Coiling of Aneurysm (Endovascular Surgery)
A cerebral aneurysm is a weak or bulging area in the wall of a blood vessel in the brain that can rupture, causing life-threatening bleeding known as a subarachnoid hemorrhage. Early detection and timely treatment of an aneurysm are crucial to prevent rupture and neurological damage. Traditionally, aneurysms were treated through open brain surgery, but advances in endovascular neurosurgery now allow safer, minimally invasive procedures such as aneurysm coiling.
Dr. Rahul Gupta, Director of Neurosurgery at Fortis Noida, is an expert in advanced neurovascular procedures, including endovascular coiling. This technique involves navigating a microcatheter through the blood vessels to the aneurysm site and deploying tiny platinum coils that fill the aneurysm, sealing it off from normal circulation and preventing rupture.
Dr. Gupta’s vast experience in both open and endovascular neurosurgery enables him to select the most appropriate treatment strategy for each patient, ensuring optimal safety, precision, and long-term protection from rebleeding. His meticulous approach and integration of advanced neuroimaging make him a leader in modern aneurysm management.
Clinical Management
Treatment begins with high-resolution CT angiography or Digital Subtraction Angiography (DSA) to evaluate the size, shape, and position of the aneurysm. Based on these findings, Dr. Rahul Gupta determines whether the patient is a candidate for endovascular coiling or surgical clipping.
During coiling, a thin catheter is inserted through a small puncture in the femoral or radial artery and guided up to the brain using real-time fluoroscopic imaging. Through this catheter, Dr. Gupta deploys soft platinum coils into the aneurysm sac. These coils induce clot formation, which effectively seals the aneurysm and prevents blood from entering it again.
This procedure avoids the need for open craniotomy, resulting in reduced pain, quicker recovery, and fewer complications. Most patients can return home within 2–3 days of the procedure. Follow-up angiographic imaging ensures that the aneurysm remains completely sealed and helps monitor for any recurrence.
Dr. Rahul Gupta’s neurovascular expertise, combined with state-of-the-art technology and precision-guided planning, allows patients to benefit from the latest in minimally invasive brain aneurysm treatment, with outcomes comparable to leading global centers.