UNAIR NEWS – Faculty of Medicine (FK) Universitas Airlangga (UNAIR) held the 61st Airlangga Webinar Conference Series (AWCS) on comprehensive management of intracranial aneurysm. The webinar was held on Saturday, February 27, 2021.
Three speakers were invited to the webinar, Prof. Tetsuyoshi Horiuchi, MD., PhD, (Prof. Tetsuyoshi) from Shinshu University School of Medicine, dr. Abrar Arham, Sp.BS (K) (dr. Abrar) from the National Brain Center Hospital Jakarta and dr. Nur Setiawan Suroto, Sp.BS (K) or dr. Nur from Faculty of Medicine UNAIR.
Dr. Nur explained about endovascular management of intracranial aneurysm in Surabaya. According to him, there are five techniques used in the treatment of endovascular intracranial aneurysms: the shaping microcatheter and looping microcatheter; multiple microcatheter technique; balloon remodeling technique; stent assisted coiling; and flow diversion.
“There are several technical challenges in coil embolization from a brain aneurysm,” said dr. Nur.
This challenge is the collision of coil loops in the parent artery. Another technical challenge is the remaining or used aneurysm pouch and continued communication with the parent vessel due to loose coil packing.
Doctor Nur also explained the mechanism of aneurysm healing through EVT. There are four things that he thinks are important in this healing: protection of the aneurysm neck associated with coiling packing; flow diversion effect; neo-intimal formation; and angular remodeling of the vein branches.
“Several techniques for inserting the coil inside are very important to reduce the risk of thromboembolic complications,” he continued.
While doctor Nur explained about his experience in Surabaya, two other speakers also shared their knowledge and experiences. Prof. Tetsuyoshi explained the clipping surgery for a middle cerebral artery aneurysm while Dr. Abrar explained his clinical experience regarding when to perform clip or coil. The webinar can be accessed on Faculty of Medicine UNAIR YouTube account ( https://youtube.com/c/AWCSLiveStreaming ).