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Published on: August 11, 2015
Clinical practice guideline for the management of intracranial aneurysms
Hae Woong Jeong1, Jung Hwa Seo2, Sung Tae Kim3
1Department of Radiology, Busan Paik Hospital, Inje University, Busan, Korea.
Insights
This guideline offers evidence-based recommendations for managing intracranial aneurysms, both ruptured and unruptured. It covers diagnosis, treatment, and risk assessment for these critical vascular conditions.
Area of Science:
- Neurosurgery
- Neuroradiology
- Vascular Neurology
Background:
- Intracranial aneurysms pose significant health risks, whether ruptured (causing subarachnoid hemorrhage) or unruptured.
- Both ruptured and unruptured intracranial aneurysms cause considerable patient anxiety and require careful management strategies.
Purpose of the Study:
- To provide comprehensive, current recommendations for the clinical management of intracranial aneurysms.
- To address both ruptured intracranial aneurysms (RIAs) and unruptured intracranial aneurysms (UIAs) in a unified guideline.
Main Methods:
- An extensive literature search was conducted using the Medline database.
- Recommendations were developed through in-person discussions by the Task Force Team of the Korean Society of Interventional Neuroradiology (KSIN).
Main Results:
- The guideline is structured into separate sections for RIAs and UIAs.
- For RIAs, the focus is on diagnosis and treatment protocols.
- For UIAs, recommendations cover high-risk patient identification, screening, and treatment principles/selection.
Conclusions:
- This guideline offers practical, evidence-based advice for managing patients with intracranial aneurysms.
- It aims to standardize and improve care for individuals affected by these cerebrovascular conditions.
Purpose:
An intracranial aneurysm, with or without subarachnoid hemorrhage (SAH), is a relevant health problem. The rupture of an intracranial aneurysm is a critical concern for individual health; even an unruptured intracranial aneurysm is an anxious condition for the individual. The aim of this guideline is to present current and comprehensive recommendations for the management of intracranial aneurysms, with or without rupture.
Materials And Methods:
We performed an extensive literature search, using Medline. We met in person to discuss recommendations. This document is reviewed by the Task Force Team of the Korean Society of Interventional Neuroradiology (KSIN).
Results:
We divided the current guideline for ruptured intracranial aneurysms (RIAs) and unruptured intracranial aneurysms (UIAs). The guideline for RIAs focuses on diagnosis and treatment. And the guideline for UIAs focuses on the definition of a high-risk patient, screening, principle for treatment and selection of treatment method.
Conclusion:
This guideline provides practical, evidence-based advice for the management of patients with an intracranial aneurysm, with or without rupture.
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