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A research-initiated prospective cohort study with the aim to assess the effectivity, safety and long-term outcomes after surgical and endovascular treatment of unruptured intracranial aneurysms. All consecutive patients with a non-ruptured intracranial aneurysms treated at Helsinki University Hospital will be included. Safety is measured by postoperative magnetic resonance imaging (MRI) taken 1-3 days after the treatment, treatment-related complications and functional outcome at three months. Effectiveness is measured by angiographic results and assessment of long-term bleeding from the treated aneurysm. Other outcomes include risk of developing epilepsy, getting a new stroke, and dementia on long-term follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Endovascular treatment | Patients with unruptured intracranial aneurysms treated endovascularly |
| |
| Surgical treatment | Patients with unruptured intracranial aneurysms treated surgically |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Surgery | Procedure | Surgical treatment for the unruptured intracranial aneurysm |
| |
| Measure | Description | Time Frame |
|---|---|---|
| New ischemic lesion on postoperative MRI | Diffusion-Weighted Imaging lesion | 1-3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Neurological symptom | New procedure-related neurological symptom | 3 months |
| Return to work | Days from intervention to return to work |
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Inclusion Criteria:
Exclusion Criteria:
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All patients undergoing endovascular or surgical treatment for an unruptured intracranial aneurysm at Helsinki university hospital
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| Name | Affiliation | Role |
|---|---|---|
| Rahul Raj, MD, PhD | Helsinki University Central Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Helsinki University Hospital | Helsinki | Uusimaa | 00029 HUS | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41349033 | Derived | Raj R, Numminen J, Huhtakangas J, Nurminen V, Lehecka M, Laakso A, Kivipelto L, Niemela M, Korja M. The Helsinki Unruptured Intracranial Aneurysm Quality of Care study: a prospective observational study. J Neurosurg. 2025 Dec 5;144(3):507-516. doi: 10.3171/2025.7.JNS25775. Print 2026 Mar 1. |
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Data sharing regulated by the Secondary Use of Health And Social Data Act in Finland.
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| ID | Term |
|---|---|
| D002532 | Intracranial Aneurysm |
| ID | Term |
|---|---|
| D020765 | Intracranial Arterial Diseases |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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| Endovascular |
| Procedure |
Endovascular treatment for the unruptured intracranial aneurysm |
|
| 3 months |
| Functional outcome | modified Rankin Scale (mRS going from 0 [no sympyoms] to 6 death]) | 3 months |
| Aneurysm occlusion on angiography | Rate of occluded vs. incompletely occluded aneurysms. Assessed through digital subtraction angiography, CTA or MRA. Routine controls for endovascularly treated patients 6mo, 2y, and if needed 5y. Routinely assessed by a postoperative CTA for surgically treated patients. | 6mo - 5yrs |
| Patients with late rebleeding from the target aneurysm | Number of patients with rebleeding (subarachnoid hemorrhage [SAH]) from the treated aneurysm | up to 10 yrs |
| Epilepsy | Number of patients with a new diagnosis of epilepsy after aneurysm treatment | up to 10 yrs |
| Dementia | Number of patients with a new diagnosis of dementia after aneurysm treatment | up to 10 yrs |
| Other stroke than aneurysm bleed | Number of patients with a new stroke (other than SAH from the treated aneurysm) after aneurysm treatment | up to 10 yrs |
| D009422 | Nervous System Diseases |
| D000783 | Aneurysm |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |