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

被引：82

作者：

Kappelle, LJ

Eliasziw, M

Fox, AJ

Barnett, HJM

机构：

[1] Univ Utrecht, Dept Neurol, NL-3584 CX Utrecht, Netherlands

[2] Univ Utrecht, Rudolf Magnus Inst Neurosci, NL-3584 CX Utrecht, Netherlands

[3] John P Robarts Res Inst, London, ON N6A 5K8, Canada

[4] Univ Western Ontario, Dept Clin Neurol Sci, London, ON N6A 3K7, Canada

[5] Univ Western Ontario, Dept Biostat & Epidemiol, London, ON N6A 3K7, Canada

[6] Univ Western Ontario, Dept Diagnost Radiol, London, ON N6A 3K7, Canada

来源：

NEUROLOGY | 2000年 / 55卷 / 02期

关键词：

D O I：

10.1212/WNL.55.2.307

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

收藏

页码：307 / 309

页数：3

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