Possibilities of using adenosine-induced cardioplegia in microsurgical treatment of cerebral aneurysms
https://doi.org/10.17650/1683-3295-2018-20-3-8-18
Abstract
The study objective is to analyze the results of using adenosine-induced cardioplegia during cerebral aneurysms clipping.
Materials and methods. The study included 15 patients who underwent microsurgical aneurysm clipping during period from 2016 to 2017.
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. 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.
About the Authors
A. I. Nikitin
A.L. Polenov Russian Research Institute of Neurosurgery – branch of V.A. Almazov National Medical Research Center, Ministry of Health of Russia
Russian Federation
12 Mayakovsky St., Saint Petersburg 191014
Russian Federation
12 Mayakovsky St., Saint Petersburg 191014
R. V. Nazarov
A.L. Polenov Russian Research Institute of Neurosurgery – branch of V.A. Almazov National Medical Research Center, Ministry of Health of Russia
Russian Federation
12 Mayakovsky St., Saint Petersburg 191014
Russian Federation
12 Mayakovsky St., Saint Petersburg 191014
D. A. Vasilyev
A.L. Polenov Russian Research Institute of Neurosurgery – branch of V.A. Almazov National Medical Research Center, Ministry of Health of Russia
Russian Federation
12 Mayakovsky St., Saint Petersburg 191014
Russian Federation
12 Mayakovsky St., Saint Petersburg 191014
A. Yu. Ulitin
A.L. Polenov Russian Research Institute of Neurosurgery – branch of V.A. Almazov National Medical Research Center, Ministry of Health of Russia
Russian Federation
12 Mayakovsky St., Saint Petersburg 191014
Russian Federation
12 Mayakovsky St., Saint Petersburg 191014
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Review
For citations:
Nikitin A.I., Nazarov R.V., Vasilyev D.A., Ulitin A.Yu. Possibilities of using adenosine-induced cardioplegia in microsurgical treatment of cerebral aneurysms. Russian journal of neurosurgery. 2018;20(3):8-18. (In Russ.) https://doi.org/10.17650/1683-3295-2018-20-3-8-18
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