neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2018-20-2-27-34neurosurgery-548Research ArticleОРИГИНАЛЬНАЯ РАБОТАORIGINAL REPORTРезультаты применения потокперенаправляющих стентов при лечении интракраниальных аневризмFlow diverting stents in the treatment of intracranial aneurysmshttps://orcid.org/0000-0002-1325-8460СосновА. О.SosnovA. O.

Алексей Олегович Соснов

630087 Новосибирск, ул. Немировича-Данченко, 132/1

a_sosnov@neuronsk.ruhttps://orcid.org/0000-0002-7406-9874КиселевВ. C.KiselevV. S.

630087 Новосибирск, ул. Немировича-Данченко, 132/1

https://orcid.org/0000-0003-4767-9906ГафуровР. Р.GafurovR. R.

630087 Новосибирск, ул. Немировича-Данченко, 132/1

https://orcid.org/0000-0002-4065-5736ПерфильевА. М.PerfilevA. М.

630087 Новосибирск, ул. Немировича-Данченко, 132/1

ФГБУ «Федеральный центр нейрохирургии» Минздрава России (Новосибирск)РоссияFederal Neurosurgical Center (Novosibirsk), Ministry of Health of RussiaRussian Federation2018190720182022734Copyright © Соснов А.О., Киселев В.C., Гафуров Р.Р., Перфильев А.М., 20182018Соснов А.О., Киселев В.C., Гафуров Р.Р., Перфильев А.М.Sosnov A.O., Kiselev V.S., Gafurov R.R., Perfilev A.М.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/548

Цель исследования – оценить эффективность хирургического лечения аневризм сосудов головного мозга с применением потокперенаправляющих стентов (ППС).

Материалы и методы

Материалы и методы. В Федеральном центре нейрохирургии (Новосибирск) за 2016 г. в плановом порядке прооперировано 64 пациента (11 мужчин, 53 женщины, средний возраст 50,1 ± 11,4 года) с интракраниальными аневризмами; установлены 69 ППС. Общее число выключенных аневризм составило 64.

Результаты

Результаты. При ангиографическом контроле через 6 мес установлено, что тотальная окклюзия аневризм достигнута в 71 % случаев, субтотальная – в 29 %. Отличный и хороший функциональный исход (0–2 по модифицированной шкале Рэнкина) наблюдался у 60 (93,7 %) пациентов, плохой (3–5 по шкале Рэнкина) – у 4 (6,3 %). Частота осложнений составила 4,7 %, летальность – 0 %.

Заключение

Заключение. Установка ППС – эффективный метод лечения аневризм сосудов головного мозга, особенно в тех случаях, когда использование альтернативных эндоваскулярных методов несет высокий риск реканализации, а микрохирургические методы – повышенный операционный риск.

The study objective is to evaluate the effectiveness of surgical treatment of intracranial aneurysms with the use of flow diverting stents (FDS).

Materials and methods

Materials and methods. In 2016, in the Federal Neurosurgical Center (Novosibirsk) 64 patients (11 men, 53 women, mean age – 50.1 ± 11.4 years) with intracranial aneurysms were operated on; 69 FDS were implanted. Total number of occluded aneurysms 64.

Results

Results. The digital subtraction angiography control after 6 months demonstrated, that the total occlusion rate with was in 71 % cases, subtotal – in 29 %. An excellent and good functional outcome (modified Rankin scale 0–2) was obtained in 60 (93.7 %) patients, poor (modified Rankin scale 3–5) – in 4 (6.3 %). Complications rate were 4.7 %, death rate – 0 %.

Conclusion

Conclusion. The implantation of FDSs is an effective method for the treating of cerebral aneurysms, including cases, when using alternative endovascular techniques has a high risk of recanalization, and the microsurgical treatment has an increased operating risk.

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