Stent-assisted coiling of acute ruptured cerebral aneurysms
The necessity of quick surgical treatment of acute ruptured cerebral aneurysms was demonstrated in large studies by the ISAT and ISUIA, which also proved the advantage of the endovascular method over the surgical one. Ballonassistence is widely used in treatment of aneurysms with wide neck and unfav...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | Russian |
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Russian Academy of Sciences, Siberian Branch Publishing House
2021-08-01
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| Series: | Сибирский научный медицинский журнал |
| Subjects: | |
| Online Access: | https://sibmed.elpub.ru/jour/article/view/634 |
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| author | V. V. Berestov K. Yu. Orlov A. L. Krivoshapkin N. V. Strelnikov A. I. Somova D. S. Kislitsin A. V. Gorbatykh P. O. Seleznev T. S. Shayakhmetov L. M. Kirillov |
| author_facet | V. V. Berestov K. Yu. Orlov A. L. Krivoshapkin N. V. Strelnikov A. I. Somova D. S. Kislitsin A. V. Gorbatykh P. O. Seleznev T. S. Shayakhmetov L. M. Kirillov |
| author_sort | V. V. Berestov |
| collection | DOAJ |
| description | The necessity of quick surgical treatment of acute ruptured cerebral aneurysms was demonstrated in large studies by the ISAT and ISUIA, which also proved the advantage of the endovascular method over the surgical one. Ballonassistence is widely used in treatment of aneurysms with wide neck and unfavorable vascular anatomy, but the radicality of the treatment is insufficient. The aim of this study was to demonstrate the efficacy and safety of stent-assisted embolization of «acute» cerebral aneurysms. Material and methods. A retrospective analysis of the treatment of 234 patients with «acute» cerebral aneurysms was carried out. Results. Only coils were used in 40.6 % of cases (n = 95), balloon-assistance, in 40.2 % of cases (n = 94), and stent-assistance, in 19.2 % of cases (n = 45). There were 11.5 % (n = 27) clinically significant complications. Total aneurysm occlusion (Raymond-Roy I) was achieved in 187 cases (79.9 %); the radicality at the control examination was 67.1 % (157 patients). Discussion. The radicality of the treatment with stents was slightly higher then with balloons and coils at the end of operation (84.4 %, n = 38 and 78.8 %, n = 149, p > 0.05), but it was significantly higher at the control examination (80.0 %, n = 36 and 60.8 %, n = 115, respectively, p <0.05). Also, we had no statistically significant difference of the complication rate in the «stent» and «no stent» groups; therefore, the clinical outcomes of endovascular treatment of cerebral aneurysms did not depend on the choice of treatment method. Conclusions. Intracranial stents allow achieving good results of the embolization of complex aneurysms in the acute period of intracranial hemorrhage without increasing the risk of surgical treatment. |
| first_indexed | 2024-03-08T14:34:19Z |
| format | Article |
| id | doaj.art-b42f88ae592f416e92e87cec8f0496c1 |
| institution | Directory Open Access Journal |
| issn | 2410-2512 2410-2520 |
| language | Russian |
| last_indexed | 2024-04-25T01:50:09Z |
| publishDate | 2021-08-01 |
| publisher | Russian Academy of Sciences, Siberian Branch Publishing House |
| record_format | Article |
| series | Сибирский научный медицинский журнал |
| spelling | doaj.art-b42f88ae592f416e92e87cec8f0496c12024-03-07T18:49:59ZrusRussian Academy of Sciences, Siberian Branch Publishing HouseСибирский научный медицинский журнал2410-25122410-25202021-08-01414404710.18699/SSMJ20210405365Stent-assisted coiling of acute ruptured cerebral aneurysmsV. V. Berestov0K. Yu. Orlov1A. L. Krivoshapkin2N. V. Strelnikov3A. I. Somova4D. S. Kislitsin5A. V. Gorbatykh6P. O. Seleznev7T. S. Shayakhmetov8L. M. Kirillov9National Medical Research Center named after academician E.N.Meshalkin of Minzdrav of RussiaFederal Center of Brain and Neurotechnology FBMANovosibirsk State Medical University of Minzdrav of Russia; European Medical CenterFederal Center of Brain and Neurotechnology FBMAFederal Center of Brain and Neurotechnology FBMANational Medical Research Center named after academician E.N.Meshalkin of Minzdrav of RussiaNational Medical Research Center named after academician E.N.Meshalkin of Minzdrav of RussiaNational Medical Research Center named after academician E.N.Meshalkin of Minzdrav of RussiaNational Medical Research Center named after academician E.N.Meshalkin of Minzdrav of RussiaNational Medical Research Center named after academician E.N.Meshalkin of Minzdrav of RussiaThe necessity of quick surgical treatment of acute ruptured cerebral aneurysms was demonstrated in large studies by the ISAT and ISUIA, which also proved the advantage of the endovascular method over the surgical one. Ballonassistence is widely used in treatment of aneurysms with wide neck and unfavorable vascular anatomy, but the radicality of the treatment is insufficient. The aim of this study was to demonstrate the efficacy and safety of stent-assisted embolization of «acute» cerebral aneurysms. Material and methods. A retrospective analysis of the treatment of 234 patients with «acute» cerebral aneurysms was carried out. Results. Only coils were used in 40.6 % of cases (n = 95), balloon-assistance, in 40.2 % of cases (n = 94), and stent-assistance, in 19.2 % of cases (n = 45). There were 11.5 % (n = 27) clinically significant complications. Total aneurysm occlusion (Raymond-Roy I) was achieved in 187 cases (79.9 %); the radicality at the control examination was 67.1 % (157 patients). Discussion. The radicality of the treatment with stents was slightly higher then with balloons and coils at the end of operation (84.4 %, n = 38 and 78.8 %, n = 149, p > 0.05), but it was significantly higher at the control examination (80.0 %, n = 36 and 60.8 %, n = 115, respectively, p <0.05). Also, we had no statistically significant difference of the complication rate in the «stent» and «no stent» groups; therefore, the clinical outcomes of endovascular treatment of cerebral aneurysms did not depend on the choice of treatment method. Conclusions. Intracranial stents allow achieving good results of the embolization of complex aneurysms in the acute period of intracranial hemorrhage without increasing the risk of surgical treatment.https://sibmed.elpub.ru/jour/article/view/634cerebral aneurysmsacute rupturestent assistance |
| spellingShingle | V. V. Berestov K. Yu. Orlov A. L. Krivoshapkin N. V. Strelnikov A. I. Somova D. S. Kislitsin A. V. Gorbatykh P. O. Seleznev T. S. Shayakhmetov L. M. Kirillov Stent-assisted coiling of acute ruptured cerebral aneurysms Сибирский научный медицинский журнал cerebral aneurysms acute rupture stent assistance |
| title | Stent-assisted coiling of acute ruptured cerebral aneurysms |
| title_full | Stent-assisted coiling of acute ruptured cerebral aneurysms |
| title_fullStr | Stent-assisted coiling of acute ruptured cerebral aneurysms |
| title_full_unstemmed | Stent-assisted coiling of acute ruptured cerebral aneurysms |
| title_short | Stent-assisted coiling of acute ruptured cerebral aneurysms |
| title_sort | stent assisted coiling of acute ruptured cerebral aneurysms |
| topic | cerebral aneurysms acute rupture stent assistance |
| url | https://sibmed.elpub.ru/jour/article/view/634 |
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