Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
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DOI：
10.1161/str.0000000000000070
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发表时间：
2015-08-01
期刊：
影响因子：
8.3
通讯作者：
Torner, James
中科院分区：
文献类型：
--
作者：
Thompson, B. Gregory;Brown, Robert D., Jr.;Torner, James
目的 - 本更新声明的目的是为未破裂颅内动脉瘤患者的治疗提供全面且基于证据的建议。方法 - 撰写小组成员使用了 1977 年 1 月至 2014 年 6 月的系统文献综述。他们还回顾了当代发表的循证指南、个人档案和发表的专家意见，以总结现有证据，指出当前知识的差距，并在适当时使用标准美国心脏协会标准制定建议。该指南经过了广泛的同行评审，包括中风理事会领导层和中风科学声明监督委员会的审核，然后由美国心脏协会科学咨询和协调委员会审议和批准。针对未破裂颅内动脉瘤患者的护理，提出了基于结果的指南。该指南涉及临床表现、自然史、流行病学、危险因素、筛查、诊断、影像学以及手术和血管内治疗的结果。
Purpose-The aim of this updated statement is to provide comprehensive and evidence-based recommendations for management of patients with unruptured intracranial aneurysms.Methods-Writing group members used systematic literature reviews from January 1977 up to June 2014. They also reviewed contemporary published evidence-based guidelines, personal files, and published expert opinion to summarize existing evidence, indicate gaps in current knowledge, and when appropriate, formulated recommendations using standard American Heart Association criteria. The guideline underwent extensive peer review, including review by the Stroke Council Leadership and Stroke Scientific Statement Oversight Committees, before consideration and approval by the American Heart Association Science Advisory and Coordinating Committee.Results-Evidence-based guidelines are presented for the care of patients presenting with unruptured intracranial aneurysms. The guidelines address presentation, natural history, epidemiology, risk factors, screening, diagnosis, imaging and outcomes from surgical and endovascular treatment.