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Unruptured Intracranial Aneurysms

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Neurointervention in the Medical Specialties

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

The optimal management of unruptured intracranial aneurysms (UIAs) requires balancing the risk of aneurysm rupture against the possible morbidity of therapeutic options. This is a complex and often daunting task that requires a careful understanding of the natural history of the disease. Determining patient and aneurysm-specific characteristics will allow the cerebrovascular team to council patients in the best possible way. If the decision is made to proceed with treatment, it is prudent to consider endovascular and open treatment modalities and choose the one best suited to the patient. As both endovascular and microsurgical options become safer, the decision to secure unruptured aneurysms is often favored in practice. In this chapter, we review the nuances of management of unruptured intracranial aneurysms.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, Saint Louis University Hospital, St. Louis, MO, USA

    Najib E. El Tecle, Jakob T. Hockman, Jorge F. Urquiaga & Jeroen R. Coppens

  2. Department of Neurology, Saint Louis University Hospital, St. Louis, MO, USA

    Ahmed Abdelsalam & Joanna I. Ramiro

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  1. Najib E. El Tecle
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  2. Jakob T. Hockman
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  3. Ahmed Abdelsalam
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  4. Jorge F. Urquiaga
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  5. Joanna I. Ramiro
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  6. Jeroen R. Coppens
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Correspondence to Jeroen R. Coppens .

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Editors and Affiliations

  1. Neurology and Psychiatry, Saint Louis University, Saint Louis, MO, USA

    Randall C. Edgell

  2. Department of Neurology, Saint Louis University, St. Louis, MO, USA

    Kara M. Christopher

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El Tecle, N.E., Hockman, J.T., Abdelsalam, A., Urquiaga, J.F., Ramiro, J.I., Coppens, J.R. (2022). Unruptured Intracranial Aneurysms. In: Edgell, R.C., M. Christopher, K. (eds) Neurointervention in the Medical Specialties. Current Clinical Neurology. Humana, Cham. https://doi.org/10.1007/978-3-030-87428-5_10

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  • DOI: https://doi.org/10.1007/978-3-030-87428-5_10

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