High-flow bypass for treatment of complex aneurysms of internal carotid and middle cerebral arteries
Abstract
Objective: to improve the treatment outcomes in patients with complex aneurysms of internal carotid artery (ICA) and middle cerebral artery (MCA). Material and methods: 18 patients suffered from ICA (n=13) and MCA (n=5) complex aneurysms were operated on with the usage of high-flow extracranial-to-intracranial (EC-IC) high-flow bypass in our Federal Center of Neurosurgery in Novosibirsk during 2013-2014 years. Results: all aneurysms were totally occluded while patency of EC-IC high-flow bypass was confirmed in 17 patients, 1 bypass thrombosed in postoperative period/ No ischemic stroke because of MCA temporary occlusion during anastomosis performance was seen. Conclusion: the usage of high-flow EC-IC bypass allows performing the successfully occlusion of ICA and MCA aneurysms with prevention of blood flow in their blood supplies territories.
Keywords
экстра-интракраниальный анастомоз,
высокопоточный обходной артериальный шунт,
сложные церебральные аневризмы,
гигантские церебральные аневризмы,
реваскуляризация головного мозга,
extracranial-to-intracranial (EC-IC) high-flow bypass,
complex cerebral aneurysm,
giant aneurysm,
cerebral revascularization
About the Authors
A. V. Dubovoi
ФГБУ «Федеральный Центр Нейрохирургии» Министерства здравоохранения РФ
Russian Federation
Russian Federation
K. S. Ovsyannikov
ФГБУ «Федеральный Центр Нейрохирургии» Министерства здравоохранения РФ
Russian Federation
Russian Federation
V. E. Guzhin
ФГБУ «Федеральный Центр Нейрохирургии» Министерства здравоохранения РФ
Russian Federation
Russian Federation
G. I. Moisak
ФГБУ «Федеральный Центр Нейрохирургии» Министерства здравоохранения РФ
Russian Federation
Russian Federation
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Review
For citations:
Dubovoi A.V., Ovsyannikov K.S., Guzhin V.E., Moisak G.I. High-flow bypass for treatment of complex aneurysms of internal carotid and middle cerebral arteries. Russian journal of neurosurgery. 2016;(2):24-29. (In Russ.)
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