Related Experiment Video

Updated: Apr 10, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

10.4K

Comprehensive Overview of Contemporary Management Strategies for Cerebral Aneurysms

Amitoz Manhas1, Shahid M Nimjee2, Abhishek Agrawal3

  • 1Division of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.

World Neurosurgery
|June 15, 2015
PubMed

Insights

Aneurysmal subarachnoid hemorrhage (SAH) is a significant health concern. Effective aneurysm exclusion from circulation is key to preventing rupture and re-hemorrhage, improving patient outcomes.

Area of Science:

  • Neurosurgery
  • Neurology
  • Vascular Medicine

Background:

  • Aneurysmal subarachnoid hemorrhage (SAH) presents a major health challenge in the US.
  • Despite diagnostic and therapeutic advancements for cerebral aneurysms, mortality rates post-rupture remain high.
  • Survivors of SAH often face severe disability, impacting quality of life.

Purpose of the Study:

  • To provide a comprehensive review of current cerebral aneurysm management strategies.
  • To highlight the importance of excluding aneurysms from circulation to prevent hemorrhage.
  • To offer insights from leading vascular neurosurgeons and interventional neuroradiologists.

Main Methods:

  • This article is a comprehensive review.
  • It synthesizes contemporary knowledge and practices in the field.
  • Expert opinions from vascular neurosurgeons and interventional neuroradiologists are included.

Main Results:

  • Cerebral aneurysms pose a significant risk of rupture and re-hemorrhage.
  • Excluding aneurysms from circulation is critical for preventing adverse events.
  • Modern management aims to improve survival and reduce disability after SAH.

Conclusions:

  • Effective management of cerebral aneurysms is crucial for reducing mortality and disability.
  • Preventing hemorrhage or re-hemorrhage necessitates successful aneurysm exclusion.
  • This review offers a contemporary perspective on managing cerebral aneurysms.

Keywords:
Cerebral aneurysmEndovascular surgeryManagementMicrosurgerySubarachnoid hemorrhage

More Related Videos

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms11:58

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Published on: August 11, 2015

16.7K
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

12.8K

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
458
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
598
Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
587
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
544
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
593
Angina IV: Management01:26

Angina IV: Management

IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
435