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Unruptured multiple ICA aneurysms
Stroke & Cerebrovascular Diseases | Last Active: 5 days ago | Replies (18)Comment receiving replies
I had a 5 mm. brain aneurysm coiled 7 months ago. The neurosurgeon wants me to now have another cerebral angiogram to check the coils. Whereby the cerebral angiogram (with multiple x-rays and contrast dye) is necessary to diagnose precisely and plan for the coiling procedure, I have read that an MRA ( no x-rays) can be used afterward to monitor the coils. But my doctor is ignoring my messages on "My Chart" requesting the MRA scan instead of the cerebral angiogram. He did tell me when the coiling procedure was done 7 months ago that he would do another cerebral angiogram to check it and I can only assume he is holding firm to that recommendation. However, as I said, from what I've read the MRA scan has evolved to the point that it can be used to monitor the coiled aneurysm and avoid unnecessary x-rays. Just wondering if anyone else who checks this forum has had an aneurysm coiled and what was your follow up protocol.
Replies to "I had a 5 mm. brain aneurysm coiled 7 months ago. The neurosurgeon wants me to..."
@mkoch my husband’s ruptured. It was catastrophic but the quick actions by our neurosurgeon to coil it saved his life. He had his first angiogram post rupture this past Aug. It showed minor leakage which they will monitor auth a repeat angio in April. MRA would not have shown that. He had no issues and I had him home later the same day.
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Mine was not coil but stent, similar procedure through embolization. My first follow up was an angiogram, and I believe I had another one about a year later, MRAs after that until about 3 years later when the surgeon told me that the stent was not working fully as expected and he recommended a second embolization to place a second stent inside the first one, He did another angiogram prior to the surgery and again I believe one about 6 months after. After that again MRAs.
My brother had a ruptured brain aneurysm that was emergency repaired with a coil. His was in Canada and all his follow ups were MRAs or MRIs . Two years after his first rupture and about 5 months after his MRA/I check up, his aneurysm ruptured again, this time he was lucky to survive (I understand mortality after second rupture is high) but was left with some disability.
When I compare my follow up protocol with his, I can’t stop thinking that if he had been followed up with at least one angiogram this probably would not have happened