إدارة تمدد الأوعية الدموية الدماغية غير المتشققة لدى المرضى فوق سن 65 الذين يعانون من أمراض مصاحبة

References

DOI: 10.1161/STR.0000000000000070

The treatment risk of patients with UIAs is related to advancing age, medical comorbidities, and aneurysm location and size, so in older patients (>65 years of age) and those with associated medical comorbidities with small asymptomatic UIAs and low hemorrhage risk by location, size, morphology, family history, and other relevant factors, observation is a reasonable alternative (Class IIa; Level of Evidence B).

Given that smoking appears to increase the risk of UIA formation, patients with UIA should be counseled regarding the importance of smoking cessation (Class I; Level of Evidence B).

Given that hypertension may play a role in growth and rupture of IAs, patients with UIA should monitor blood pressure and undergo treatment for hypertension (Class I; Level of Evidence B).