Natural history and management options for Unruptured intracranial aneurysms (UIA), Current evidence and guideline
Keywords:
Unruptured intracranial aneurysms, Subarachnoid hemorrhage, Aneurysm clipping, Endovascular treatmentAbstract
Unruptured intracranial aneurysms (UIA) are the most common cause of subarachnoid hemorrhage, with a high mortality rate. Nowadays, computed tomography angiography and magnetic resonance angiography of the brain are increasingly used. Resulting in UIA being detected incidentally and increasingly. Known risk factors are hypertension, smoking, and genetic diseases. To prevent aneurysm rupture, there are effective surgical and endovascular interventions. But these procedures also carry a risk of adverse complications. Therefore, the decision on whether to consider preventive (endovascular or surgical) treatment of UIA should be made with all relevant aneurysm, patient-related risk factors for aneurysm rupture, and balance against the presumed risk of preventive aneurysm treatment. This study’s purpose is to review the natural history of UIA and identity management options for patients.
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