Interventional Versus Medical Management of Infectious Intracranial Aneurysms - PubMed
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- #Infectious Intracranial Aneurysms
- #Interventional Management
- #Medical Management
- Infectious intracranial aneurysms (IIAs) are rare but carry high risks of rupture, hemorrhage, and mortality, with no established optimal management strategy.
- A meta-analysis of 13 retrospective observational studies (748 patients) found interventional management (surgical or endovascular) leads to higher treatment success, lower mortality, fewer complications, and reduced rupture/re-rupture risk compared to medical management alone.
- The evidence is limited by retrospective designs, confounding factors, bias, inconsistent reporting, and cannot support causal conclusions, suggesting results are hypothesis-generating.