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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...
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...

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Related Experiment Video

Updated: Jul 1, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
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Published on: August 11, 2015

Management Strategies for Multiple Intracranial Aneurysms: A Comparative Systematic Review and Meta-Analysis.

Matteo Scalise1, Domenico Pontillo2, Carlo Cossa3

  • 1University of Milan, Milan, Italy; Department of Neurosurgery, ASST Ovest Milano Legnano Hospital, Legnano (Milan), Italy.

World Neurosurgery
|June 29, 2026
PubMed
Summary
This summary is machine-generated.

Single-stage and multi-stage treatments for multiple intracranial aneurysms (MIAs) show similar safety and effectiveness. Individualized patient care, considering aneurysm features and physician expertise, is key for optimal management, not a one-size-fits-all approach.

Keywords:
Meta-analysisMulti-stage managementMultiple intracranial aneurysmsSingle-stage management

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Published on: October 20, 2017

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Last Updated: Jul 1, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
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Published on: August 11, 2015

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Area of Science:

  • Neurosurgery
  • Interventional Neurology
  • Vascular Neurology

Background:

  • Multiple intracranial aneurysms (MIAs) present complex management challenges.
  • Optimal treatment strategies, specifically single-stage versus multi-stage approaches, remain debated.
  • This meta-analysis compares clinical and radiological outcomes of these strategies.

Purpose of the Study:

  • To compare the safety and efficacy of single-stage versus multi-stage treatment strategies for MIAs.
  • To evaluate major, hemorrhagic, and ischemic complication rates.
  • To assess clinical outcomes in patients with MIAs.

Main Methods:

  • Systematic review adhering to PRISMA guidelines.
  • Comprehensive literature search across major databases (PubMed/MEDLINE, Web of Science, Scopus, EMBASE) from 2000-2026.
  • Meta-analysis of pooled risk ratios for complications and clinical outcomes.

Main Results:

  • No significant differences in major, hemorrhagic, or ischemic complications between single-stage and multi-stage strategies.
  • Comparable rates of favorable and poor clinical outcomes were observed.
  • Analysis included five studies with data for quantitative synthesis.

Conclusions:

  • Single-stage and multi-stage treatments for MIAs exhibit similar safety and efficacy.
  • Treatment decisions should be individualized based on patient and aneurysm characteristics.
  • Further prospective studies with standardized reporting are necessary to refine MIA management.