Endovascular treatment of intracranial aneurysms in acute period of subarachnoid hemorrhage. Single-center experience (Federal Medical Biophysical Center n.a. A.I. Burnazyan of FMBA of Russian Federation)

Objective: to evaluate the outcomes of endovascular treatment of intracranial aneurysms in acute period of subarachnoid hemorrhage (SAH) with the aim to enlarge the usage of endovascular treatment in routine practice for ruptured aneurysms in acute period of SAH. Material and methods: 28 patients suffered from ruptured aneurysms were operated using endovascular method in acute period of SAH from 2012 to 2015 in Federal Medical Biophysical Center n.a. A.I. Burnazyan of FMBA of Russian Federation. Results: Total occlusion of aneurysms was seen in 75% of cases, one patient (3,6%) suffered from intraoperative ischemic stroke. Favorable outcomes were seen in all patients (Hunt-Hess I-III) as well as in 4 among 7 patients with Hunt-Hess IV. Common lethality was 14%, excluding patients with Hunt-Hess 1-IV severity of state. Conclusions: endovascular treatment of ruptured aneurysms in acute period of SAH is effective and safe method among patients with Hunt-Hess I-IV.

интракраниальная аневризма, острый период, субарахноидальное кровоизлияние, эндоваскулярное лечение, окклюзия микроспиралями, эмболизация, intracranial aneurysm, acute period, subarachnoid hemorrhage, endovascular treatment, occlusion by coils, embolization

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