Russian study on brain aneurysm surgery: a continuation (RIHA II)

Krylov V.V.; Shatokhin T.A.; Shetova I.M.; Eliava Sh.Sh.; Belousova O.B.; Airapetyan A.A.; Alekseev A.G.; Asratyan S.A.; Bakharev E.Yu.; Vorobyov I.A.; Dedkov D.S.; Dubovoy A.V.; Eliseev V.V.; Elfimov A.V.; Kozhaev Z.U.; Kolotvinov V.S.; Kosmachev M.V.; Kravets L.Ya.; Kushniruk P.I.; Myachin N.L.; Parfenov V.E.; Rodionov S.V.; Semin P.A.; Khasanshin E.M.; Shnyakin P.G.; Yakhontov I.S.

doi:https://doi.org/10.17116/neiro2024880117

Krylov V.V.

Pirogov Russian National Research Medical University;
Sklifosovsky Research Institute for Emergency Care;
Neurology Research Center

ORCID: 0000-0001-5256-0905

Shatokhin T.A.

Pirogov Russian National Research Medical University;
Sklifosovsky Research Institute for Emergency Care;
Neurology Research Center

ORCID: 0000-0002-2864-9675

Shetova I.M.

Neurology Research Center

ORCID: 0000-0001-8975-7875

Eliava Sh.Sh.

Burdenko Neurosurgical Center

ORCID: 0000-0001-6103-9329

Belousova O.B.

Burdenko Neurosurgical Center

ORCID: 0000-0003-4908-8923

Airapetyan A.A.

Inozemtsev Moscow City Clinical Hospital

ORCID: 0000-0002-2628-9995

Alekseev A.G.

Interregional Clinical Diagnostic Center

ORCID: 0000-0002-5075-4279

Asratyan S.A.

Buyanov Moscow City Clinical Hospital

ORCID: 0000-0001-8472-4249

Bakharev E.Yu.

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0003-1525-1585

Vorobyov I.A.

First Republican Clinical Hospital

Dedkov D.S.

Semashko Republican Clinical Hospital

ORCID: 0000-0002-6073-0676

Dubovoy A.V.

Federal Center for Neurosurgery

ORCID: 0000-0002-0927-2841

Eliseev V.V.

Stavropol Regional Clinical Hospital

ORCID: 0000-0003-0110-6678

Elfimov A.V.

Yaroslavl Regional Clinical Hospital

ORCID: 0000-0002-9773-6828

Kozhaev Z.U.

Republican Clinical Hospital

ORCID: 0000-0002-1846-6787

Kolotvinov V.S.

Ekaterinburg City Clinical Hospital No. 40

ORCID: 0000-0002-1502-2785

Kosmachev M.V.

Vladimirtsev Regional Clinical Hospital

ORCID: 0000-0002-9570-2245

Kravets L.Ya.

Nizhny Novgorod City Clinical Hospital No. 13

ORCID: 0000-0002-9484-6992

Kushniruk P.I.

Volgograd Regional Clinical Hospital No. 1

Myachin N.L.

Baranov Republican Hospital

ORCID: 0000-0002-8947-9569

Parfenov V.E.

Dzhanelidze Research Institute for Emergency Care

ORCID: 0000-0002-3221-5466

Rodionov S.V.

Voronezh Regional Clinical Hospital No. 1

Semin P.A.

Meshalkin National Medical Research Center

ORCID: 0000-0002-1576-7736

Khasanshin E.M.

Kaliningrad Regional Clinical Hospital

Shnyakin P.G.

Regional Clinical Hospital

ORCID: 0000-0001-6321-4557

Yakhontov I.S.

Republican Hospital No. 2-Center for Emergency Care

Russian study on brain aneurysm surgery: a continuation (RIHA II)

Authors:

Krylov V.V., Shatokhin T.A., Shetova I.M., Eliava Sh.Sh., Belousova O.B., Airapetyan A.A., Alekseev A.G., Asratyan S.A., Bakharev E.Yu., Vorobyov I.A., Dedkov D.S., Dubovoy A.V., Eliseev V.V., Elfimov A.V., Kozhaev Z.U., Kolotvinov V.S., Kosmachev M.V., Kravets L.Ya., Kushniruk P.I., Myachin N.L., Parfenov V.E., Rodionov S.V., Semin P.A., Khasanshin E.M., Shnyakin P.G., Yakhontov I.S.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2024;88(1): 7‑20

DOI: 10.17116/neiro2024880117

Read: 3206 times

To cite this article:

Krylov VV, Shatokhin TA, Shetova IM, et al. . Russian study on brain aneurysm surgery: a continuation (RIHA II). Burdenko's Journal of Neurosurgery. 2024;88(1):7‑20. (In Russ., In Engl.)
https://doi.org/10.17116/neiro2024880117

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To assess the main performance indicators of neurosurgical departments in surgical treatment of cerebral aneurysms in the Russian Federation.

