International Study of Unruptured Intracranial Aneurysms (ISUIA)

Project Description

THE International Study of Unruptured Intracranial Aneurysms (ISUIA) was designed to define the natural history of UIAs; determine the risk factors associated with the development and rupture of UIAs; and assess the morbidity and mortality associated with repair of UIAs among UIA patients with and without a history of subarachnoid hemorrhage from a separate aneurysm. The primary hypotheses of this study are as follows.  1) Among patients without a history of SAH with UIA, there is a critical size above which there is a significant risk of subsequent aneurysmal rupture, with accompanying neurologic morbidity and mortality.  2) Among patients with UIAs and a history of SAH from another source, the risk of future rupture of UIA, disability, and death is greater than in patients without a history of SAH and varies directly with aneurysmal size.  3) The risk of death and significant disability from surgery to isolate UIAs from the intracranial circulation varies according to the size and the location of the aneurysm, history of SAH from another source, and confounding variables such as age and co-morbid conditions.

Organizational Components

     Mayo Clinic Coordinating Center

     University of Iowa Statistical and Data Management Center

     Investigator/Study Center List

      

ISUIA Papers and Presentations

1. The International Study of Unruptured Intracranial Aneurysms: Methodology

     Methods Paper PDF file  (requires Adobe Acrobat Reader)

     Figure 1 (JPG image)

2. Unruptured Intracranial Aneurysms:  Risk of Rupture and Surgical Intervention

     NEJM, Dec 10, 1998

 

3. Unruptured Intracranial Aneurysms: Natural History, Clinical Outcome, and

     Risks of Surgical and Endovascular Treatment

     The Lancet, July 12, 2003


Other Publications and Presentations

     Publication Listing  (requires Adobe Acrobat Reader)

 

Related Links

     NINDS Cerebral Aneurysm Information Page

     Brain & Cerebral Aneurysms (Aneurism) :: Wake Forest Neurosurgery

     Mayo Clinic: Cerebral Aneurysms - Information and Treatment

     Cerebral Brain Aneurysms

     American Stroke Association

     Brain Aneurysm Links