Rupture risk and treatment strategies of small unruptured intracranial aneurysms
10.3760/cma.j.issn.1673-4165.2015.12.014
- VernacularTitle:未破裂颅内小动脉瘤的破裂风险和治疗策略
- Author:
Hongcai LIU
;
Yuan CHENG
- Publication Type:Journal Article
- Keywords:
Intracranial Aneurysm;
Subarachnoid Hemorrhage;
Vascular Surgical Procedures;
Embolization,Therapeutic;
Stents
- From:
International Journal of Cerebrovascular Diseases
2015;23(12):945-950
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, w ith the w idespread use of advanced neuroimaging techniques and the aging of the population, more and more asymptomatic smal unruptured intracranial aneurysms (sUIAs) are incidentaly detected in clinical practice. Studies have show n that the prevalence of unruptured intracranial aneurysm (UIA) is 2%-3% in adults, and more than 2/3 of them are smal aneurysms of < 7 mm in diameter. Usualy these sUIAs do not have any symptoms and the risk of rupture is low er. They are also know n as incidental or asymptomatic aneurysms, but they are not w ithout the risk of rupture. At present, there is no unified opinion about w hether to conduct conservative treatment or surgical clipping or endovascular interventional therapy. This article review s the latest research progress of sUIAs ( < 7 mm in diameter), hoping to provide more evidence for clinical assessment, decision -making, and individual treatment of this kind of aneurysms.