The Natural History and Treatment Options for Unruptured Intracranial Aneurysms
Recent advances in angiographic technique have raised our awareness of the presence of unruptured intracranial aneurysms (UIAs). However, the appropriate management for these lesions remains controversial. To optimize patient outcomes, the physician must weigh aneurysmal rupture risk associated with...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/898052 |
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| _version_ | 1832568439042998272 |
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| author | Joshua E. Loewenstein Shaneze C. Gayle E. Jesus Duffis Charles J. Prestigiacomo Chirag D. Gandhi |
| author_facet | Joshua E. Loewenstein Shaneze C. Gayle E. Jesus Duffis Charles J. Prestigiacomo Chirag D. Gandhi |
| author_sort | Joshua E. Loewenstein |
| collection | DOAJ |
| description | Recent advances in angiographic technique have raised our awareness of the presence of unruptured intracranial aneurysms (UIAs). However, the appropriate management for these lesions remains controversial. To optimize patient outcomes, the physician must weigh aneurysmal rupture risk associated with observation against the complication risks associated with intervention. In the case that treatment is chosen, the two available options are surgical clipping and endovascular coiling. Our paper summarizes the current body of literature in regards to the natural history of UIAs, the evolution of the lesion if it progresses uninterrupted, as well as the safety and efficacy of both treatment options. The risks and benefits of treatment and conservative management need to be evaluated on an individual basis and are greatly effected by both patient-specific and aneurysm-specific factors, which are presented in this paper. Ultimately, this body of data has led to multiple sets of treatment guidelines, which we have summated and presented in this paper. |
| format | Article |
| id | doaj-art-78179cddd8cf4bffb40373d65215f59c |
| institution | Kabale University |
| issn | 2090-2824 2090-2832 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Vascular Medicine |
| spelling | doaj-art-78179cddd8cf4bffb40373d65215f59c2025-02-03T00:59:02ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322012-01-01201210.1155/2012/898052898052The Natural History and Treatment Options for Unruptured Intracranial AneurysmsJoshua E. Loewenstein0Shaneze C. Gayle1E. Jesus Duffis2Charles J. Prestigiacomo3Chirag D. Gandhi4Department of Neurological Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ 07101, USADepartment of Neurological Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ 07101, USADepartment of Neurological Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ 07101, USADepartment of Neurological Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ 07101, USADepartment of Neurological Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ 07101, USARecent advances in angiographic technique have raised our awareness of the presence of unruptured intracranial aneurysms (UIAs). However, the appropriate management for these lesions remains controversial. To optimize patient outcomes, the physician must weigh aneurysmal rupture risk associated with observation against the complication risks associated with intervention. In the case that treatment is chosen, the two available options are surgical clipping and endovascular coiling. Our paper summarizes the current body of literature in regards to the natural history of UIAs, the evolution of the lesion if it progresses uninterrupted, as well as the safety and efficacy of both treatment options. The risks and benefits of treatment and conservative management need to be evaluated on an individual basis and are greatly effected by both patient-specific and aneurysm-specific factors, which are presented in this paper. Ultimately, this body of data has led to multiple sets of treatment guidelines, which we have summated and presented in this paper.http://dx.doi.org/10.1155/2012/898052 |
| spellingShingle | Joshua E. Loewenstein Shaneze C. Gayle E. Jesus Duffis Charles J. Prestigiacomo Chirag D. Gandhi The Natural History and Treatment Options for Unruptured Intracranial Aneurysms International Journal of Vascular Medicine |
| title | The Natural History and Treatment Options for Unruptured Intracranial Aneurysms |
| title_full | The Natural History and Treatment Options for Unruptured Intracranial Aneurysms |
| title_fullStr | The Natural History and Treatment Options for Unruptured Intracranial Aneurysms |
| title_full_unstemmed | The Natural History and Treatment Options for Unruptured Intracranial Aneurysms |
| title_short | The Natural History and Treatment Options for Unruptured Intracranial Aneurysms |
| title_sort | natural history and treatment options for unruptured intracranial aneurysms |
| url | http://dx.doi.org/10.1155/2012/898052 |
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