An overview of decision-making in cerebrovascular treatment strategies: Part II - Ruptured aneurysms

IF 1.9 Q3 CLINICAL NEUROLOGY Brain & spine Pub Date : 2024-01-01 DOI:10.1016/j.bas.2024.103330
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Abstract

Introduction

Decision-making for the treatment of ruptured aneurysms is an intricate process, which involves several factors. There has been a rapid advancement in endovascular, but also in the surgical treating field of ruptured intracranial aneurysms, with a growing body of evidence for either treatment technique.

Research question

As there is a wide variety of treatment possibilities, it can be hard to understand the intricacies which lie behind the decision-making process for a given aneurysm.

Materials and methods

An overview of the most relevant literature in decision-making on ruptured intracranial aneurysms is given.

Results

Different decision-altering factors were identified, which can be divided into information from the general evidence, to influential factors such as the patient's age, initial presenting status, and aneurysmal factors such as size, morphology and aneurysmal location.

Discussion and conclusion

This review provides an evidence-based overview of the most pertinent literature on these different aspects of decision-making in ruptured aneurysm cases and provides some recommendations after each of these segments. As always, all different aspects of the patient and aneurysmal factors should be taken into consideration before coming to a conclusion, as to obtain the best possible result for an individual patient.

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脑血管治疗策略决策概述:第二部分 - 动脉瘤破裂
导言治疗破裂动脉瘤的决策是一个复杂的过程,涉及多个因素。材料和方法概述了颅内动脉瘤破裂决策方面最相关的文献。结果确定了不同的决策改变因素,这些因素可分为一般证据信息、影响因素(如患者年龄、初始发病状况)以及动脉瘤因素(如大小、形态和动脉瘤位置)。讨论与结论本综述以证据为基础,概述了动脉瘤破裂病例决策中这些不同方面的最相关文献,并在每个部分后提出了一些建议。一如既往,在得出结论前应考虑患者和动脉瘤因素的所有不同方面,以便为患者获得最佳结果。
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来源期刊
Brain & spine
Brain & spine Surgery
CiteScore
1.10
自引率
0.00%
发文量
0
审稿时长
71 days
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