References

neurosurgery

Нейрохирургия

Russian journal of neurosurgery

1683-32952587-7569

Издательский дом "МедИНК"

neurosurgery-83

Research Article

ОБЗОРЫ ЛИТЕРАТУРЫ

LITERATURE REVIEW

ХИРУРГИЧЕСКИЕ МЕТОДЫ ПРОФИЛАКТИКИ И ЛЕЧЕНИЯ СОСУДИСТОГО СПАЗМА У БОЛЬНЫХ ПОСЛЕ РАЗРЫВА АНЕВРИЗМ СОСУДОВ ГОЛОВНОГО МОЗГА

The surgical methods for prevention and treatment of cerebral angiospasm at patients suffered from rupture of cerebral aneurysms

Крылов

Владимир Викторович

Krylov

V. V.

noemail@neicon.ru

Природов

Александр Владиславович

Prirodov

A. V.

aprirodov@yandex.ru

Кузнецова

Т. К.

Kuznetcova

T. K.

noemail@neicon.ru

МГМСУ им. А.И. ЕвдокимоваRussian FederationНИИ скорой помощи им. Н.В. СклифосовскогоRussian FederationНаучно-практический центр медицинской помощи детям с пороками развития черепно-лицевой области и врожденными заболеваниями нервной системы ДЗ г. МосквыRussian Federation

2014

05102017

01104115

2017

Крылов В.В., Природов А.В., Кузнецова Т.К.

Krylov V.V., Prirodov A.V., Kuznetcova T.K.

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/83

В представленном обзоре рассмотрена проблема профилактики и лечения сосудистого спазма у больных с разрывом артериальных аневризм головного мозга. В работе рассмотрены основные механизмы патогенеза вазоспазма, факторы риска его развития. Обсуждаются методики профилактики и лечения спазма, их эффективность и безопасность у больных с нетравматическим субарахноидальным кровоизлиянием. Среди них наибольшее внимание уделено интрацистернальному и внутрижелудочковому введению фармакологических препаратов, в том числе фибринолитиков и вазодилататоров, и транслюминальной баллонной ангиопластике спазмированных артерий. Представлены результаты проводимых исследований.

This literature review presents the problem of prevention and treatment of angiospasm at patients with ruptured cerebral aneurysms as well as enlights the main mechanisms of angiospasm pathogenesis and risk factors. The various methods for prevention and treatment of angiospasm as well as their efficacy and safety at patients with non-traumatic subarachnoid hemorrhage (SAH) are discussed. The main attention is paid for intracisternal and intraventricular introduction of drugs, such as vasodilators and fibrinolytics, as well as for transluminal balloon angioplasty of affected arteries. The data of conducting trials are presented.

сосудистый спазмартериальная аневризмавазодилататорыфибринолитикитранслюминальная баллонная ангиопластикаangiospasmcerebral aneurysmvasodilatorsfibrinolyticstransluminal balloon angioplasty

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