Retrospective Application of Risk Scores to Unruptured Anterior Communicating Artery Aneurysms.

ABSTRACT:

Background

Treatment decisions for unruptured intracranial aneurysms (UIAs) pose a challenge for neurosurgeons, prompting the development of clinical scales assessing hemorrhage risk to provide management guidance. This study compares recommendations from the PHASES and UIA treatment scores (UIATS) applied to anterior communicating artery (AComA) UIAs against real-world management.

Methods

While UIATS recommends management, for PHASES, an aneurysm with score of 10 or more was considered "high-risk". Analysis involved assessing the concordance in each group alongside comparison to real-word management.

Results

Among 129 patients, 46.5% were observed and 53.5% were treated. PHASES scores were significantly higher in the treatment group (p = 0.00002), and UIATS re

SUBMITTER: Wojtowicz K 

PROVIDER: S-EPMC10856240 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature