Table 2.

Items that should be discussed when counseling candidates on screening for unruptured intracranial aneurysms

Items
Purpose of screening
Chance of finding an UIA during initial and follow-up  screening
Risk of ASAH
Types of preventive treatment of UIAs and inherent risks
Treatment of risk factors hypertension and smoking
Ages to start and stop screening
Chance of finding UIAs which are too small for preventive  treatment and require regular follow-up imaging
Screening decreases the risk of ASAH, but does not  completely rules out this risk – there remains a small risk
Consequences of screening outcome for children of screening candidate
Implications for driving and flying licences
Implications for life insurance
Risk of incidental findings
Give candidates time to think

UIA: Unruptured intracranial aneurysm; ASAH: aneurysmal subarachnoid hemorrhage.