Level A Evidence
3 Treatment Options Available
Cerebrovascular Surgery
Aneurysm & AVM Treatment
Cerebrovascular surgery demands exceptional skill and immediate availability. Our partner centers operate dedicated 24/7 cerebrovascular services with hybrid operating rooms, allowing seamless transition between open and endovascular approaches. High case volumes (>500 aneurysms/year) translate to superior outcomes.
Condition Overview
Conditions We Treat
Brain AneurysmsAVM (Arteriovenous Malformation)Dural AV FistulaMoyamoya DiseaseCavernous Malformation
Core Technologies
Endovascular vs open clipping | Flow diverters | Hybrid OR | Intraoperative angiography | 3D rotational DSA
Ideal Candidates
- •Large or giant aneurysms (>15mm)
- •Wide-neck aneurysms requiring specialized techniques
- •Complex AVM requiring multimodal treatment
- •Previously treated/recurrent aneurysms
- •Moyamoya disease requiring revascularization
High-volume vascular centers with hybrid OR capability
Consider Home Country For
- •Simple, small incidental aneurysms in stable patients
- •Unruptured aneurysms <7mm without risk factors
- •Cases where local center has cerebrovascular expertise
Consider local options if hospital has >100 aneurysm cases/year
Evidence: High-volume vascular centres; hybrid OR; morbidity <2%; 24/7 emergency capability.
Treatment Options
Aneurysm Clipping
SurgeryBest for:Wide-neck aneurysms; complex geometry; younger patients
Tech:Microsurgery; intraoperative angiography; skull base approaches
Advantage:Durable exclusion; no need for long-term antiplatelet
7–14 daysFrom $15,000
High-volume vascular centresEndovascular Coiling
Minimally InvasiveBest for:Favorable anatomy; posterior circulation; elderly/frail patients
Tech:Coiling; stent-assisted; flow diverters
Advantage:Minimally invasive; shorter recovery; no craniotomy
3–7 daysFrom $12,000
Interventional neuroradiology teamsAVM Microsurgical Resection
SurgeryBest for:Superficial AVM; ruptured AVM; accessible location
Tech:Microsurgical technique; intraoperative monitoring; pre-op embolization
Advantage:Complete obliteration in one procedure
7–14 daysFrom $18,000
Specialized cerebrovascular centersRelated guides & articles
Cost Comparison
Brain Aneurysm Treatment (Clipping or Coiling)
US Hospital$65,000
UK Private$48,000
MediLink China$16,000
Save 75% vs US • Includes: procedure, ICU stay, 7-14 day hospitalization, imaging
Treatment Journey
1
Emergency/Evaluation• Day 1-3
- Immediate CT/CTA upon arrival
- Cerebral angiography (DSA) for detailed evaluation
- Multidisciplinary team decision: clipping vs coiling
- Emergency treatment if ruptured
2
Treatment & Recovery• Week 1-2
- Procedure in hybrid OR if needed
- ICU monitoring (typically 1-3 days)
- Neurological monitoring for vasospasm
- Imaging confirmation of treatment success
3
Follow-up• Months 1-12
- Month 1: MRA/CTA follow-up
- Month 6-12: Angiographic follow-up for coiling
- Blood pressure management coordination
- Lifestyle modification counseling
Clinical Outcomes
Treatment Success
>95%
complete occlusion
Procedure Morbidity
<2%
high-volume centers
Good Recovery (mRS 0-2)
85%
ruptured aneurysms
24/7 Emergency
Yes
dedicated neurovascular team
Common Questions
Should I choose clipping or coiling for my aneurysm?
The choice depends on aneurysm location, size, neck width, and patient factors. Generally: clipping offers more durable results but requires craniotomy; coiling is less invasive but may need retreatment. Our MDT team will recommend the optimal approach.
What is a hybrid operating room?
A hybrid OR combines traditional surgical equipment with advanced imaging (angiography, CT). This allows the surgeon to switch between open and endovascular approaches during the same procedure if needed, crucial for complex aneurysms.
How soon after aneurysm rupture should surgery be performed?
For ruptured aneurysms, treatment should ideally occur within 24-72 hours to prevent re-bleeding. Our 24/7 emergency service can arrange immediate transfer and treatment.
What are the risks of untreated brain aneurysms?
Rupture risk depends on size, location, and patient factors. Small (<7mm) anterior circulation aneurysms have ~0.1-1% annual rupture risk. Posterior circulation and larger aneurysms carry higher risk. Each case requires individualized assessment.
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