Treatment of Unruptured Cerebral Aneurysm in Patients with Hypertension or Active Smoking

Clinical Scenario

Adults with an unruptured intracranial aneurysm (UIA) who are not undergoing preventive occlusion. The protocol focuses on reducing modifiable vascular risk — specifically elevated blood pressure and tobacco use.

Treatment Approach

The protocol targets specific modifiable risk factors identified in this patient group. Interventions address cardiovascular risk reduction — the complete criteria, patient-specific guidance, and monitoring requirements are in the full protocol.

Clinical Target

In patients who do not undergo preventive occlusion, the primary measurable goal is:

Blood pressure < 130/80 mmHg
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References

DOI: 10.1177/23969873221099736

In adult patients with UIA who smoke, we recommend smoking cessation.

In adult patients with UIA and hypertension, we recommend treatment of increased blood pressure.

For adult patients with an UIA who do not undergo preventive occlusion, we suggest keeping blood pressure <130/80 mm Hg.

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