Surgical Approaches to Manage Cerebral Aneurysms, Systematic Review

Abdulrazaq Hudhayri A. Alhazeemi, Fahad Khalid F. Alshubaily, Abdulaziz Hamdan A. Alazmi, Abdullah Suleman S. Almazied, Sultana Ali S. Alshammari, Amirah Ali S. Alshammari, Dalia Abdullah M. Aljohani

Abstract: Cerebral aneurysms are common among the general population, occurring in 2%–3%, but there are several factors that may increase one's risk. Cerebral aneurysms are seen more commonly in woman than men, particularly in those over 50 years of age, a group in which women are twice as likely to have cerebral aneurysms. This study was aimed to use systematic review to evaluate and demonstrate the different surgical approaches in management of cerebral aneurysms based on evidence studies that compared the clinical outcomes in patients with different surgical procedures and outcome treatment. We searched the published literature using Medline (Pubmed) and CENTRAL databases with following keywords combinations: cerebral aneurysm, endovascular coiling or microsurgical clipping, stent-assisted coiling, balloon-assisted coiling, aneurysm; coiling, aneurysm, stent and balloon. Additionally, we hand-searched references in relevant primary publications to identify other eligible trials and studies. The described searches included original literature published up to August 2016. We concluded that both techniques were associated with similar and low complication rates. It was previously reported that the rates of complications with both surgical clipping and. Endovascular coiling is higher in ruptured aneurysms versus unruptured aneurysms. In cases of ruptured aneurysms, preference is often given to Endovascular coiling procedure to avoid potential complications caused by antiplatelet regiment accompanying surgical clipping. Keywords: Cerebral aneurysms, surgical approaches. Title: Surgical Approaches to Manage Cerebral Aneurysms, Systematic Review Author: Abdulrazaq Hudhayri A. Alhazeemi, Fahad Khalid F. Alshubaily, Abdulaziz Hamdan A. Alazmi, Abdullah Suleman S. Almazied, Sultana Ali S. Alshammari, Amirah Ali S. Alshammari, Dalia Abdullah M. Aljohani International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Research Publish Journals

Vol. 4, Issue 2, October 2016 – March 2017

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Surgical Approaches to Manage Cerebral Aneurysms, Systematic Review by Abdulrazaq Hudhayri A. Alhazeemi, Fahad Khalid F. Alshubaily, Abdulaziz Hamdan A. Alazmi, Abdullah Suleman S. Almazied, Sultana Ali S. Alshammari, Amirah Ali S. Alshammari, Dalia Abdullah M. Aljohani