Unruptured anterior communicating artery aneurysm treatment [Neurosurgery Wiki]

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====== Unruptured anterior communicating artery aneurysm treatment ======

see also [[Anterior communicating artery aneurysm treatment]].
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The risk associated with treating [[unruptured anterior communicating artery aneurysm]]s in patients [[age]] <65 years is low. Comparing [[risk]] with [[natural history]] studies, these patients can be expected to outperform natural history within 5 years. Recognizing the risk of smaller anterior communicating artery aneurysms, these findings suggest that treatment of even small lesions may be beneficial
((Schmalz PGR, Enriquez-Marulanda A, Alturki A, Stapleton CJ, Thomas AJ, Ogilvy CS. Combined Outcomes of Endovascular or Surgical Treatment of Unruptured Anterior Communicating Artery Aneurysms: Is a More Aggressive Management Strategy Warranted? World Neurosurg. 2018 Jul;115:e331-e336. doi: 10.1016/j.wneu.2018.04.046. Epub 2018 Apr 17. PMID: 29673817.)).
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[[Anterior communicating artery aneurysm treatment]] requires more collaboration between microsurgical [[clipping]] and [[endovascular therapy]]. Evaluation of patient and [[anterior communicating artery aneurysm]] characteristics by considering the [[advantage]]s and [[disadvantage]]s of both [[technique]]s could provide an optimal treatment modality. A [[hybrid vascular neurosurgeon]] is expected to be a proper solution for the management of these conditions
((Moon JS, Choi CH, Lee TH, Ko JK. Result of coiling versus clipping of unruptured anterior communicating artery aneurysms treated by a hybrid vascular neurosurgeon. J Cerebrovasc Endovasc Neurosurg. 2020 Oct 6. doi: 10.7461/jcen.2020.E2020.06.005. Epub ahead of print. PMID: 33017881.)).

===== References =====