How do you decide whether to treat a brain aneurysm or to use conservative management?

This content is for educational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Read more.

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What are the available treatment options for brain aneurysms at Queen Square?

Dr Prem Rangi, a Consultant in Interventional and Diagnostic Neuroradiology, says historically aneurysms have been treated with an invasive surgical clipping of the aneurysm. Newer preferred techniques involved less invasive surgeries such as endovascular embolisation.

Transcript
So conventionally aneurysms are treated with a surgical clipping procedure. It's quite an invasive procedure. It's fairly well-established, and it's traditionally been the way of treating aneurysms. More recently, since a very large published international study, the ISAT study, there's good evidence to show that endovascular treatment of aneurysms, particularly in the acute setting, is, on the whole, more favourable. It's very well-tolerated by the majority of patients, and the technology's moved on. So there's other adjunctive devices one can use to treat endovascularly aneurysms as well.

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