Unruptured Intracranial Aneurysms

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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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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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[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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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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The learning curve for coil embolization of unruptured intracranial aneurysms.

BACKGROUND AND PURPOSE Several studies have shown that procedural outcomes are better at high-volume institutions, possibly due to greater physician experience (learning) or practice (repetition). Our purpose was to determine whether outcomes for coil embolization improved with the experience of the practitioner, after adjusting for the perceived risk of treatment. METHODS We identified all u...

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ژورنال

عنوان ژورنال: Stroke

سال: 2018

ISSN: 0039-2499,1524-4628

DOI: 10.1161/strokeaha.118.021030