Should coarctation patients routinely be screened for intracranial aneurysms?

The prevalence of intracranial aneurysms is increased in patients with coarctation of the aorta and aneurysm rupture is associated with poor outcome.Currently available literature on prevalence and natural history as well as the results of surgical and interventional treatment of intracranial aneurysms are analyzed to evaluate the potential benefit and risk of routine screening and prophylactic treatment.Based on this analysis, routine screening for berry aneurysms can presently not be recommended in patients with coarctation of the aorta.