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International Patient CareEndovascular Coiling Procedure by Expert Neurosurgeons
Endovascular coiling at Medicover Hospitals is performed by neurosurgeons with qualifications such as MS and MCh. This minimally invasive procedure effectively treats brain aneurysms. It involves smaller incisions, leading to reduced recovery time and shorter hospital stays.
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What is Endovascular Coiling?
Endovascular coiling is a minimally invasive procedure used to treat aneurysms in the brain. An aneurysm is a bulge in a blood vessel caused by a weakness in the vessel wall. During the procedure, a catheter (a thin tube) is inserted through the groin and guided to the brain. Tiny coils are then placed into the aneurysm to block blood flow and prevent rupture.
This surgery is essential for preventing brain aneurysm rupture, which can lead to severe complications like stroke or death. Conditions such as a diagnosed brain aneurysm often necessitate endovascular coiling. If left untreated, an aneurysm can grow and eventually burst. Modern surgical approaches for endovascular coiling include fluoroscopy and digital subtraction angiography, which help guide the procedure with precision.
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Complete Guide To Endovascular Coiling
Everything you need to know about the procedure, preparation, and recovery
Endovascular Coiling procedure Indications
Doctors recommend endovascular coiling to treat certain types of brain aneurysms. This minimally invasive procedure is often chosen when specific symptoms or diagnostic findings indicate a high risk of rupture.
Unruptured Aneurysm
Patients may experience headaches or neurological symptoms. Imaging tests like MRI or CT scans reveal an aneurysm. When the aneurysm is large or has a high risk of rupture, coiling is considered.
Ruptured Aneurysm
Sudden severe headache, nausea, or loss of consciousness can indicate a rupture. CT scans show bleeding in the brain. Immediate coiling may be necessary to prevent further bleeding.
Recurrent Aneurysm
Some patients experience symptoms after previous aneurysm treatment. Follow-up imaging shows aneurysm regrowth or incomplete treatment. Coiling is recommended to address these findings.
Complex Aneurysm Shape
Patients may not have symptoms, but imaging reveals an irregularly shaped aneurysm. The shape increases rupture risk, making coiling a preferred option.
Failed Conservative Management
Patients with small aneurysms might initially undergo monitoring. If symptoms worsen or imaging shows growth, coiling becomes necessary.
High Surgical Risk
Some patients have conditions that make open surgery risky. Coiling offers a less invasive alternative when imaging confirms an aneurysm.
How to Prepare for Endovascular Coiling?
Proper preparation for endovascular coiling is crucial to ensure a smooth procedure and recovery. It helps minimise risks and ensures the procedure's success.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor.
- Fasting: Do not eat or drink anything for at least 6-8 hours before the procedure.
- Medical History: Share your complete medical history, including allergies and current medications, with your healthcare team.
- Clothing: Wear loose, comfortable clothing on the day of the procedure.
- Transportation: Arrange for someone to drive you home after the procedure as you may feel drowsy.
- Medication List: Bring a list of your current medications, including dosages, to the hospital.
- Pre-Procedure Tests: Complete any required blood tests or imaging studies as instructed by your doctor.
- Personal Items: Leave valuables at home and bring only essential items to the hospital.
Endovascular Coiling procedure (Step-by-Step)
Overview: Endovascular coiling is performed by neurosurgeons. The procedure typically lasts 1-3 hours and is done under general anaesthesia.
- Preparation: The patient is placed under general anaesthesia. A small incision, about 1-2 cm, is made in the groin area to access the femoral artery.
- Catheter Insertion: A catheter is gently inserted through the incision and guided through the blood vessels to reach the brain aneurysm. The patient remains unconscious and does not feel this process.
- Microcatheter Navigation: Using fluoroscopy, a microcatheter is threaded through the initial catheter to the aneurysm site. The patient is monitored closely to ensure stability.
- Coil Deployment: Soft platinum coils are inserted through the microcatheter into the aneurysm. These coils fill the aneurysm, promoting blood clotting to prevent rupture. The patient remains unaware of these steps due to anaesthesia.
- Coil Detachment: Once the coils are in place, they are detached from the delivery system. The neurosurgeon ensures the aneurysm is securely packed.
- Catheter Removal: The microcatheter and catheter are carefully withdrawn. The incision site is closed and bandaged. The patient is gradually awakened from anaesthesia.
