First time in India, brain aneurysm treated with ‘intrasaccular flow diversion’

Thiruvananthapuram, Nov 22 (Representative) The medical team at KIMSHEALH here has successfully performed an innovative procedure on a patient who was in critical condition due to a brain aneurysm. The aneurysm was treated with the ‘Intrasaccular flow diversion’ treatment, using the ‘Trenza’ device. It is an innovative treatment approach for a brain aneurysm that is difficult to manage. Brain aneurysms are balloon-like bulges in blood vessels in the brain. Patients experiencing brain aneurysms face the potential danger of the aneurysm enlarging and eventually rupturing, leading to a critical condition known as a brain hemorrhage, which can prove fatal. This is the first time in the country that intrasaccular flow diversion has been performed with the assistance of the ‘Trenza’ device. The 67-year-old patient from Tamil Nadu presented at KIMSHEALTH with persistent headache for the past one year. MRI and Digital Subtraction Angiography (DSA) done, revealed a middle cerebral artery (MCA) bifurcation aneurysm on the left side. Considering the patient’s condition and the location of the aneurysm, the medical team decided to perform the ‘flow diversion’ technique using the device Trenza, a cloth-like surface.

A puncture was made in the groin area, and the Trenza device was deployed into the aneurysm through a microcatheter. Trenza functions like a flow disruptor, and the blood flow gets diverted, and stasis. “Intrasaccular flow diversion using Trenza is safer, as it is more precise and easier to handle,” said Dr Santhosh Joseph, Senior Consultant & Clinical Lead, Neuro Interventional Radiology, who led the procedure. He further commented that it is easy to deploy Trenza in treating large and complex aneurysms in certain critical areas of the brain and is also recommended for cerebral artery bifurcation. Dr Santhosh Joseph also added that the patient has recovered and is fit to be discharged the next day. Dr Manish Kumar Yadav, Consultant, and Dr Dinesh Babu, Associate Consultant, Department of Neuro Interventional Radiology, along with Dr Jayanth R Sheshan, Associate Consultant, Department of Neuro Anesthesia, were part of this two-hour-long procedure.