Watch your neighbor's garden, or Delphi's oracle for unruptured intracranial aneurysm treatment

Current management recommendations for patients with unruptured intracranial aneurysms (UIAs) include surgical clipping, endovascular coiling, or noninterventional follow-up.1 Several population-based studies and meta-analyses identified risk factors associated with aneurysm growth and rupture,2 some of which are modifiable (arterial hypertension, smoking, and excessive alcohol consumption) and some of which are not (increasing age, female sex, ethnic origin, aneurysm size, and morphology); however, no randomized controlled data exist on the potential benefit of preventive intervention for UIAs. The multinational TEAM (Trial on Endovascular Aneurysm Management) study failed mainly due to poor recruitment, reflecting reluctance among the international neurointerventional community to actively participate in the trial and to approach eligible patients.3
Source: Neurology - Category: Neurology Authors: Tags: All Cerebrovascular disease/Stroke EDITORIALS Source Type: research