neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2020-22-3-76-83neurosurgery-917Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWНемешотчатые аневризмы: патогенез, клиника, методы лечения (обзор литературы)Non-saccular aneurysms: pathogenesis, clinic and methods of treatment (review)https://orcid.org/0000-0002-9484-6992КравецЛ. Я.KravetsL. Ya.

Леонид Яковлевич Кравец

603950 Нижний Новгород, пл. Минина и Пожарского, 10/1

10/1 Minina & Pozharskogo Sq., Nizhniy Novgorod 603950

l.ya.kravetc@gmail.comhttps://orcid.org/0000-0002-4189-0738ПогосянА. Д.PogosyanA. D.

603950 Нижний Новгород, пл. Минина и Пожарского, 10/1

10/1 Minina & Pozharskogo Sq., Nizhniy Novgorod 603950

ФГБОУ ВО «Приволжский исследовательский медицинский университет» Минздрава РоссииРоссияPrivolzhsky Research Medical University, Ministry of Health of RussiaRussian Federation2020270920202237683Copyright © Кравец Л.Я., Погосян А.Д., 20202020Кравец Л.Я., Погосян А.Д.Kravets L.Y., Pogosyan A.D.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/917

При выявлении локального расширения артерии неоправданно часто применяется термин «фузиформная аневризма». Однако под этим термином скрывается гетерогенная группа патологий артерий, и точная их диагностика важна для определения прогноза и выбора лечебной тактики. Проведен анализ 63 зарубежных и 4 отечественных научных источников, опубликованных в 1987–2019 гг. и посвященных различным аспектам патогенеза немешотчатых аневризм и эффективности методов их лечения. Среди немешотчатых аневризм выделяют долихоэктатические, возникновение которых обусловлено генетическими или неатеросклеротическими факторами, и фузиформные, возникающие вследствие процесса расслоения стенок артерий. Описаны механизмы их формирования, варианты клинического течения и методы лечения.

In clinical practice, we use the term “fusiform aneurysm” for local expansion of artery. Under this generic term specialists understand heterogeneous arterial pathology, which is very important for diagnosis and choosing the treatment. We conducted an analysis of scientific literature published in 1987–2019, including 63 foreign and 4 Russian sources devoted to pathogenesis and types of non-saccular aneurysms. Among non-saccular aneurysms, dolichoectatic aneurysms are distinguished, rather of genetically or non-atherosclerotic origin and fusiform aneurysm acquired due to dissection processes. Features of mechanisms of their formation, variants of clinical course and methods of treatment are presented.

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