Small, unruptured intracranial aneurysms and management of symptomatic carotid artery stenosis

L. J. Kappelle; M. Eliasziw; A. J. Fox; H. J.M. Barnett

doi:10.1212/WNL.55.2.307

Small, unruptured intracranial aneurysms and management of symptomatic carotid artery stenosis

L. J. Kappelle^*, M. Eliasziw, A. J. Fox, H. J.M. Barnett

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

77 Citations (Scopus)

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.

Original language	English
Pages (from-to)	307-309
Number of pages	3
Journal	Neurology
Volume	55
Issue number	2
DOIs	https://doi.org/10.1212/WNL.55.2.307
Publication status	Published - 25 Jul 2000

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AB - 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.

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Small, unruptured intracranial aneurysms and management of symptomatic carotid artery stenosis

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