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Eliava Sh.Sh.

Burdenko Neurosurgical Center

Yakovlev S.B.

Burdenko National Medical Research Center of Neurosurgery

Pilipenko Yu.V.

Burdenko Neurosurgical Center

Konovalov An.N.

Burdenko Neurosurgical Center

Mikeladze K.G.

Burdenko National Medical Research Center of Neurosurgery

Grebenev F.V.

Burdenko Neurosurgical Center

Kheyreddin A.S.

Burdenko Neurosurgery Center

Unruptured asymptomatic brain aneurysms: modern approaches to the choice of surgical method and treatment outcomes

Authors:

Eliava Sh.Sh., Yakovlev S.B., Pilipenko Yu.V., Konovalov An.N., Mikeladze K.G., Grebenev F.V., Kheyreddin A.S.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2021;85(6): 6‑13

DOI: 10.17116/neiro2021850616

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Table of contents

UNRUPTURED ASYMPTOMATIC BRAIN ANEURYSMS: MODERN APPROACHES TO THE CHOICE OF SURGICAL METHOD AND TREATMENT OUTCOMES
UNRUPTURED ASYMPTOMATIC BRAIN ANEURYSMS: MODERN APPROACHES TO THE CHOICE OF SURGICAL METHOD AND TREATMENT OUTCOMES

To cite this article:

Eliava ShSh, Yakovlev SB, Pilipenko YuV, Konovalov AnN, Mikeladze KG, Grebenev FV, Kheyreddin AS. Unruptured asymptomatic brain aneurysms: modern approaches to the choice of surgical method and treatment outcomes. Burdenko's Journal of Neurosurgery. 2021;85(6):6‑13. (In Russ., In Engl.)
https://doi.org/10.17116/neiro2021850616

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

BACKGROUND

In recent years, significant attention has been paid to preventive vascular neurosurgery. Treatment of unruptured asymptomatic brain aneurysms is one of the sections of this surgery.

OBJECTIVE

To evaluate treatment outcomes in patients with unruptured asymptomatic brain aneurysms who underwent treatment chosen on the basis of criteria adopted at the Burdenko Neurosurgery Center.

MATERIAL AND METHODS

There were 2814 unruptured asymptomatic brain aneurysms in 2334 patients for the period from 1995 to 2019.

RESULTS

Microsurgical operations for unruptured asymptomatic brain aneurysms were performed in 64.9% of cases, endovascular procedures — in 35.1% of patients. Endovascular operations were usually performed for ICA aneurysms and posterior aneurysms of circle of Willis. Microsurgical operations were mainly performed in patients with aneurysms of anterior and middle cerebral arteries. Favorable outcomes (GOS grade V—IV) were obtained in most patients (98.3%). Incidence of severe complications was similar in both groups, mortality rate was 0.3% and 0.4%, respectively.

CONCLUSION

Currently, there is a tendency towards annual increase in the number of surgeries for unruptured brain aneurysms. Anatomical and morphological characteristics of aneurysm should be considered to achieve favorable clinical results. At the same time, comprehensive analysis of each case and identification of individual risk factors will eliminate serious complications of surgical treatment.

Keywords:

unruptured cerebral aneurysms
choice of treatment for aneurysms
unruptured aneurysm treatment outcomes

Authors:

Eliava Sh.Sh.

Burdenko Neurosurgical Center

Yakovlev S.B.

Burdenko National Medical Research Center of Neurosurgery

Pilipenko Yu.V.

Burdenko Neurosurgical Center

Konovalov An.N.

Burdenko Neurosurgical Center

Mikeladze K.G.

Burdenko National Medical Research Center of Neurosurgery

Grebenev F.V.

Burdenko Neurosurgical Center

Kheyreddin A.S.

Burdenko Neurosurgery Center

Received:

16.04.2021

Accepted:

08.10.2021

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References:

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