the catheter into the aneurysm. These tiny, soft, platinum coils, which are visible on X-ray, conform to the shape of the aneurysm.
The coiled aneurysm becomes clotted off (embolization), preventing rupture.
Pipeline flow diversion
To perform this minimally invasive procedure, we will:
Thread a catheter through the groin into an artery.
Place coils into the dome of the brain aneurysm to fill it and close off blood flow, preventing future bleeding.
Place a tiny tube, called a stent, or a balloon to ensure safe coil placement (in some cases).
Pipeline Flow Diverter Surgery
If the structure of the brain aneurysm is wider, then we will insert a pipeline stent inside to reconstruct a new wall for the artery so blood cannot fill it.
Clinical trials are research studies that evaluate a new medical approach, device, drug, or other treatment. As a Stanford Health Care patient, you may have access to the latest, advanced clinical trials.
Open trials refer to studies currently accepting participants. Closed trials are not currently enrolling, but may open in the future.