An Internal Carotid Artery (ICA) aneurysm is a bulge or weakening of the wall of the internal carotid artery, which is a major blood vessel in the neck that supplies blood to the brain. The exact cause of ICA aneurysms is not always clear, but they can develop due to factors such as high blood pressure, atherosclerosis, or trauma to the head or neck. Symptoms may vary depending on its size and location but can include headaches, vision problems, and changes in speech or cognitive function. Diagnosis typically involves imaging tests such as CT scans or MRIs to visualize the aneurysm. Treatment aims to prevent rupture or bleeding and may include medication to manage risk factors such as high blood pressure or surgical procedures to repair or reinforce the weakened artery.
Endovascular coiling and flow diverter placement are minimally invasive procedures used to treat ICA aneurysms and prevent them from rupturing. These procedures are performed using a catheter inserted into the blood vessels, usually through a small incision in the groin area. Endovascular coiling involves inserting tiny coils made of metal or synthetic materials into the aneurysm sac to fill it and block blood flow, reducing the risk of rupture. Flow diverter placement involves placing a stent-like device across the neck of the aneurysm to divert blood flow away from the weakened area, promoting healing and reducing the risk of rupture. These procedures are often preferred over open surgery because they are less invasive, have a shorter recovery time, and carry a lower risk of complications such as infection or bleeding.
Mrs. Stella Birungi from Uganda successfully underwent Endovascular Coiling and Flow Diverter Placement for ICA Aneurysm at Yashoda Hospitals, Hyderabad, under the supervision of Dr. Rajasekhar Reddy K, Sr. Consultant Neuro & Spine Surgeon and Dr. Nikhil H. R, Consultant Interventional Radiologist.