Brain Aneurysm Coiling
Treatment of brain aneurysms, Lucknow

A brain aneurysm is a weak, bulging spot in a blood vessel of the brain. If it bursts, it causes a sudden, severe headache and needs emergency treatment. At Charak Hospital, Hardoi Road, Dubagga, neurosurgeons, neurologists and interventional radiologists work together to treat aneurysms by coiling from inside the blood vessel or by surgical clipping.

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About aneurysms

What is aneurysm coiling?

In endovascular coiling, a thin tube (catheter) is passed from an artery in the groin or wrist up to the brain under X-ray guidance. Tiny soft platinum coils are placed inside the aneurysm to fill it, so that blood no longer flows into it and the risk of bleeding is reduced. There is no need to open the skull. Some aneurysms are better treated by surgical clipping, where a small clip is placed across the neck of the aneurysm during an operation.

  • Emergency treatment for burst aneurysms
  • Planned treatment for some unruptured aneurysms
  • Coiling from inside the blood vessel
  • Surgical clipping when it is more suitable
  • Neuro-ICU care and follow-up imaging

Coiling

Treatment from inside the artery.

Clipping

Open surgery to close the aneurysm.

Neuro-ICU

Close monitoring after a bleed.

Follow-up

Scans to check the aneurysm stays closed.

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Warning signs

Symptoms of a burst aneurysm

Call for emergency help if someone has:

Sudden severe headache

Often described as the worst headache of their life.

Vomiting

With the headache.

Collapse or drowsiness

Loss of consciousness.

Vision problems

Double vision or a drooping eyelid.

Stiff neck or dislike of light

Signs of bleeding around the brain.

A seizure

With headache.

A sudden, severe headache is an emergency. Call 0522-666-4444 or come to the emergency department immediately. Early treatment saves lives. Call 0522-666-4444.

Treatment options

Ways to treat a brain aneurysm

Tap a card to read more. The choice depends on the aneurysm and your health.

Endovascular coiling

Coils placed inside the aneurysm

How

Through a catheter from the groin or wrist.

Benefit

No skull opening; often a shorter recovery.

Note

Follow-up scans check that the coils stay in place.

Stent- or balloon-assisted coiling

For wide-necked aneurysms

How

A stent or balloon helps hold the coils in place.

Medicines

Blood thinners may be needed after a stent.

Decision

Made after angiography.

Surgical clipping

Open surgery

How

A small metal clip is placed across the neck of the aneurysm.

Suits

Some aneurysms whose shape or position suits surgery.

Stay

Usually longer than after coiling.

Neurosurgery

Monitoring

For some small unruptured aneurysms

How

Regular scans and blood pressure control.

Advice

Stop smoking and control BP.

Decision

Based on size, shape and your risk.

No match found. Please call us on 0522-666-4444 — we will guide you.

Tests

How an aneurysm is diagnosed

Fast scans are essential when a bleed is suspected.

CT scan

Shows bleeding around the brain.

CT angiography

Shows the blood vessels and the aneurysm.

MRI / MR angiography

For unruptured aneurysms and follow-up.

DSA angiography

The detailed X-ray test used to plan and perform coiling.

Lumbar puncture

Sometimes, if the CT is normal but a bleed is still suspected.

Coiling or clipping?

Tap to compare.

The procedure

What happens during and after coiling

Here is what to expect.

The procedure

Under general anaesthesia, a catheter is guided to the brain and coils are placed inside the aneurysm. It usually takes 1 to 3 hours.

General anaesthesiaX-ray guidance with contrast dyeGroin or wrist access

Team

  • Interventional radiologist
  • Neurosurgeon and neurologist
  • Anaesthesia and ICU team

Tell us if

  • You are allergic to dye
  • You have kidney disease
  • You take blood thinners
Your journey

From emergency to recovery

Step 1

Emergency

Rapid assessment and CT scan.

Step 2

Angiography

To find and plan treatment of the aneurysm.

