Dr. Tigran Khachatryan, MD, PhD.

Intracranial Aneurysm

What is Intracranial Aneurysm (Brain Aneurysm, Cerebral Aneurysm)?

An intracranial aneurysm is a weakened area in a brain artery that bulges outward. Some aneurysms stay stable for years, and some can change over time. The main concern is rupture, which can cause bleeding around the brain and become a medical emergency. Aneurysms vary by size, shape, and location. Those details matter because they influence risk and determine whether monitoring, treating, or another strategy is most appropriate.

Intracranial Aneurysm (Brain Aneurysm, Cerebral Aneurysm) Treatment

An intracranial aneurysm can raise urgent questions, even when you feel well. I am Tigran Khachatryan, MD, PhD, a neurovascular and endovascular neurologist practicing at the Armenian Neuroscience Institute.

My clinical work includes diagnosis and Cerebral or Brain Aneurysm Treatment in Glendale, CA, including endovascular embolization and management of complications such as vasospasm. The treatment goal is to reduce the risk of rupture or re-bleeding, lower the chance of complications, and support safe recovery based on your specific diagnosis.

My care approach is centered on image-guided, minimally invasive endovascular techniques when treatment is appropriate, along with careful monitoring when observation is the safer plan. Imaging such as CTA, MRA, and, when needed, diagnostic cerebral angiography helps me determine whether Intracranial Aneurysm Treatment in Glendale, CA is appropriate for you, or whether structured follow-up is the better choice.

Treatment Options I May Recommend

Treatment is selected based on aneurysm anatomy, symptoms, and whether an aneurysm is ruptured or unruptured. When a procedure is appropriate, I typically treat aneurysms endovascularly through the blood vessels. Planning for Brain or Cerebral Aneurysm Treatment in Glendale, CA includes a detailed imaging review and a discussion of benefits, risks, and follow-up.

01.

Diagnostic Cerebral Angiogram

A diagnostic cerebral angiogram is a test that maps the brain’s arteries with very high detail. I may recommend it when CTA or MRA does not fully define the aneurysm neck, branching vessels, or other features needed for safe planning.

02.

Embolization of - Intracranial Aneurysm With Coils

For an unruptured aneurysm, the decision to treat is based on balancing rupture risk against treatment risk. When coils are appropriate, I place them endovascularly to reduce blood flow into the aneurysm and lower the chance of rupture over time.

03.

Embolization of Unruptured Intracranial Aneurysm With Stent or Flow Diverter With or Without Coils

Some unruptured aneurysms are wide-necked, irregular, or located in areas where stent assistance or flow diversion offers a safer repair strategy. I may recommend a stent or flow diverter, with or without coils, depending on your aneurysm anatomy.

What to Expect From These Procedures

Before

Before a procedure, I review your imaging, confirm the goal of treatment, and explain the plan step by step. You can expect a clear discussion of risks that apply to your situation, along with medication instructions, including what to do about blood thinners and antiplatelet therapy.

You will also receive guidance on eating and drinking, arrival timing, and what to bring. If you are arranging Brain Aneurysm Treatment in Glendale, CA, my office can help you gather prior imaging and reports so we can use your visit time efficiently.

During

Most endovascular procedures use a small access site, commonly at the wrist or groin. Using real-time imaging, I guide catheters through the blood vessels to the aneurysm or to the affected artery segment.
Depending on the plan, I may perform diagnostic angiography, place coils, use a stent or flow diverter, or treat vasospasm when it is clinically appropriate. Vital signs and neurologic status are monitored continuously.

After

After the procedure, you will be observed while the access site stabilizes and your neurologic status is monitored. Some patients go home the same day, and others stay in the hospital depending on the procedure and overall condition.

Follow-up imaging is often part of care because it helps confirm that the aneurysm remains protected over time. I provide clear instructions on activity, medications, and symptoms that should prompt urgent evaluation.

How to Get an Appointment

Care is provided by appointment, and walk-in visits are not accommodated. If you are looking for Brain Aneurysm Treatment in Glendale, I recommend calling to arrange a consultation and to ask what imaging to bring.

For patients seeking Brain Aneurysm Treatment in Glendale, CA, I also offer expedited consultations when clinically appropriate, and new patients are welcome. If you would like a detailed review of Cerebral Aneurysm Treatment in Glendale, CA, I will walk you through your images and outline a plan that matches your aneurysm and your overall health.

If you are ready to take the next step, you can call to request an evaluation for Brain Aneurysm Treatment in Glendale, CA, and I will help you understand your options and the timing that makes sense for your situation. If you are exploring Cerebral Aneurysm Treatment in Glendale, I review the reasoning behind each option so decisions feel informed and organized.

When to Seek Emergency Care

Call 911 right away if you or a loved one has symptoms that could signal a ruptured aneurysm or another serious neurologic emergency, including:

Emergency care should never be delayed. After you are stabilized, I can help guide decision-making and, when appropriate, coordinate aneurysm treatment planning.

Symptoms of an Unruptured Brain Aneurysm

Many unruptured aneurysms cause no symptoms and are found incidentally on imaging done for other reasons. When symptoms occur, they may include:
Symptoms alone cannot confirm an aneurysm. A careful evaluation and imaging review are essential to understand what is happening and what action is needed.

Why Aneurysms Form and Who May Be At Higher Risk

Aneurysms can develop for more than one reason, and often there is no single clear cause. Risk may be higher in people with:
If you have a strong family history, I can discuss whether screening imaging may be reasonable and what type of scan is usually used.

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