Level A Evidence

3 Treatment Options Available

Cerebrovascular Surgery

Q: 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.

Q: 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.

Q: 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.

Q: 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.

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

适宜人群

•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

建议在本地考虑

•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

手术

适合：Wide-neck aneurysms; complex geometry; younger patients

技术：Microsurgery; intraoperative angiography; skull base approaches

优势：Durable exclusion; no need for long-term antiplatelet

7–14 daysFrom $15,000

High-volume vascular centres

Endovascular Coiling

微创

适合：Favorable anatomy; posterior circulation; elderly/frail patients

技术：Coiling; stent-assisted; flow diverters

优势：Minimally invasive; shorter recovery; no craniotomy

3–7 daysFrom $12,000

Interventional neuroradiology teams

AVM Microsurgical Resection

手术

适合：Superficial AVM; ruptured AVM; accessible location

技术：Microsurgical technique; intraoperative monitoring; pre-op embolization

优势：Complete obliteration in one procedure

7–14 daysFrom $18,000

Specialized cerebrovascular centers

费用对比

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

计算费用

治疗流程

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

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

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

常见问题

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.