Step 3

Treatment

Coiling or clipping.

Step 4

Neuro-ICU

Close monitoring.

Step 5

Rehab

Physiotherapy and support.

Step 6

Follow-up

Scans and BP control.

Recovery

Recovering after aneurysm treatment

General guidance — follow your doctors’ advice.

Blood pressure

Keep blood pressure well controlled.

Take BP medicines every day.

Smoking

Stop smoking completely — it increases the risk of aneurysms.

Tiredness & headaches

Tiredness and headaches are common for some weeks.

Increase activity slowly.

Family members

Some people with a strong family history may be advised screening. Ask your doctor.

Contact us urgently if

  • A new severe headache
  • Weakness, speech or vision problems
  • A seizure
  • Drowsiness or confusion
  • Bleeding or swelling at the groin or wrist
0522-666-4444
Our doctors

Meet the team

Neurosciences Interventional radiology Critical care
Practical help

Preparing for treatment, costs & insurance

A little preparation helps us plan your treatment.

What to bring to your visit

Tick off as you pack:

  • CT, MRI and angiography films and reports
  • A list of all medicines
  • Kidney function report if available
  • Insurance card, Ayushman card or employer letter

Costs & insurance

Costs depend on the number of coils, any stent used, ICU stay and the length of hospital stay. Ask for a written estimate; in emergencies, our team will guide your family.

  • ✓Written estimate— ask for one before planned procedures or admission.
  • ✓Health insurance & TPA— cashless treatment for admissions under tie-up insurers; outpatient visits depend on your policy.
  • ✓Ayushman Bharat (PM-JAY) accepted for eligible admissions.
  • ✓Corporate & PSU panels— ask whether your employer has a tie-up with Charak Hospital.

*Coverage depends on your policy and the treatment. Our insurance desk can check this for you.

Call 0522-666-4444
FAQs

Frequently asked questions

Is coiling a surgery?

It is a procedure done from inside the blood vessels, without opening the skull.

How long does coiling take?

Usually 1 to 3 hours.

How long will I stay in hospital?

After a planned procedure, a few days. After a burst aneurysm, often 1 to 3 weeks.

Coiling or clipping — which is better?

It depends on the aneurysm’s shape, size and position and on your health. The team will explain the options.

What are the risks?

Risks include bleeding, stroke, reaction to dye and the aneurysm reopening. Your doctors will explain your own risk.

Do all aneurysms need treatment?

No. Some small unruptured aneurysms are monitored.

Is aneurysm treatment covered by insurance?

Most health insurance policies and Ayushman Bharat PM-JAY cover it for eligible patients.

What should I do for a sudden severe headache?

Call 0522-666-4444 or come straight to the emergency department.

Glossary

Words you may hear

AneurysmA weak, bulging spot in a blood vessel.
Subarachnoid haemorrhageBleeding around the brain, often from a burst aneurysm.
CoilingFilling an aneurysm with soft coils from inside the vessel.
ClippingClosing an aneurysm with a small clip during surgery.
DSADigital subtraction angiography, a detailed X-ray of blood vessels.
VasospasmNarrowing of brain arteries after a bleed.
HydrocephalusFluid build-up in the brain.
EndovascularDone from inside the blood vessels.

No matching term. Please ask your doctor at your next visit.

Related pages

Related departments and guides

Neurosciences Brain & spine surgery Interventional radiology Critical care CT & MRI

Concerned about an aneurysm?

Book a consultation, or for a sudden severe headache call 0522-666-4444 now.

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Medical information disclaimer: This page provides general health information for patients and families. It is not a substitute for a consultation, diagnosis or treatment by a qualified doctor. Treatment decisions depend on each patient's individual condition. In an emergency, call 0522-666-4444 or go to the nearest emergency department.

About this page: Prepared by the Charak Hospital web team with the help of AI writing tools, using information from the Institute of Neurosciences, Charak Hospital & Research Centre ·  Last updated: October 2026

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