I have an “irregularly shaped anterior communicating artery aneurysm, measuring ~5x6x8mm, with the aneurysmal neck significantly incorporating the proximal inferior A2 segment.” My aneurysm treatment is further complicated as the arteries in my brain do not flow properly between the left and right hemispheres, a genetic abnormality. I am lucky to have had my aneurysm found before rupturing. I haven’t found many stories of recovery post-clipping surgery for an unruptured ACA aneurysm.
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Good Morning Todd! I went to the search feature and you’re correct not many. There’s not many for coiling but maybe a few more. Is your surgeon recommending a craniotomy?
Good morning, thank you for replying. First surgeon I saw presented me with coiling and craniotomy as options and would not recommend one over the other. 2nd opinion from an endovascular surgeon, his recommendation was in favor of crainiotomy 70% over the endovascular route 30%.
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Hi, i had three cerebral unruptured aneurysms clipped 21 years ago and at the time the neurosurgeon discussed clipping or coiling and because of where one was the decision to clip all 3 was made. I had a 1 year old child at the time and was very concerned re how I would cope etc , I am fortunate to have recovered well and to date have lived a good life.
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Hi there! I had an uncultured aneurysm 4mm on my ACA as well. They did an emolization with the Seal It Device- similar to a web device. They went into my femoral artery to reach my aneurysm in my brain. Stayed over night in the hospital and then took about a week off. Some headaches initially right after - but then for the most part been a smooth recovery! Wishing you luck with your unruptured aneurysm!
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Hello there!
This is a first i’ve came across someone who’s very similar to my situation. all except the genetic abnormality. from the size and the unruptured.
welcome & many blessings to our recovery!
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At the end of 2017, an ER doctor incidentally discovered an unruptured 8 mm “hat-shaped” aneurysm in the left carotid artery, just behind my left eye. Over the next seven months, I consulted with 11 different doctors to decide whether to have a craniotomy or undergo a pipeline procedure to “treat” that “hat.”
I ultimately chose the craniotomy because I knew I was not a good candidate for taking aspirin or other blood thinners for the rest of my life. I am deeply grateful that I found Dr. Lawton at the Barrow Neurological Institute in Phoenix, who successfully performed the surgery.
I suspect that my blood-vessel issues are largely genetic, but I also feel I owe it to myself to exercise regularly and work toward better health. In a way, having an unruptured aneurysm can be a blessing—it forces us to pause and ask, “Now what?”
I wish you peace of mind as you decide whether a craniotomy, coil, pipeline, or stent is best for you. Doctors know what they know, but they can only address our deepest concerns when we share them openly. Be your own best advocate so you can choose the doctor and treatment that are right for you.
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They have recommended clipping vs the endovascular route for mine.
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Hello, What action are you or have you taken?
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