I have a vertebral vessel problem and would like to seek some advice.
Two weeks ago, I have been diagnosed with vertebrate artery aneurysm.

I had an head ache in Oct 2014, had an CT an MR Scan then which reviewed a plaque in the distal end of the left vertebrate artery, and also suspected aneurysm (not obvious at that time). My neurologist told me to come back and do a CTA in 6 months. I did two weeks ago, which reviewed a "wide-neck aneurysm" at the same location, "consistent with the MR 7 months ago. I have seen a few neurologists and neurosurgeons in Hong Kong who advised to do an endovascular procedure to implant a Pipeline device, but I am trying to decide whether to do it or not due to risks of the procedure, and if I go ahead, which hospital/doctor would be more suitable.


I saw two some articles from Japan that suggest conservative treatment for this type of aneurysm. And another article from Canada that indicates high risks of intracranial hemorrhage, both aneurysmal and distant from the treated lesion, amounting to 0%–11% in variously reported series" and that "the consequences for these patients who are typically on dual antiplatelet therapy are often disastrous. This type of complication is particularly unsettling, given our uncertainty of the dangers of an unruptured aneurysm compared with its ruptured counterpart, even for large, giant, or irregular lesions."

I have had hypertension for over 10 years, taking Caduet: 10/20 mg, and normally controlled at 120 - 130/ 80 – 90. Also diabetes, taking Metformin: 500mg, twice daily. Last week added Nebilet: 2.5 mg to lower heart rate and better control blood pressure.