Today, we set date for Endovascular Treatment (Flow Diverter) for July 17th. My annie is 4 x 6.2 and due to the odd/rare shape and how it connect to the opthalmic artery that lead to my left eye, this is the best option FOR NOW! Clipping is not on the table right now as I am on Plavix and Aspirin and they don’t believe Cardiology will agree to stopping either one. I understand this as if they clip the annie, I may end up having a heart attack and Cardiology will likely say “hell no”. Next month will be a year since my heart stent, so there is a possibility I may have been coming off next month but there is no guarantee. On the other hand, since aspirin and Plavix is required for the flow diverter with a requirement for up to at least 6 months, there is a possibility the overlap can give Neurosurgery leverage to level off the aspirin and plavix (only for a couple of weeks for prep and until surgery is over) by that time and do the clipping IF the aneurysm is still active.
As I discussed with my Neurosurgeon, my goal is to control/manage this annie ASAP using the best treatment with the best outcome. He said with my annie there is a 0.5% chance of rupture over the next year. My annie as stated above is oddly shaped which is complicated in terms of risking vision loss. The annie itself is like a bubble but the neck is like a double bubble. It look like a hand is clasped over the annie and it is directly connected to the opthalmic artery. I told my husband that is God’s hand holding my annie! Coiling is off the table as if they filled it with coils, they could possibly fall out and if it clot that clot could easily travel in either direction and cause a stroke. I am comfortable with what we have planned as this is the best option for right now until we can do a clipping, if needed. He indicated there was a good chance the annie could shrink. He said, the primary goal of the flow diverter is to take the pressure off the annie which will ultimately reduce the chance of rupture. I am in good hands with some of the best doctors in the country and I trust their recommendation. Hubby took notes so if I forgot something I will post later once he type them out for me as I cannot read his “doctor” style writing. LOL
ETA: The names of the flow diverters he mentioned are Surpass and Pipeline