Treatment of Brain Vessel Aneurysms in Israel

Doctor Shimon Maimon

head of the interventional neuroradiology department

At Top Ihilov Clinic, the diagnosis and treatment of brain vessel aneurysms are handled exclusively by world-renowned neurosurgeons, using the latest gentle methods: stenting, placement of a balloon, or introduction of microscopic coils into the artery via a catheter. Thanks to the application of these unique techniques and innovative technologies, the clinic's doctors are able to rid the patient of the aneurysm once and for all and return them to an active lifestyle without compromising the functionality of vital areas of the brain.

Attention parents of young patients: Doctors from the former CIS countries lack experience in performing stenting operations on children's brain vessels and are also not skilled in conducting postoperative rehabilitation. Additionally, for certain aneurysms, the installation of special stents, such as pipelineshild, which are not certified in some countries, including Russia, is necessary.

100%

accuracy of brain vessel aneurysm diagnosis

98%

of patients cured of aneurysm through minimally invasive catheterization

95%

of patients fully returned to normal life after aneurysm removal

Table of contents

Among the neurosurgeons at Top Ihilov who treat brain vessel aneurysms, Doctor Shimon Maimon, head of the interventional neuroradiology department, is the leading expert, a world-renowned specialist in endovascular methods of treating brain vessels, a lecturer at Tel Aviv University, and an honorary member of the International Association of Neurosurgeons.

The best specialists in Israel: world-class neuro-ophthalmologists use special visual tests to detect problems at the earliest stage, while leading neuroradiologists utilize the latest videoangiography devices for this purpose.

Top Ihilov Clinic is equipped with the latest advancements in science and technology

Surgeries at Top Ihilov are performed at the highest level thanks to modern equipment

Brain Aneurysm: Successful Treatment in Israel

Monitoring and Symptom Relief

Not all types of aneurysms require immediate treatment; in many cases, the doctor limits treatment to medications and monitoring the patient in the clinic.

Medication treatment for brain aneurysms in Israel aims to alleviate symptoms of functional disturbances associated with the aneurysm. Doctors use pain relievers to manage headaches and medications to relieve the patient from seizure syndrome, as well as drugs that support cerebral blood circulation.

Surgery to Eliminate the Aneurysm

The operating unit of the interventional neuroradiology department is equipped with the latest imaging tools that allow for detailed two-dimensional or three-dimensional images of the vascular system, such as the ICG videoangiography system, the latest microdoppler devices, and many others. These tools enable precise tracking of the catheter's movement from any angle. The devices allow for a 50-fold magnification. To create a navigation map, a special dye is injected into the blood vessels. With a detailed schematic in front of them, doctors can accurately position the catheter to the desired location and, depending on the type of aneurysm, make decisions regarding the appropriate therapy.

At Top Ihilov, the following surgical methods for eliminating brain vessel aneurysms are used:

Clipping. During this operation, a small hole is made in the skull through which the neurosurgeon places a microscopic clip that closes and supports the aneurysm site.
Minimally invasive catheterization (coiling). A catheter is introduced in the groin area, then guided through the artery to the neck and further into the brain. This minimally invasive method does not require open surgery; it is the most effective and modern approach, allowing for the rapid treatment of brain aneurysms and preventing undesirable health consequences. Platinum microcoils are introduced into the aneurysm via a microcatheter, which separates it from the blood flow. The aneurysm becomes occluded. This method helps avoid many complications and quickly returns the patient to an active life. If the aneurysm has an awkward shape or a too wide "entrance," a special expanding balloon is placed at the "entrance" of the aneurysm, secured at the end of the catheter, allowing the coils to be positioned in the aneurysm in the desired shape. This balloon occludes the artery when inflated. However, any blood vessel can be occluded for 5 minutes without causing any harm to the brain.
Stenting. If the "entrance" to the brain aneurysm is sufficiently wide, an elastic stent is also placed using a catheter, which tightly adheres to the wall of the blood vessel and serves as a barrier between the aneurysm and the artery. Over time, the wall of the artery grows into the stent, which is the ultimate goal of the operation.

The entire operation to close the aneurysm takes 1 hour and 10 minutes, unlike open surgery, which lasts 6-7 hours.

Modern Treatment Methods

Vessel catheterization
Neuro-oncological rehabilitation in Israel
Neurosurgical operations in Israel
Stenting in Israel
Endovascular embolization

Brain Vessel Aneurysm: Precise Diagnosis at Top Ihilov

Brain vessel aneurysms typically develop without symptoms. In the final stage, they can cause severe headaches and brain hemorrhage.

At Top Ihilov, accurate diagnosis of an aneurysm takes 3 days.

Day 1
Day 2
Day 3

First Day – Initial Examination

As soon as the patient arrives at the clinic, they are sent for a consultation with a leading neurosurgeon. The specialist examines the patient, reviews the provided test results, prepares all necessary documents, and develops a plan for further examination.

Second Day – Diagnosis

The next day, the main diagnostic procedures are performed. The main package of diagnostic procedures used at Top Ihilov to detect and accurately localize brain vessel aneurysms includes:

Neuro-ophthalmological eye tests - the latest method of early diagnosis based on the fact that even minor changes in the brain affect the optic nerve.
X-ray of the cervical arteries - recent data indicates that narrowing of the cervical arteries, which can be detected on a standard panoramic X-ray taken by a dentist, may indicate the presence of a brain aneurysm.
Videoangiography – this radiological examination of blood vessels using contrast agents reveals narrowing, destruction, and deformation of vessels. It is used for precise localization of the aneurysm and defects in the vessel wall.
A more detailed image of the brain vessels is obtained using magnetic resonance imaging (MRI).
If there is suspicion of an aneurysm rupture, analysis of cerebrospinal fluid is performed.

Third Day – Expert Group

For each patient arriving at Top Ihilov with suspected brain vessel aneurysm, a special expert group is formed, consisting of doctors from various specialties: neurologists, neurosurgeons, CT and MRI diagnostic specialists, and vascular surgeons. The group members jointly review the test results and develop a plan for comprehensive individual treatment. After that, the group monitors the course of the treatment process and adjusts it as necessary.

Modern Diagnostic Methods

Computed tomography
Magnetic Resonance Imaging (MRI)
Diagnosis – PET CT