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Published on: September 8, 2023
[Neuroimaging follow-up of cerebral aneurysms treated with endovascular techniques]
F Delgado1, A Saiz2, A Hilario3
1Sección de Neurorradiología, Servicio de Radiodiagnóstico, Hospital Reina Sofia, Córdoba, España.
Insights
Clinical guidelines lack specific follow-up recommendations for endovascularly treated intracranial aneurysms. This study proposes evidence-based neuroimaging protocols for monitoring treated cerebral aneurysms to optimize patient outcomes.
Area of Science:
- Neurosurgery
- Radiology
- Vascular Medicine
Context:
- Current clinical guidelines offer no specific recommendations for follow-up after endovascular treatment of intracranial aneurysms.
- This deficiency impacts standardized patient care and resource allocation.
Purpose:
- To develop evidence-based recommendations and an orientative protocol for neuroimaging follow-up of intracranial aneurysms treated with endovascular techniques.
- To define optimal neuroimaging modalities, timing, and interpretation criteria for post-treatment monitoring.
Summary:
- A literature review was conducted using keywords such as 'cerebral aneurysm,' 'coils,' 'endovascular procedure,' and 'follow-up.'
- The Cerebrovascular Disease Group of the Spanish Society of Neuroradiology synthesized evidence to propose a protocol.
- The protocol specifies neuroimaging techniques, intervals, and follow-up duration for endovascularly treated aneurysms.
Impact:
- Aims to improve clinical outcomes for patients with treated intracranial aneurysms.
- Seeks to optimize and rationalize the use of neuroimaging resources in aneurysm follow-up.
- Provides a standardized framework for monitoring, potentially reducing complications and healthcare costs.
Abstract:
There are no specific recommendations in clinical guidelines about the best time, imaging tests, or intervals for following up patients with intracranial aneurysms treated with endovascular techniques. We reviewed the literature, using the following keywords to search in the main medical databases: cerebral aneurysm, coils, endovascular procedure, and follow-up. Within the Cerebrovascular Disease Group of the Spanish Society of Neuroradiology, we aimed to propose recommendations and an orientative protocol based on the scientific evidence for using neuroimaging to monitor intracranial aneurysms that have been treated with endovascular techniques. We aimed to specify the most appropriate neuroimaging techniques, the interval, the time of follow-up, and the best approach to defining the imaging findings, with the ultimate goal of improving clinical outcomes while optimizing and rationalizing the use of available resources.
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