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Management of unruptured incidentally found intracranial saccular aneurysms.

Publication ,  Journal Article
Mehta, VA; Spears, CA; Abdelgadir, J; Wang, TY; Sankey, EW; Griffin, A; Goodwin, CR; Zomorodi, A
Published in: Neurosurg Rev
August 2021

Unruptured intracranial saccular aneurysms occur in 3-5% of the general population. As the use of diagnostic medical imaging has steadily increased over the past few decades with the increased availability of computed tomography (CT) and magnetic resonance imaging (MRI), so has the detection of incidental aneurysms. The management of an unruptured intracranial saccular aneurysm is challenging for both patients and physicians, as the decision to intervene must weigh the risk of rupture and resultant subarachnoid hemorrhage against the risk inherent to the surgical or endovascular procedure. The purpose of this paper is to provide an overview of factors to be considered in the decision to offer treatment for unruptured intracranial aneurysms in adults. In addition, we review aneurysm and patient characteristics that favor surgical clipping over endovascular intervention and vice versa. Finally, the authors propose a novel, simple, and clinically relevant algorithm for observation versus intervention in unruptured intracranial aneurysms based on the PHASES scoring system.

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Published In

Neurosurg Rev

DOI

EISSN

1437-2320

Publication Date

August 2021

Volume

44

Issue

4

Start / End Page

1933 / 1941

Location

Germany

Related Subject Headings

  • Subarachnoid Hemorrhage
  • Neurology & Neurosurgery
  • Magnetic Resonance Imaging
  • Intracranial Aneurysm
  • Humans
  • Endovascular Procedures
  • Aneurysm, Ruptured
  • Adult
  • 3209 Neurosciences
  • 3203 Dentistry
 

Citation

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Mehta, V. A., Spears, C. A., Abdelgadir, J., Wang, T. Y., Sankey, E. W., Griffin, A., … Zomorodi, A. (2021). Management of unruptured incidentally found intracranial saccular aneurysms. Neurosurg Rev, 44(4), 1933–1941. https://doi.org/10.1007/s10143-020-01407-y
Mehta, Vikram A., Charis A. Spears, Jihad Abdelgadir, Timothy Y. Wang, Eric W. Sankey, Andrew Griffin, C Rory Goodwin, and Ali Zomorodi. “Management of unruptured incidentally found intracranial saccular aneurysms.Neurosurg Rev 44, no. 4 (August 2021): 1933–41. https://doi.org/10.1007/s10143-020-01407-y.
Mehta VA, Spears CA, Abdelgadir J, Wang TY, Sankey EW, Griffin A, et al. Management of unruptured incidentally found intracranial saccular aneurysms. Neurosurg Rev. 2021 Aug;44(4):1933–41.
Mehta, Vikram A., et al. “Management of unruptured incidentally found intracranial saccular aneurysms.Neurosurg Rev, vol. 44, no. 4, Aug. 2021, pp. 1933–41. Pubmed, doi:10.1007/s10143-020-01407-y.
Mehta VA, Spears CA, Abdelgadir J, Wang TY, Sankey EW, Griffin A, Goodwin CR, Zomorodi A. Management of unruptured incidentally found intracranial saccular aneurysms. Neurosurg Rev. 2021 Aug;44(4):1933–1941.
Journal cover image

Published In

Neurosurg Rev

DOI

EISSN

1437-2320

Publication Date

August 2021

Volume

44

Issue

4

Start / End Page

1933 / 1941

Location

Germany

Related Subject Headings

  • Subarachnoid Hemorrhage
  • Neurology & Neurosurgery
  • Magnetic Resonance Imaging
  • Intracranial Aneurysm
  • Humans
  • Endovascular Procedures
  • Aneurysm, Ruptured
  • Adult
  • 3209 Neurosciences
  • 3203 Dentistry