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  Articles - KG Hospital, Coimbatore Tamil Nadu India
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Cdr Hospital
Breakthrough Treatment For Brain Haemorrhage
Date : - 26/12/2007
Diagnosis is through MRI & CT scans, but treatment is through Cathlab
Pinhole surgery is an alternative to traditional brain surgery, in which the skull has to be opened. The advantages are that only a short hospital stay is required for most procedures. Blood loss, infection, pain and recovery time are reduced compared to conventional surgery
Every 45 seconds, another Indian has a stroke, caused either by a blocked or burst blood vessel in the brain. Every three minutes, one of them will die. Today doctors can do more to find and fix the problems that cause many strokes. They can do it without even having to open up the skull
New technologies delivered to the brain via the bloodstream through small tubes called catheters and guided by more powerful brain scans, are making it easier to close leaking blood vessels in the brain.
It is pinhole brain surgery, also called minimally invasive, or endovascular neurointerventions.
Endovascular neurointerventions (interventional neurology) is a new neurospeciality which treats patients with disorders of the blood vessels of the brain like stroke or haemorrhage using minimally invasive techniques. This is an alternative to traditional brain surgery in which the skull has to be opened.
These procedures are done in sophisticated cath labs with facilities to see the blood vessels going through the body
Small catheters (wires) and guide wires are guided through blood vessels to the brain. These small catheters (tubes) are only a few millimeters in diameter
This is called pinhole surgery because of the small hole that are made in the skin to perform these procedures
The advantages are that only a short hospital stay is required for most procedures. Blood loss, infection, pain and recovery time are reduced compared to conventional surgery.
Blood vessels of the brain can be accessed with small tubes, through which various devices which can be put in the blood vessel and navigating the devices like balloon, stents and coils through the arteries into the brain. This is done in a sophisticated digital cathlab with facility of 3D angiography, and substraction angiography. The pinhole-sized opening is made in the blood vessel in the thigh
Aneurysm In The Brain
Aneurysm is a small bulge (occurring in a weak point) in the blood vessels of the brain. When they rupture, it causes bleeding in the brain which can be deadly. Many a times, these aneurysms produce some warning signs
These include sudden severe headache (the worst headache in a lifetime), headache with vomiting, loss of consciousness, headache with face deviation, weakness of limbs or unsteadiness
Aneurysms need to be treated before they rupture once again. A small tube called catheter is put into the blood vessel through a pin hole-sized opening in the groin (thigh) and guided into the brain.
Through these tubes, platinum coils are deposited in the aneurysm to stop bleeding. There is no need for opening up the skull to do these procedures.
The advantages of the procedure are as follows:
There is less bleeding and can be done away with blood transfusion and complications of blood transfusion. It does not expose brain to external environment and, therefore, reduces the risk of infection
Only a few days of hospitalization is required. The patient can return home in the shortest possible time. The scar is no longer visible
It may be noted that in developed countries, at least 70 per cent of the patients with brain haemorrhages are undergoing aneurysm coiling.

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