The Interdisciplinary Treatment of Unruptured Intracranial Aneurysms

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The interdisciplinary treatment of unruptured intracranial aneurysms.

INTRODUCTION The purpose of this article is to present the results of microsurgical clipping or endovascular coil obliteration of unruptured intracranial aneurysms (UIA), in a single cerebrovascular center with regard to successful obliteration and periprocedural complications. METHODS Data concerning patients with UIA were recorded in the neurovascular database of the neurosurgical departmen...

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Treatment options of unruptured intracranial aneurysms.

Aneurysmal subarachnoid hemorrhage (SAH), despite improvements in surgical and medical treatment, is still a serious disease with high rates of case fatality (40% to 50%) and morbidity.1–3 Incidence rates of SAH have not changed during the CT era, and outcome of SAH has only modestly improved during the past few decades. Outcome is still determined mainly by severity of initial bleeding or earl...

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[Endovascular treatment of unruptured intracranial aneurysms].

BACKGROUND AND PURPOSE Intracranial aneurysms are common, with an overall frequency ranging from 0.8% to 10%. Because prognosis after subarachnoid hemorrhage is still very poor, treatment of unruptured aneurysms, either neurosurgically or endovascularly, has been advocated. However, risk of rupture and subsequent subarachnoid hemorrhage needs to be considered against the risks of elective treat...

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Current treatment options for unruptured intracranial aneurysms.

A patient with an unruptured intracranial aneurysm has three options: surgical clip placement, endovascular coil occlusion, and observation. The decision making about management of these lesions should be based on the risk of aneurysm rupture and the risks associated with surgical or endovascular intervention. For patients who require interventions, factors such as aneurysm recurrence rate, its...

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Treatment of unruptured intracranial aneurysms with the pipeline embolization device.

The pipeline embolization device (PED; ev3 Endovascular, Plymouth, MN, USA) is a flow-diverter used in the endovascular treatment of intracranial aneurysms, particularly those with unfavorable configurations. It causes progressive flow redirection leading to aneurysm thrombosis. This study aimed to present a systematic review of the published literature on the clinical outcomes of PED. A Medlin...

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ژورنال

عنوان ژورنال: Deutsches Aerzteblatt Online

سال: 2008

ISSN: 1866-0452

DOI: 10.3238/arztebl.2008.0449