[Microsurgical treatment of aneurysms of vertebral and posterior-lower cerebellar arteries: surgical approaches, exclusion options, treatment results].

Eliava, Sh Sh; Pilipenko, Yu V; Shechtman, O D; Kheyreddin, A S; Okishev, D N; Konovalov, An N; Spiru, A M; Kisariev, S A; Gorozhanin, V A; Varyukhina, M D

[Microsurgical treatment of aneurysms of vertebral and posterior-lower cerebellar arteries: surgical approaches, exclusion options, treatment results]. / Mikrokhirurgicheskoe lechenie anevrizm pozvonochnykh i zadnikh nizhnikh mozzhechkovykh arterii: khirurgicheskie dostupy, varianty vykliucheniia, rezul'taty lecheniia.

Eliava, Sh Sh; Pilipenko, Yu V; Shechtman, O D; Kheyreddin, A S; Okishev, D N; Konovalov, An N; Spiru, A M; Kisariev, S A; Gorozhanin, V A; Varyukhina, M D.

Afiliación

Eliava SS; Burdenko Neurosurgical Center, Moscow, Russia.
Pilipenko YV; Burdenko Neurosurgical Center, Moscow, Russia.
Shechtman OD; Burdenko Neurosurgical Center, Moscow, Russia.
Kheyreddin AS; Burdenko Neurosurgical Center, Moscow, Russia.
Okishev DN; Burdenko Neurosurgical Center, Moscow, Russia.
Konovalov AN; Burdenko Neurosurgical Center, Moscow, Russia.
Spiru AM; Burdenko Neurosurgical Center, Moscow, Russia.
Kisariev SA; Burdenko Neurosurgical Center, Moscow, Russia.
Gorozhanin VA; Burdenko Neurosurgical Center, Moscow, Russia.
Varyukhina MD; Burdenko Neurosurgical Center, Moscow, Russia.

Zh Vopr Neirokhir Im N N Burdenko ; 83(4): 5-17, 2019.

Article en Ru | MEDLINE | ID: mdl-31577266

RESUMEN

Aneurysms of vertebral (VA) and posterior inferior cerebellar arteries (PICA) are relatively rare pathologies and account for 3.4% of the total number of intracranial aneurysms. MATERIAL AND METHODS: The experience of microsurgical treatment of 67 patients with VA and PICA aneurysms in N.N. Burdenko National Medical Research Center for Neurosurgery of the RF Ministry of Health from 2012 to 2017 is presented. RESULTS: Most patients underwent reconstructive microsurgical interventions: clipping of the aneurysm neck in 42 (62.7%) patients and complex clipping with the formation of arterial opening - in 10 (14.9%). Exclusion of the aneurysm together with the carrier artery (trapping, proximal clipping) was performed on 10 (14.9%) patients. In 5 (7.5%) patients, deconstruction of the carrier artery of the aneurysm was performed after creating local anastomoses. The radical exclusion of aneurysms in the studied group was 95.5%. Postoperative dysfunction of the caudal group of cranial nerves was detected in 11 (16.4%) patients. There were no lethal outcomes, or cases with vegetative status outcomes. CONCLUSION: Microsurgical intervention is an effective way to treat VA and PICA aneurysms, subject to the principles of patient selection based on existing treatment algorithms as well as adherence to an interdisciplinary approach.

Asunto(s)

Arterias Cerebrales; Aneurisma Intracraneal; Microcirugia; Procedimientos Neuroquirúrgicos; Cerebelo; Arterias Cerebrales/cirugía; Humanos; Aneurisma Intracraneal/cirugía; Microcirugia/métodos; Procedimientos Neuroquirúrgicos/métodos; Resultado del Tratamiento; Arteria Vertebral

Palabras clave

PICA aneurysm; anastomoses; aneurysm of the vertebral arteries; aneurysms of the posterior-lower cerebellar arteries posterior inferior cerebellar arteries; clipping; microsurgery

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal / Arterias Cerebrales / Procedimientos Neuroquirúrgicos / Microcirugia Límite: Humans Idioma: Ru Revista: Zh Vopr Neirokhir Im N N Burdenko Año: 2019 Tipo del documento: Article País de afiliación: Rusia Pais de publicación: Rusia

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