title: Interdisciplinary decision-making and treatment of intracranial aneurysms in the era of complementary microsurgical and endovascular techniques.
abstract: Rupture of an intracranial aneurysm is a life-threatening event. Only one third of intracranial aneurysms rupture during a patient's lifetime. Accurate markers that predict which intracranial aneurysms rupture and which do not are currently lacking in routine clinical practice. Therefore, the treatment decision is a careful balance between the natural history of the intracranial aneurysm and the risk of intervention based on aneurysm- and patient-specific risk factors. Many of these risk factors are also used to determine the modality of intervention. In this review, the authors discuss the interdisciplinary decision-making process and treatment approach in the era of complementary techniques for intracranial aneurysm obliteration.
authors.affiliation: Department of Neurosurgery, Kantonsspital Aarau, Switzerland.
authors.forename: Serge
authors.initials: S
authors.lastname: Marbacher
authors.affiliation: Division of Neuroradiology, Kantonsspital Aarau, Switzerland.
authors.forename: Michael
authors.initials: M
authors.lastname: Diepers
authors.affiliation: Department of Neurology, Kantonsspital Aarau, Switzerland.
authors.forename: Timo
authors.initials: T
authors.lastname: Kahles
authors.affiliation: Department of Neurology, Kantonsspital Aarau, Switzerland.
authors.forename: Krassen
authors.initials: K
authors.lastname: Nedeltchev
authors.affiliation: Division of Neuroradiology, Kantonsspital Aarau, Switzerland.
authors.forename: Luca
authors.initials: L
authors.lastname: Remonda
authors.affiliation: Department of Neurosurgery, Kantonsspital Aarau, Switzerland.
authors.forename: Javier
authors.initials: J
authors.lastname: Fandino
mesh_terms: D003657:Decision Making; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D008866:Microsurgery; D012307:Risk Factors