Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko · 2018
[Surgical treatment of large and giant vertebrobasilar aneurysms manifested by brainstem compression symptoms].
СтатьяНазвание и аннотация: Оригинал на русском
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Goroshchenko S A, Petrov A E, Rozhchenko L V, Blagorazumova G P, Vyazgina E M, Ivanov A Yu
Аннотация
UNLABELLED: The study aim was to analyze the results of surgical treatment of vertebrobasilar (VB) aneurysms manifested by brainstem compression symptoms.
MATERIAL AND METHODS: The study included 8 patients operated on in the period between 2014 and 2017. All patients underwent intravascular intervention; two patients had open surgery at the second stage.
RESULTS AND CONCLUSION: Intravascular intervention, both alone and in combination with open surgery, is effective treatment of VB aneurysms whose clinical picture is manifested by brainstem compression symptoms. The use of flow-diverting stents in most cases has provided good radicalness in the long-term period, without worsening the functional outcome. Treatment of fusiform aneurysms of the basilar artery trunk requires separate consideration and an individual approach due to a high risk of thrombosis of short branches feeding the brainstem.
MATERIAL AND METHODS: The study included 8 patients operated on in the period between 2014 and 2017. All patients underwent intravascular intervention; two patients had open surgery at the second stage.
RESULTS AND CONCLUSION: Intravascular intervention, both alone and in combination with open surgery, is effective treatment of VB aneurysms whose clinical picture is manifested by brainstem compression symptoms. The use of flow-diverting stents in most cases has provided good radicalness in the long-term period, without worsening the functional outcome. Treatment of fusiform aneurysms of the basilar artery trunk requires separate consideration and an individual approach due to a high risk of thrombosis of short branches feeding the brainstem.