Cerebral aneurysms treatment: other techniques

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Cerebral aneurysms treatment: other techniques. Treat high blood pressure, Avoid alcohol and tobacco. Fully referenced neurology checklist.

Preventative measures against rupture

  • Treat high blood pressure
  • Avoid alcohol and tobacco
  • High vegetable diet
  • Screening of familial SAH
  • Investigate for co-existing aneurysms after SAH
  • Immediate imaging post-repair of ruptured aneurysm
  • Counsel on risk factors of aneurysm growth and rupture
  • Monitor for aneurysm growth and rupture with intermittent imaging

Surgical clipping

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Woven Endobridge device

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References

  1. Connolly ES Jr, Rabinstein AA, Carhuapoma JR, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2012; 43:1711-1737.
  2. Etminan N, de Sousa DA, Tiseo C, et al. European Stroke Organisation (ESO) guidelines on management of unruptured intracranial aneurysms. Eur Stroke J 2022; 7:V. 
  3. Brown RD Jr, Broderick JP. Unruptured intracranial aneurysms: epidemiology, natural history, management options, and familial screening. Lancet Neurol 2014; 13:393-404.
  4. Health Quality Ontario. Coil embolization for intracranial aneurysms: an evidence-based analysis. Ont Health Technol Assess Ser 2006; 6:1-114. 
  5. Ito Y, Yamamoto T, Ikeda G, et al. Early retreatment after surgical clipping of ruptured intracranial aneurysms. Acta Neurochir (Wien) 2017; 159:1627-1632. 
  6. And 5 more. Subscribe to see the full list

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