NewYork-Presbyterian. The University Hospital of Columbia and Cornell.

Neurology and Neuroscience

Treatment of Brain Aneurysms

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Treatment of Brain Aneurysms, Treatment of Cerebral Aneurysms at NewYork-Presbyterian Hospital

NewYork-Presbyterian Hospital's doctors can determine the best treatment for each brain aneurysm patient by weighing factors such as:

• age
• overall health
• size, shape, and location of the aneurysm

Our cerebral aneurysm treatment options include:

• Aneurysm clipping: In this microneurosurgical treatment, surgeons place a tiny metal clip at the base of the brain aneurysm to seal it off from the normal blood supply and to prevent it from growing or rupturing.
• Endovascular coiling or embolization: In this minimally invasive approach, surgeons fill the cerebral aneurysm with tiny platinum coils or a "super glue" to promote the aneurysm's healing and to eliminate the potential for a future rupture.
• Extracranial-intracranial bypass: Doctors may consider a combined surgical and neuroendovascular approach for large and complex brain aneurysms.

In this relatively uncommon approach, doctors first reroute blood flow around the aneurysm, then treat it with clipping or endovascular embolization. This approach combines two complementary procedures to ensure the safe obliteration of these aneurysms.

If the aneurysm is located in or near critical areas of the brain, they may also use special brain mapping to ascertain special approaches to delicate areas with great precision and to avoid injury during surgery.

Learn more about brain aneurysm symptoms, as well as brain aneurysm research at NewYork-Presbyterian Hospital.