- Recovery: The patient is moved to a recovery area for observation. They may experience mild grogginess as the anaesthesia wears off.
Who Performs Endovascular Coiling procedure?
Endovascular coiling is performed by neurosurgery doctor with expertise in minimally invasive techniques. These specialists are trained to navigate the complex vascular system of the brain using advanced imaging and surgical tools. Their skills are crucial for the precise placement of coils in the aneurysm.
Recovery After Endovascular Coiling procedure
Recovery from an endovascular coiling procedure involves careful monitoring and gradual return to daily activities. Patients can expect to stay in the hospital for a short period for observation. It's important to follow the doctor's instructions to ensure a smooth recovery.
Day 1-3:
- Hospital stay for monitoring vital signs and neurological status.
- Rest is crucial. Avoid any strenuous activities.
- Start with a light diet. Include soft foods like curd, dal-rice, and soups.
Day 4-7:
- Discharge from the hospital is likely if there are no complications.
- Continue with light activities at home. Avoid lifting heavy objects.
- Gradually introduce more solid foods like khichdi and moong dal.
- Stay hydrated and avoid alcohol and smoking.
Week 2-4:
- Resume light work or school activities if feeling well.
- Continue to avoid strenuous activities and heavy lifting.
- Follow up with your doctor for a check-up.
- Maintain a balanced diet with plenty of fruits and vegetables.
When to Seek Urgent Help:
- Severe headache or sudden vision changes.
- Weakness or numbness in limbs.
- Difficulty speaking or confusion.
- Any signs of infection at the catheter site, such as redness or swelling.
Always consult your healthcare provider for personalized advice and follow their recommendations for a safe recovery. Please contact the hospital for current details as insurance panels may change.
Benefits of Endovascular Coiling procedure
Endovascular coiling is a minimally invasive procedure used to treat brain aneurysms. It offers several advantages over traditional surgery.
- Minimally Invasive: The procedure involves small incisions, leading to quicker recovery times.
- Reduced Hospital Stay: Patients often experience shorter hospital stays compared to open surgery.
- Lower Risk of Infection: With fewer incisions, the risk of infection is significantly reduced.
- Preservation of Brain Tissue: The procedure avoids direct contact with brain tissue, minimizing potential damage.
Risks and Complications of Endovascular Coiling procedure
While endovascular coiling is generally safe, it carries some risks and potential complications.
Common Risks
- Headache and nausea may occur post-procedure.
- Groin bruising or bleeding at the catheter insertion site.
Rare Risks
- Blood vessel damage or rupture during the procedure.
- Stroke due to blood clots forming during the procedure.
- Recurrence of the aneurysm requiring further treatment.
Cost of Endovascular Coiling procedure
The cost of an Endovascular Coiling procedure can vary from INR 1,50,000 to INR 6,00,000, based on factors such as the surgical approach, duration of hospital stay, room category, required diagnostics, and post-operative care.
At Medicover Hospitals, we offer transparent pricing to ensure clarity. We support insurance and TPA services, including CGHS, ESI, and major TPAs, with cashless facility options available. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Endovascular Coiling procedure cost at Medicover Hospitals?
The cost of an Endovascular Coiling procedure varies from INR 1,50,000 to INR 6,00,
2. Please contact Medicover Hospitals for detailed pricing information. 2. Is Endovascular Coiling procedure covered under health insurance at Medicover?
Endovascular Coiling may be covered by CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Can I resume normal activities after Endovascular Coiling?
After Endovascular Coiling, avoid strenuous activities for a few weeks. Consult your doctor for a personalised recovery plan.
4. Will I need to follow a special diet post-Endovascular Coiling?
A light diet with foods like curd and khichdi is recommended initially. Gradually return to normal diet as advised by your doctor.
5. Are there any long-term complications after Endovascular Coiling?
Rarely, complications like re-bleeding can occur. Regular follow-ups are essential to monitor your condition.
6. Can I travel after undergoing Endovascular Coiling?
Avoid air travel for at least two weeks post-procedure. Always consult your doctor before planning any trips.
7. Will I need regular check-ups after Endovascular Coiling?
Yes, regular check-ups are crucial to monitor the aneurysm. Your doctor will guide you on the frequency of these visits.
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