neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2017-0-2-60-65neurosurgery-404Research ArticleОРГАНИЗАЦИЯ НЕЙРОХИРУРГИЧЕСКОЙ ПОМОЩИК вопросу об организации рентгенхирургической помощи пациентам с острым ишемическим инсультомOrganization of interventional surgery for patients with acute ischemic strokeКрыловВладимир ВикторовичKrylovV. V.noemail@neicon.ruВолодюхинМихаил ЮрьевичVolodyukhinM. Yu.voloduckin@mail.ruМГМСУ им. А.И. Евдокимова; НИИ скорой помощи им. Н.В. СклифосовскогоRussian FederationМежрегиональный клинико-диагностический центр Министерства здравоохранения Республики ТатарстанRussian Federation201724112017026065Copyright © Крылов В.В., Володюхин М.Ю., 20172017Крылов В.В., Володюхин М.Ю.Krylov V.V., Volodyukhin M.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/404

Цель: Обсуждение современных принципов организации рентгенхирургической помощи пациентам с острым ишемическим инсультом. Материалы и методы: проанализированы современные данные литературы о применении рентген-хирургических технологий у пациентов с острым ишемическим инсультом. Определены основные принципы организации рентгенхирургической помощи у данной категории пациентов. Результаты: ключевыми моментами организации рентгенхирургической помощи являются подготовка специалистов, разработка протоколов и алгоритмов применения рентгенхирургических технологий пациентам с острым ишемическим инсультом, обеспечение аппаратурой и расходным материалом сосудистых центров, где возможно оказывать данный вид помощи. Заключение: Для эффективного внедрения данных технологий в клиническую практику необходимо создание национальных протоколов, определяющих: подготовку специалистов, алгоритм работы «инсультных» команд и оценку показателей качества оказываемой помощи.

Objective: to discuss the modern aspects of interventional surgical care organization for patients with acute ischemic stroke. Material and methods: the current literature data concerning usage of interventional techniques in patients with acute ischemic stroke were analyzed. The main principles of interventional surgical care organization for such patients were determined. Results: the key moments for organization of interventional surgery are the follows: specialists training, development of working protocols and algorithms for usage of interventional techniques in patients with acute stroke as well as to provide the techniques and consumable materials for vascular medical centers, where this type of medical care is possible. Conclusion: The national recommendation protocols determined the training of specialists, operation algorithm for «stroke» teams and estimation of medical care efficiency are necessary to be created for effective introduction of such technologies in clinical practice.

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The authors declare that there are no conflicts of interest present.