neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2018-20-3-8-18neurosurgery-598Research ArticleОРИГИНАЛЬНАЯ РАБОТАORIGINAL REPORTВозможности применения аденозин-индуцированной кардиоплегии при микрохирургическом лечении аневризм сосудов головного мозгаPossibilities of using adenosine-induced cardioplegia in microsurgical treatment of cerebral aneurysmshttps://orcid.org/0000-0001-8221-718XНикитинА. И.NikitinA. I.

Александр Иванович Никитин 

191104 Санкт-Петербург, ул. Маяковского, 12

alexandrnikitin@list.ruНазаровР. В.NazarovR. V.ВасильевД. А.VasilyevD. A.УлитинА. Ю.UlitinA. Yu.Российский научно-исследовательский нейрохирургический институт им. А.Л. Поленова – филиал ФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава РоссииРоссияA.L. Polenov Russian Research Institute of Neurosurgery – branch of V.A. Almazov National Medical Research Center, Ministry of Health of RussiaRussian Federation201818092018203818Copyright © Никитин А.И., Назаров Р.В., Васильев Д.А., Улитин А.Ю., 20182018Никитин А.И., Назаров Р.В., Васильев Д.А., Улитин А.Ю.Nikitin A.I., Nazarov R.V., Vasilyev D.A., Ulitin A.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/598

Цель исследования – анализ результатов применения аденозин-индуцированной кардиоплегии при клипировании аневризм сосудов головного мозга.

Материалы и методы

Материалы и методы. В исследование вошли 15 больных, прооперированных в период с 2016 по 2017 г. в РНХИ им. А.Л. Поленова.

 Результаты

 Результаты. Во всех случаях удалось полностью выключить аневризму из кровообращения. Никаких осложнений, связанных с введением аденозина, не наблюдалось. Показано, что медикаментозная кардиоплегия может применяться при невозможности наложения временного клипса вследствие изменения приводящих сосудов. Введение аденозина полезно и при «простых» аневризмах, так как приводит к смягчению мешка без дополнительной травмы.

Заключение

Заключение. Сочетание медикаментозной кардиоплегии и временного клипирования позволяет обеспечить лучший контроль над возможным интраоперационным кровотечением и более комфортное позиционирование постоянного клипса на шейке аневризмы.

The study objective is to analyze the results of using adenosine-induced cardioplegia during cerebral aneurysms clipping.

Materials and methods

Materials and methods. The study included 15 patients who underwent microsurgical aneurysm clipping during period from 2016 to 2017.

 Results

 Results. In all cases it was possible to completely isolate the aneurysm from the circulation. No complications associated with the administration of adenosine were observed. It was shown that adenosine-induced cardioplegia can be used when temporary clipping is impossible because of changing in the parent vessel. Also, the using of adenosine is useful for “simple” aneurysms, which leads to a softening of the sack without additional injuries.

Conclusion

Conclusion. The combination of adenosine-induced cardioplegia and temporary clipping allows to provide better control over possible intraoperative bleeding and more comfortable positioning of the permanent clip on the aneurysm neck.

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