Acta clinica Croatica, Vol. 60. No. 4., 2021.
Review article
https://doi.org/10.20471/acc.2021.60.04.24
Diagnostic and Therapeutic Dilemmas in the Management of Intracranial Aneurysms
Borislav Radić
; Department of Neurology, Zagreb University Hospital Center, Zagreb, Croatia
Antonela Blažeković
orcid.org/0000-0002-3669-7941
; Department of Functional Genomics, Center for Translational and Clinical Research, University of Zagreb School of Medicine, Zagreb University Hospital Center, Zagreb, Croatia
Ivan Jovanović
; Department of Radiology, Zagreb University Hospital Center, Zagreb, Croatia
Anka Jurišić-Kvesić
; Ministry of Health, Zagreb, Croatia
Ervina Bilić
; Department of Neurology, Zagreb University Hospital Center, Zagreb, Croatia
Fran Borovečki
; Department of Neurology, Zagreb University Hospital Center, Zagreb, Croatia; Department of Functional Genomics, Center for Translational and Clinical Research, University of Zagreb School of Medicine, Zagreb University Hospital Center, Zagreb, Croatia
Abstract
Intracranial aneurysms have a prevalence of about 2% of the population. They are
a common incidental finding of noninvasive neuroimaging methods, raising the question of the necessity
of treatment of patients with an asymptomatic intracranial aneurysm. For long, the only treatment
option was surgical clipping of aneurysm neck. In the last 25 years, endovascular techniques have been
developed as an alternative solution for patients who are not eligible for neurosurgical procedures.
Research has shown better results of embolization procedures with lower rates of complications, but a
higher rate of recanalization is still a major drawback of endovascular coiling. There are no strict protocols
and the treatment of choice for intracranial aneurysms should be agreed upon by both the
physician and the patient. This review aims to provide an insight into the management of intracerebral
aneurysms with emphasis on the decision making problems faced by clinicians.
Keywords
Intracranial aneurysm; Embolization; Clipping; Treatment
Hrčak ID:
275551
URI
Publication date:
1.12.2021.
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