Management of Tiny Unruptured Intracranial Aneurysms: A Comparative Effectiveness Analysis.

ABSTRACT:

Importance

Unruptured intracranial aneurysms (UIAs) are relatively common in the general population and are being increasingly diagnosed; a significant proportion are tiny (≤3 mm) aneurysms. There is significant heterogeneity in practice and lack of clear guidelines on the management of incidental, tiny UIAs. It is important to quantify the implications of different management strategies in terms of health benefits to patients.

Objective

To evaluate the effectiveness of routine treatment (aneurysm coiling) vs 3 strategies for imaging surveillance compared with no preventive treatment or routine follow-up of tiny UIAs.

Design, setting, and participants

A decision-analytic model-based comparative effectiveness analysis was conducted from May 1 to June 30, 2017, using in

SUBMITTER: Malhotra A 

PROVIDER: S-EPMC5833486 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature