Treatment of unruptured intracranial aneurysms: Surgery, coiling, or nothing?

被引：28

作者：

Burns, Joseph D. ^{[1
]}

Brown, Robert D., Jr. ^{[1
]}

机构：

[1] Mayo Clin, Dept Neurol, Rochester, MN 55905 USA

来源：

CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS | 2009年 / 9卷 / 01期

关键词：

GUGLIELMI DETACHABLE COILS; TERM-FOLLOW-UP; SUBARACHNOID HEMORRHAGE; CEREBRAL ANEURYSMS; CASE-FATALITY; SACCULAR ANEURYSMS; SURGICAL-TREATMENT; NATURAL-HISTORY; RISK; MORBIDITY;

D O I：

10.1007/s11910-009-0002-0

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The decision of whether and how to treat an unruptured intracranial aneurysm (UIA) is complex. The goal in caring for patients with UIAs is to maximize their duration of high-quality life by optimally balancing the risks of aneurysm rupture-the "natural history" of the aneurysm-with those of treatment-related adverse outcomes. In this article, we review the literature concerning the natural history of UIAs and summarize the procedure-associated morbidity and mortality and efficacy of surgical clipping and endovascular coiling. Using this information, we make recommendations regarding the optimal management of patients with UIAs.

引用

页码：6 / 12

页数：7

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