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Cerebral (Brain) Aneurysms - Surgical Treatment

Case Examples:

38 year-old woman with an aneurysm at the bifurcation of the basilar artery.

Pre-Treatment:

Two-dimensional angiogram showing the aneurysm arising from the basilar bifurcation (red arrow)

   

Three-dimensional angiogram of the same blood vessels, showing the aneurysm (red arrow) and surrounding blood vessels in greater detail.

   

The three dimensional angiogram permits us to view the aneurysm (arrow) and blood vessels from different angles

   

This woman opted for surgical treatment of her aneurysm.

Intra-Treatment:

Surgeon's view through the operating microscope of the blood vessels during the operation. On Panel 1, the black arrow points the the aneurysm at the bifurcation of the basilar artery. On Panel 2, the green arrow points the the surgical clip that was applied to the neck of the aneurysm, thereby preventing it from filling with blood.

Post-Treatment:

Two dimensional angiogram after the surgery, showing the basilar artery and its bifurcation (arrow). The aneurysm is no longer seen, as it is no longer filling with blood.

   

Three dimensional angiogram of the same blood vessels. The arrow shows the area where the aneurysm was.