62-Year-Old Women Survives double lobe Brain Aneurysm
Mumbai, 27 June 2022: A Neurosurgery team at SRV Hospital, chembur led by Dr Nilesh Potdar, Dr. Nitin Jagdhane and Dr Rakesh Singh successfully performed complex and complicated aneurysm procedure by using contour device giving a new lease of life to 62 year women Ms. Suman Narayanrao Satpute, who was diagnosed with acute subarachnoid hemorrhage (SAH) where aneurysm from Right middle cerebral artery (MCA )having broad neck was leaking and could have burst open anytime and could have led to patient death.
Patient Suman Satpute is a farmer from a village at Nagpur. She felt down in the morning while doing some household work. For more than 2 hours she was unconsciousness, and hence in an emergency she was taken to Hospital nearby, where CT was done to diagnose the cause. Doctor revealed that there was brain aneurysm means ballooning from blood vessel which having where one blood vessel inside of his brain had burst and other is on borderline and require urgent surgery to operated it.
Since hospital in Nagpur was not confident of patient recovery family decided to take her to Mumbai by cardiac ambulance for further treatment.
Dr Nilesh Potdar, Neurosurgeon at SRV Hospital Said “Patient was diagnosed with Acute subarachnoid hemorrhage (SAH) from 3 days. To evaluate her latest brain condition, she underwent Digital subtraction angiography (DSA), a test that provides images of the lumen of the blood vessels including the arteries and veins. 3D CT using 128 slice advanced scan of brain was done to get clear anatomy of aneurysm. We consulted family and explain them the complexity of the patient recovery. Looking at the age of the patient, open craniotomy and clipping of aneurysm surgery was ruled out due to the high risk and complexity of aneurysm and it was decided to perform using contour device because wide neck of the aneurysm coiling may slipped down in the vessel lumen, as it was safe and effective in such treatment of intracranial bifurcation complex aneurysms having wide neck.”
Explaining the complexity of the procedure Dr Potdar said "Patient Suman Satpute was diagnosed with rupture aneurysm causing subarachnoid hemorrhage, this is life threatening condition. After CT brain angiography and DSA brain angiography, it was confirmed complicated right MCA bifurcation aneurysm having bilobed in nature. Aneurysm had complicated anatomy, very risky for open surgery and clipping of aneurysm which having risk compromise the one branch supplying the brain part causing infarct or risk of bleeding through the aneurysm. This aneurysm was so complex and challenging for the endovascular coiling, because of the wide neck, so chances of coil slippage in the main vessel which causing failure of procedure and brain infarct.”
“After thorough evaluation and good quality of 3 D CT angiography done on 128 slice of machine decided that we can put the endovascular contour devise. We successfully placed the Contour device which creates the neck of the aneurysm and seals it in the most physiological manner, after surgery patient is doing well and discharged home in good neurological condition” Adds Dr Potdar.
Endovascular procedures are stitch less minimally invasive treatment modalities for aneurysm management which reduces risk of open surgery and prevention of brain injury due to retraction causing reduce the hospital stay.