تمدد الأوعية الدموية داخل القحف الصغير غير العرضي وغير المتشقق في مرضى تجاوزوا 65 عامًا مع أمراض مصاحبة

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).

Patients with aneurysms with documented enlargement during follow-up should be offered treatment in the absence of prohibitive comorbidities (Class I; Level of Evidence B).

Surgical clipping is an effective treatment for UIAs that are considered for treatment (Class I; Level of Evidence B).

Endovascular coiling is an effective treatment for select UIAs that are considered for treatment (Class IIa; Level of Evidence B).

Imaging after surgical intervention, to document aneurysm obliteration, is recommended given the differential risk of growth and hemorrhage for completely versus incompletely obliterated aneurysms (Class I; Level of Evidence B).