Intended for healthcare professionals

Minerva

Aneurysm interventions . . . and other stories

BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l581 (Published 14 February 2019) Cite this as: BMJ 2019;364:l581

Unruptured intracranial aneurysms

The increasing use of brain imaging means that increasing numbers of unruptured intracranial aneurysms are being identified. Many are likely to remain asymptomatic but some will rupture—with potentially devastating effects. A systematic review tries to assess the risks of preventive intervention, which are far from negligible (JAMA Neurol doi:10.1001/jamaneurol.2018.4165). For endovascular procedures, the pooled risk for any complication was around 5% with a case fatality of 0.3%. For neurosurgical interventions, the risk of complications was around 8% with a case fatality of 0.1%. The highest risks were for aneurysms in the posterior …

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