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Review
. 2009 Jan;9(1):6-12.
doi: 10.1007/s11910-009-0002-0.

Treatment of unruptured intracranial aneurysms: surgery, coiling, or nothing?

Joseph D Burns  1 , Robert D Brown Jr
Affiliations
Review

Treatment of unruptured intracranial aneurysms: surgery, coiling, or nothing?

Joseph D Burns et al. Curr Neurol Neurosci Rep. 2009 Jan.

Abstract

The decision of whether and how to treat an unruptured intracranial aneurysm (UIA) is complex. The goal in caring for patients with UIAs is to maximize their duration of high-quality life by optimally balancing the risks of aneurysm rupture--the "natural history" of the aneurysm--with those of treatment-related adverse outcomes. In this article, we review the literature concerning the natural history of UIAs and summarize the procedure-associated morbidity and mortality and efficacy of surgical clipping and endovascular coiling. Using this information, we make recommendations regarding the optimal management of patients with UIAs.

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