Treatment strategies of unruptured intracranial aneurysms: A Literature Review
Introduction and purpose Unruptured intracranial aneurysms (UIAs) are often diagnosed incidentally and become a complex clinical dilemma. The main challenge is to choose between invasive treatment and conservative management, considering the low but difficult to predict risk of rupture. The aim of...
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Kazimierz Wielki University
2025-05-01
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| Series: | Journal of Education, Health and Sport |
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| Online Access: | https://apcz.umk.pl/JEHS/article/view/60131 |
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| author | Agnieszka Szema Mikołaj Łabuda Karolina Knychalska Teresa Sowińska Adrianna Bogucka Jakub Sikora Agata Kotkowiak Klaudia Królikowska Aleksandra Słojewska Oliwia Mentel |
| author_facet | Agnieszka Szema Mikołaj Łabuda Karolina Knychalska Teresa Sowińska Adrianna Bogucka Jakub Sikora Agata Kotkowiak Klaudia Królikowska Aleksandra Słojewska Oliwia Mentel |
| author_sort | Agnieszka Szema |
| collection | DOAJ |
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Introduction and purpose
Unruptured intracranial aneurysms (UIAs) are often diagnosed incidentally and become a complex clinical dilemma. The main challenge is to choose between invasive treatment and conservative management, considering the low but difficult to predict risk of rupture. The aim of this review is to present current knowledge and approaches regarding UIA management, highlighting both traditional and emerging strategies.
Description of state of knowledge
Management of UIAs depends on various factors, including aneurysm size, location, morphology, and patient-specific risks. Surgical clipping remains a reasonable method for long-term durability, but more perioperative complications, while endovascular approaches have an advantage due to their less invasive nature, but lower adequate occlusion rate. In selected low-risk patients, conservative monitoring with regular imaging may be appropriate. Advances in computational modeling, artificial intelligence, and hemodynamic analysis are improving our ability to assess rupture risk and tailor treatment plans. However, the lack of universally accepted guidelines continues to complicate decision-making.
Conclusion
UIA management should be individualized, weighing the risks and benefits of each treatment option. Despite technological progress and improved diagnostic tools, further research and international consensus are needed to establish standardized protocols for clinical practice.
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| format | Article |
| id | doaj-art-c207705eeb12445aa8bc2cb3e00adb8a |
| institution | OA Journals |
| issn | 2391-8306 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj-art-c207705eeb12445aa8bc2cb3e00adb8a2025-08-20T02:15:12ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-05-018010.12775/JEHS.2025.80.60131Treatment strategies of unruptured intracranial aneurysms: A Literature ReviewAgnieszka Szema0https://orcid.org/0009-0000-5017-3426Mikołaj Łabuda1https://orcid.org/0009-0002-4137-4319Karolina Knychalska2https://orcid.org/0009-0003-3736-0579Teresa Sowińska3https://orcid.org/0009-0003-0061-212XAdrianna Bogucka4https://orcid.org/0009-0001-8870-0495Jakub Sikora5https://orcid.org/0009-0007-9637-0709Agata Kotkowiak6https://orcid.org/0009-0004-4797-6980Klaudia Królikowska7https://orcid.org/0009-0007-7984-4642Aleksandra Słojewska8https://orcid.org/0009-0007-7532-0948Oliwia Mentel9https://orcid.org/0009-0004-4739-0621University Clinical Hospital no. 2 PMU in Szczecin, Powstańców Wielkopolskich 72 St 70-111 SzczecinIndependent Public Voivodeship Integrated Hospital in Szczecin, ul. Arkońska 4 71-455 SzczecinUniversity Clinical Hospital no. 2 PMU in Szczecin, Powstańców Wielkopolskich 72 St 70-111 SzczecinUniversity Clinical Hospital no. 2 PMU in Szczecin, Powstańców Wielkopolskich 72 St 70-111 SzczecinIndependent Public Voivodeship Integrated Hospital in Szczecin, ul. Arkońska 4 71-455 SzczecinProfi-Med Medical Center Goleniów Marii Konopnickiej 10A 72-100 GoleniówFamily Medicine Clinic "Podgórna", Podgórna 22 St. 70-205 Szczecin PolandUniversity Clinical Hospital no. 2 PMU in Szczecin, Powstańców Wielkopolskich 72 St 70-111 SzczecinIndependent Public Voivodeship Integrated Hospital in Szczecin, ul. Arkońska 4 71-455 SzczecinUniversity Clinical Hospital no. 2 PMU in Szczecin, Powstańców Wielkopolskich 72 St 70-111 Szczecin Introduction and purpose Unruptured intracranial aneurysms (UIAs) are often diagnosed incidentally and become a complex clinical dilemma. The main challenge is to choose between invasive treatment and conservative management, considering the low but difficult to predict risk of rupture. The aim of this review is to present current knowledge and approaches regarding UIA management, highlighting both traditional and emerging strategies. Description of state of knowledge Management of UIAs depends on various factors, including aneurysm size, location, morphology, and patient-specific risks. Surgical clipping remains a reasonable method for long-term durability, but more perioperative complications, while endovascular approaches have an advantage due to their less invasive nature, but lower adequate occlusion rate. In selected low-risk patients, conservative monitoring with regular imaging may be appropriate. Advances in computational modeling, artificial intelligence, and hemodynamic analysis are improving our ability to assess rupture risk and tailor treatment plans. However, the lack of universally accepted guidelines continues to complicate decision-making. Conclusion UIA management should be individualized, weighing the risks and benefits of each treatment option. Despite technological progress and improved diagnostic tools, further research and international consensus are needed to establish standardized protocols for clinical practice. https://apcz.umk.pl/JEHS/article/view/60131unruptured intracranial aneurysmaneurysm managementendovascular treatmentsurgical clippingPHASES scoreELAPSS score |
| spellingShingle | Agnieszka Szema Mikołaj Łabuda Karolina Knychalska Teresa Sowińska Adrianna Bogucka Jakub Sikora Agata Kotkowiak Klaudia Królikowska Aleksandra Słojewska Oliwia Mentel Treatment strategies of unruptured intracranial aneurysms: A Literature Review Journal of Education, Health and Sport unruptured intracranial aneurysm aneurysm management endovascular treatment surgical clipping PHASES score ELAPSS score |
| title | Treatment strategies of unruptured intracranial aneurysms: A Literature Review |
| title_full | Treatment strategies of unruptured intracranial aneurysms: A Literature Review |
| title_fullStr | Treatment strategies of unruptured intracranial aneurysms: A Literature Review |
| title_full_unstemmed | Treatment strategies of unruptured intracranial aneurysms: A Literature Review |
| title_short | Treatment strategies of unruptured intracranial aneurysms: A Literature Review |
| title_sort | treatment strategies of unruptured intracranial aneurysms a literature review |
| topic | unruptured intracranial aneurysm aneurysm management endovascular treatment surgical clipping PHASES score ELAPSS score |
| url | https://apcz.umk.pl/JEHS/article/view/60131 |
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