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비파열뇌동맥류 진료지침 - 종설 -

Other Titles
 Guidelines for the Management of Unruptured Intracranial Aneurysm 
Authors
 서대희  ;  강현승  ;  김대원  ;  박석규  ;  송영  ;  신승훈  ;  유승훈  ;  권순억  ;  나정호  ;  배희준  ;  오창완  ;  유경호  ;  윤병우  ;  이병철  ;  허지회  ;  홍근식  ;  홍승철  ;  박인성 
Citation
 Korean Journal of Cerebrovascular Surgery (대한뇌혈관외과학회지), Vol.13(4) : 279-290, 2011 
Journal Title
 Korean Journal of Cerebrovascular Surgery (대한뇌혈관외과학회지) 
ISSN
 1229-4985 
Issue Date
2011
MeSH
Aneurysm ; Calcium Hydroxide ; Delivery of Health Care ; Humans ; Intracranial Aneurysm ; Judgment ; Korea ; Light ; Natural History ; Risk Management ; Rupture ; Stroke ; Subarachnoid Hemorrhage ; Zinc Oxide
Keywords
Diagnosis ; Guideline ; Management ; Natural History ; Unruptured Intracranial Aneurysm
Abstract
Intracranial aneurysmal rupture causes subarachnoid hemorrhage which usually leads to fatality or severe disability. Treatment of unruptured intracranial aneurysms (UIAs) can substantially reduce the risk of rupture and prevent the grave consequences, but the risk of prophylactic treatment cannot be ignored. UIAs have diverse characteristics and management strategy needs to be tailored according to their location, size and clinical status. In the absence of level I evidence, the treatment guidance often relied on ex­pert’s opinions and experience. Knowledge of the natural course and management risks of individual aneurysms can help to guide treatment decision, but the natural history is still controversial and risks are not clearly defined. The Korean Society of Cerebrovascular Surgeons (KSCVS) decided to issue a Korean version of UIA management guideline as a framework for the treat­ment decision and as a basis for future studies, following ‘Guideline Development Manual’ of the Clinical Research Center for Stroke (CRCS). The organized committee systematically reviewed relevant literature and major guidelines published between January 2000 and July 2010 and took a developmental strategy of adaptation rather than de novo methods. On the basis of inter­pretation of the published evidences, recommendations were synthesized, and the level of evidence and the grade of recom­mendation were determined using the methods adapted from those of the US Agency for Healthcare Policy and Research and CRCS. The current guideline focuses on three domains of natural history, diagnosis and treatment of UIAs. The hierarchy of evi­dence and the recommendation grading indicate the current level by the literature and do not indicate the necessity or the prohib­ition of a certain clinical practice. Accordingly, this guideline cannot provide the answer for every clinical situation and should not take precedence over the clinical judgment of responsible physicians for individual patients. The final judgment regarding the care of a particular patient must be made by the physician and patient in light of circumstances specific to that patient. This is the first version of the UIA management guideline in Korea and new evidences will be timely and continuously updated in the future guidelines.
Files in This Item:
T201194491.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Heo, Ji Hoe(허지회) ORCID logo https://orcid.org/0000-0001-9898-3321
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/158199
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