Rupture of a previously documented asymptomatic aneurysm enhances the argument for prophylactic surgical intervention
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Cited by (27)
Microsurgical treatment of unruptured intracranial aneurysms. A consecutive surgical experience consisting of 450 aneurysms treated in the endovascular era
2007, Surgical NeurologyCitation Excerpt :Although earlier reports advocated treating most unruptured IAs, some more recent studies have recommended treating only larger or symptomatic aneurysms because of their more aggressive natural history [5,6,8,10,17,20,21,24,35,36,43,49,56]. Nevertheless, several investigators have described the rupture of small, asymptomatic, and previously unruptured IAs that were being followed without treatment [15,22,23,35,44,48,57,58]. Clearly, unruptured IAs should be treated only if surgical and endovascular complication rates can be kept at very low levels.
Pathogenesis, natural history, and treatment of unruptured intracranial aneurysms
2004, Mayo Clinic ProceedingsCitation Excerpt :Another treatment consideration involves the performance of carotid endarterectomy in patients with unruptured aneurysms. At least 139 cases involving endarterectomy in patients with intracranial aneurysms have been reported.98–106 Among 135 patients without reported prior SAH, 5 had subsequent aneurysmal rupture at intervals ranging from 2 days to 10 months after endarterectomy.
Surgery of grade "0" aneurysms. Report of 22 cases
2002, NeurocirugiaThe diameter-cube hypothesis: A new biophysical model of aneurysm rupture
2002, Surgical NeurologyHow to treat incidental cerebral aneurysms: A review of 139 consecutive cases
1995, Surgical Neurology