Small, unruptured intracranial aneurysms and management of symptomatic carotid artery stenosis
- 25 July 2000
- journal article
- Published by Wolters Kluwer Health in Neurology
- Vol. 55 (2) , 307-309
- https://doi.org/10.1212/wnl.55.2.307
Abstract
Article abstract Of the 2885 patients participating in the North American Symptomatic Carotid Endarterectomy Trial, 90 (3.1%) had unruptured intracranial aneurysms (UIA), of which 96% had a diameter of less than 10 mm. During an average 5-year follow-up, only one patient had subarachnoid hemorrhage 6 days after carotid endarterectomy (CE). For patients with unrepaired UIA, the 5-year stroke risk was 10% after CE and 22.7% with best medical care. Both risks are similar to those of patients without UIA. The decision regarding CE probably should not be influenced by the presence of a small UIA.Keywords
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