Management of unruptured cerebral aneurysms

Deruty, R; Pélissou-Guyotat, I.; Mottolèse, C.; Amat, D.

doi:10.1080/01616412.1996.11740375

Cited by 76 publications

(43 citation statements)

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“…5,26,27 The mechanisms that cause headache associated with an unruptured aneurysm include local thrombosis, localized meningeal inflammation, expansion of the aneurysm, and bleeding within the vascular wall. 27 The explanation for the change in headache status after aneurysm treatment is not clear.…”

Section: Discussionmentioning

confidence: 99%

Effect of Endovascular Treatment on Headache in Elderly Patients with Unruptured Intracranial Aneurysms

Duan

et al. 2012

AJNR Am J Neuroradiol

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Section: Discussionmentioning

confidence: 99%

Effect of Endovascular Treatment on Headache in Elderly Patients with Unruptured Intracranial Aneurysms

Duan

et al. 2012

AJNR Am J Neuroradiol

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“…1 Due to noninvasive imaging techniques, including CT, MRI, CT angiography, and MR angiography, unruptured intracranial aneurysms (UIAs) are increasingly diagnosed. Most aneurysms remain asymptomatic until the day they rupture.…”

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confidence: 99%

Immediate Clinical Outcome of Patients Harboring Unruptured Intracranial Aneurysms Treated by Endovascular Approach

Piérot

Spelle

Vitry

2008

Stroke

363

213

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MD; for the ATENA InvestigatorsBackground and Purpose-The management of unruptured intracranial aneurysms remains controversial and the results of endovascular treatment are not precisely known because no prospective data exist. The first prospective multicenter study (ATENA) was conducted in Canada and France to determine clinical outcome and risks of this treatment. Methods-Six hundred forty-nine patients harboring a total of 1100 aneurysms from 27 Canadian and French neurointerventional centers were prospectively and consecutively treated by endovascular coil embolization. Of these, 739 unruptured intracranial aneurysms were treated during 700 procedures. Aneurysms were selectively treated in the great majority of cases (98.4%) with coils alone (54.5%), the balloon remodeling technique (37.3%), or stenting (7.8%). Results-Endovascular treatment failed in 32 aneurysms (4.3%). Technical adverse events with or without clinical modification were encountered in 15.4% of patients and included thromboembolic complications (7.1% per procedure), intraoperative rupture (2.6% per procedure), and device-related problems (2.9% per procedure). Adverse events associated with transient or permanent neurological deficit or death were encountered in 5.4% of cases. The 1-month morbidity and mortality rates were 1.7% and 1.4%, respectively. Conclusions-Endovascular treatment of unruptured intracranial aneurysms is feasible in a high percentage of cases with low morbidity and mortality rates.

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“…66,69 Symptoms Symptoms such as mass effect on cerebral or brain stem structures, compression of cranial nerves, or ischemic/embolic phenomena can be effectively treated with surgical clipping and decompression and can serve as an important indication for treatment. 69,76,77 For example, the development of a new third nerve palsy ipsilateral to an aneurysm of the posterior communicating artery implies growth of the aneurysm. This has traditionally been regarded as an indication for urgent treatment to prevent hemorrhage and to maximize the potential for recovery of the deficit.…”

Section: Aneurysm Size Morphology and Locationmentioning

confidence: 99%

Recommendations for the Management of Patients With Unruptured Intracranial Aneurysms

Bederson¹,

Awad²,

Wiebers³

et al. 2000

Circulation

166

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Management of unruptured cerebral aneurysms

Cited by 76 publications

References 0 publications

Effect of Endovascular Treatment on Headache in Elderly Patients with Unruptured Intracranial Aneurysms

Effect of Endovascular Treatment on Headache in Elderly Patients with Unruptured Intracranial Aneurysms

Immediate Clinical Outcome of Patients Harboring Unruptured Intracranial Aneurysms Treated by Endovascular Approach

Recommendations for the Management of Patients With Unruptured Intracranial Aneurysms

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