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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">neurosurgery</journal-id><journal-title-group><journal-title xml:lang="ru">Нейрохирургия</journal-title><trans-title-group xml:lang="en"><trans-title>Russian journal of neurosurgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1683-3295</issn><issn pub-type="epub">2587-7569</issn><publisher><publisher-name>Издательский дом "МедИНК"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.63769/1683-3295-2015-0-1-90-96</article-id><article-id custom-type="elpub" pub-id-type="custom">neurosurgery-152</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEW</subject></subj-group></article-categories><title-group><article-title>ОБХОДНОЕ ШУНТИРОВАНИЕ В ЛЕЧЕНИИ ИШЕМИИ ГОЛОВНОГО МОЗГА, ОБУСЛОВЛЕННОЙ СОСУДИСТЫМ СПАЗМОМ ПОСЛЕ РАЗРЫВА АНЕВРИЗМ</article-title><trans-title-group xml:lang="en"><trans-title>The bypass surgery for treatment of brain ischemia because of cerebral abgiospasm after aneurysm rupture</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лукьянчиков</surname><given-names>Виктор Александрович</given-names></name><name name-style="western" xml:lang="en"><surname>Luk’Yanchikov</surname><given-names>V. A.</given-names></name></name-alternatives><email xlink:type="simple">vik-luk@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff xml:lang="ru" id="aff-1"><institution>НИИ скорой помощи им. Н.В. Склифосовского</institution><country>Russian Federation</country></aff><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>05</day><month>10</month><year>2017</year></pub-date><volume>0</volume><issue>1</issue><fpage>90</fpage><lpage>96</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лукьянчиков В.А., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Лукьянчиков В.А.</copyright-holder><copyright-holder xml:lang="en">Luk’Yanchikov V.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.therjn.com/jour/article/view/152">https://www.therjn.com/jour/article/view/152</self-uri><abstract><p>Ишемия головного мозга, обусловленная сосудистым спазмом, развивается у 33,5% пациентов, перенесших субарахноидальное кровоизлияние в результате разрыва интракраниальных аневризм, и является основной причиной ухудшения состояния или летального исхода у данной категории больных. Лечение ишемии головного мозга, вызванной сужением базальных артерий, насчитывает целый арсенал консервативных и хирургических методов, однако ни один из них не является приоритетным в улучшении состояния больных. Одним из малоизученных способов борьбы с ишемией головного мозга у пациентов с субарахноидальным кровоизлиянием является выполнение шунтирующих операций путем наложения экстра-инракраниального анастомоза (ЭИКМА). Проведен анализ 65 литературных источников, посвященных данной тематике. В настоящее время не существует определенных показаний, критериев и алгоритма применения ЭИКМА при ангиоспазме и ишемии головного мозга. Наиболее подходящими для наложения ЭИКМА пациентами представляются больные с аневризмами внутренней сонной или средней мозговой артериями с нарастающим проксимальным ангиоспазмом М1 и М2 сегментов, в первые 8 часов после появления очагового неврологического дефицита, снижением показателей перфузии в соответствующем регионе и отсутствием выраженных очагов ишемии на КТ. ЭИКМА также может рассматриваться как метод выбора в лечении ишемии головного мозга при ангиоспазме и невозможности использования эндоваскулярных методик.</p></abstract><trans-abstract xml:lang="en"><p>The brain ischemia because of cerebral angiospasm develops at 33,5% patients suffered from nontraumatic subarachnoid hemorrhage as a result of aneurysm rupture and remains the main cause for deterioration in the condition or lethal outcome at such patients. The treatment of brain ischemia as a result of narrowing of basal brain arteries includes a lot of conservative and surgical methods however neither of them appears to have the priority in the regression of brain ischemia signs at such patients. The usage of extra-intracranial bypass in treatment of brain ischemia at patients with nontraumatic subarachnoid hemorrhage is one of the underinvestigated surgical methods. We have performed the analysis of 65 literature sources dedicated to this problem. Nowadays there are no clearly determined indications, criteria and algorithms for STA-MCA bypass usage at patients with cerebral angiospasm and brain ischemia. The most appropriate indications for STA-MCA bypass performance are the follows: aneurysms of internal carotid or middle cerebral arteries with progressive proximal angiospasm of М1 and М2 segments, first 8 hours after manifestation of focal neurological deficit, decrease of perfusion measurements in corresponding region and absence of severe ischemia areas in accordance with brain CT data. The STA-MCA bypass also can be considered as method of choice for brain ischemia treatment in the case of cerebral angiospasm and impossibility of endovascular methods application.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>обходное шунтирование</kwd><kwd>ЭИКМА в лечении ишемии головного мозга</kwd><kwd>ЭИКМА при ангиоспазме</kwd><kwd>bypass</kwd><kwd>STA-MCA bypass in brain ischemia treatment</kwd><kwd>STA-MCA bypass in cerebral angiospasm treatment</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Gaydar B.V., Svistov D.V., Parfenov V.E., Semenyutin V.B. Transcranial Doppler sonography in neurosurgery. Saint Petersburg; Elbi; 2008: 281 pp (in Russian).</mixed-citation><mixed-citation xml:lang="en">Gaydar B.V., Svistov D.V., Parfenov V.E., Semenyutin V.B. Transcranial Doppler sonography in neurosurgery. 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