Особенности микрохирургического и эндоваскулярного лечения резидуальных и рекуррентных церебральных аневризм

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Церебральные аневризмы относятся к заболеваниям с высоким риском неблагоприятного исхода вследствие тяжелых внутричерепных кровоизлияний и их последствий. Сохраняющиеся при неполном выключении фрагменты аневризмы также могут служить источником кровоизлияния. Фрагменты аневризмы, заполнение которых выявляется непосредственно после оперативного вмешательства, принято обозначать как резидуальные аневризмы. Аневризмы, формирующиеся в области выключенной аневризмы в отдаленном периоде после операции, традиционно определяют рекуррентными. В обзоре проведен анализ зарубежной и отечественной литературы по проблеме выявления резидуальных и рекуррентных аневризм и тактики ведения больных с этой патологией. Представлены факторы риска образования этих типов аневризм, наиболее часто использующиеся классификации, методы диагностики и варианты хирургического лечения.

Ключевые слова:

резидуальные аневризмы

рекуррентные аневризмы

микрохирургическое клипирование

эндоваскулярное лечение

Авторы:

Абрамян А.А.

ФГАУ «Национальный медицинский исследовательский центр нейрохирургии им. акад. Н.Н. Бурденко» Минздрава России

ORCID: 0000-0003-2642-7590

Пилипенко Ю.В.

ORCID: 0000-0003-4001-3212

Белоусова О.Б.

ORCID: 0000-0003-4908-8923

Шмелев Н.Д.

ORCID: 0009-0005-7058-902X

Элиава Ш.Ш.

ORCID: 0000-0001-6103-9329

Дата поступления:

10.05.2023

Дата принятия в печать:

19.05.2023

Список литературы:

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