1. Looking at Aneurysms in a New Way

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    from Lee Memorial Health System / Added

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    This high tech surgical suite gives doctors a better view of what’s going on inside a patient’s mind. Equipped with a biplane machine it displays real-time images on two separate planes or angles at the same time. At Gulf Coast Medical Center surgeons are using the bi-plane for complicated endovascular procedures. That means techniques performed through a patient’s blood vessels. “When people come in with a ruptured aneurysm we’ll do the diagnostic part, we’ll find where the aneurysm’s ruptured and then we’ll do the surgical portion, or we’ll coil the aneurysm in the same setting,” says Dr. Nasser Razack, who is a neurointerventional radiologist with Lee Memorial Health System. Coiling is a newer way to approach a ruptured aneurysm compared to clipping the burst blood vessel which cuts off its supply. Best outcomes are dependent on speed. “Many times it’s quicker to coil an aneurysm than actually clip the aneurysm because we can get to that area relatively closely by using the patient own blood vessels to sort of navigate up to the aneurysm,” says Dr. Greg Velat, an endovascular neurosurgeon with Lee Memorial Health System. Enhanced vision, including 3D images and magnification allows surgeons to look at aneurysm in a new way. The coiling procedure is performed by threading a catheter though arteries and deploying a tiny spring that creates an internal structure. “It basically fills in the aneurysm sack and allows your own platelets to stick to your own metal and also these coils consist of platinum and the platelets love to stick to the platinum and essentially clots the aneurysm off from the inside of the vessel,” says Dr. Velat. A delicate procedure made possible by bringing technology into focus. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org

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    • Quick Fix for Aneurysm

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      from Lee Memorial Health System / Added

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      Having a brain aneurysm can be like having a ticking time bomb inside your head. The danger is that it may unexpectedly burst. Causing cataclysmic injury or death. “If you look at the data across the board, anywhere from 25-40% of patient will not survive an aneurysm rupture; many of those patients may not even make it to the hospital,” says Dr. Greg Velat, neurosurgeon with Lee Memorial Health System. Of those who do make it, 50% will have permanent, long-term neurological damage. It reinforces the importance of repairing an aneurysm so it doesn’t rupture again. The newest way to do it is a procedure called ‘coiling’. “The newer innovation involves putting coils in the aneurysm. And that's performed through a serious of catheters that are accessed thru the groin artery and then navigated into the aneurysm sack where the coils are then deployed. And that allows the aneurysm to clot off from the inside,” says Dr. Velat. The coil is made of platinum; it looks like a tiny spring you might find inside a pen. “You can see it’s very soft and pliable and it kind of has a preconfigured shape so as you deploy it, it kind of takes on these bends and turns,” says Dr. Velat. Platelets stick to the metal and essentially fill the space, stopping blood flow to the aneurysm – 60 to 70% of aneurysms are now treated this way. Which is a dramatic reversal of a trend we saw maybe 10 years ago where mostly aneurisms were clipped. The coiling technique is faster and less invasive than entering the skull surgically, which may improve long-term outcomes. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org

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