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    Unruptured cerebral aneurysms in elderly patients: key challenges and management

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    Author
    Caffes, Nicholas
    Wenger, Nicole
    Cannarsa, Gregory
    Oliver, Jeffrey
    Onwukwe, Chimdiya
    Gandhi, Dheeraj
    Simard, J Marc
    Date
    2021-10-19
    Journal
    Annals of medicine
    Publisher
    Finnish Medical Society Duodecim
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1080/07853890.2021.1990393
    http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8530485/
    Abstract
    Unruptured cerebral aneurysms are increasingly identified in elderly patients as the global life expectancy continues to rise and non-invasive vascular imaging becomes more prevalent. The optimal management of unruptured aneurysms in elderly patients remains controversial. Variability in life expectancy, comorbidities and rupture risk coupled with heterogenous endovascular and surgical treatments contribute to a paucity of clear guidelines, and current management is highly individualized. Elderly patients present unique considerations including frailty, cognitive dysfunction, vasculopathy, reduced life expectancy and overall worse prognosis in case of rupture which shape the risks and likelihood of success of endovascular and microsurgical treatment. In this review, we provide a comprehensive overview of unruptured cerebral aneurysms in the elderly, with a particular focus on the natural history, key challenges associated with advanced age, management and future innovations to further refine treatment.
    Keyword
    Elderly
    aneurysms
    challenges
    endovascular
    microsurgery
    unruptured
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/17006
    ae974a485f413a2113503eed53cd6c53
    10.1080/07853890.2021.1990393
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