MATERIAL AND METHODS

We analyzed 22 neurosurgical departments (19 regional and 3 federal hospitals) in 2017 and 2021. The study enrolled 6.135 patients including 3.160 ones in 2017 and 2.975 ones in 2021. We studied the features of surgical treatment of cerebral aneurysms in different volume hospitals and factors influencing postoperative outcomes.

RESULTS

The number of surgeries for cerebral aneurysms decreased from 2.950 in 2017 to 2.711 in 2021. Postoperative mortality rate was 6.3% and 5.6%, respectively. The number of microsurgical interventions decreased from 60% in 2017 to 48% in 2021. The share of endovascular interventions increased from 40% to 52%, respectively. Endovascular embolization was accompanied by stenting in 55% of cases. Simultaneous revascularization was carried out in 2% of cases. In 2021, the number of patients undergoing surgery in acute period of hemorrhage increased to 70% (in 2017 — 61%). The number of hospitals performing more than 50 surgical interventions for cerebral aneurysms annually increased from 14 in 2017 to 17 in 2021.

CONCLUSION

Certain changes in neurosurgical service occurred in 2021 compared to 2017. Lower number of surgical interventions for cerebral aneurysms, most likely caused by the COVID-19 pandemic, is accompanied by lower postoperative mortality. Endovascular interventions and revascularization techniques became more common. The number of surgeries in acute period after aneurysm rupture and hospitals performing more than 50 surgical interventions for cerebral aneurysms annually increased.

Keywords:

surgical treatment of aneurysms

cerebral aneurysms

subarachnoid hemorrhage

aneurysm clipping

endovascular treatment of cerebral aneurysms

Authors:

Krylov V.V.

Pirogov Russian National Research Medical University;
Sklifosovsky Research Institute for Emergency Care;
Neurology Research Center

ORCID: 0000-0001-5256-0905

Shatokhin T.A.

Pirogov Russian National Research Medical University;
Sklifosovsky Research Institute for Emergency Care;
Neurology Research Center

ORCID: 0000-0002-2864-9675

Shetova I.M.

Neurology Research Center

ORCID: 0000-0001-8975-7875

Eliava Sh.Sh.

Burdenko Neurosurgical Center

ORCID: 0000-0001-6103-9329

Belousova O.B.

Burdenko Neurosurgical Center

ORCID: 0000-0003-4908-8923

Airapetyan A.A.

Inozemtsev Moscow City Clinical Hospital

ORCID: 0000-0002-2628-9995

Alekseev A.G.

Interregional Clinical Diagnostic Center

ORCID: 0000-0002-5075-4279

Asratyan S.A.

Buyanov Moscow City Clinical Hospital

ORCID: 0000-0001-8472-4249

Bakharev E.Yu.

Sklifosovsky Research Institute for Emergency Care

ORCID: 0000-0003-1525-1585

Vorobyov I.A.

First Republican Clinical Hospital

Dedkov D.S.

Semashko Republican Clinical Hospital

ORCID: 0000-0002-6073-0676

Dubovoy A.V.

Federal Center for Neurosurgery

ORCID: 0000-0002-0927-2841

Eliseev V.V.

Stavropol Regional Clinical Hospital

ORCID: 0000-0003-0110-6678

Elfimov A.V.

Yaroslavl Regional Clinical Hospital

ORCID: 0000-0002-9773-6828

Kozhaev Z.U.

Republican Clinical Hospital

ORCID: 0000-0002-1846-6787

Kolotvinov V.S.

Ekaterinburg City Clinical Hospital No. 40

ORCID: 0000-0002-1502-2785

Kosmachev M.V.

Vladimirtsev Regional Clinical Hospital

ORCID: 0000-0002-9570-2245

Kravets L.Ya.

Nizhny Novgorod City Clinical Hospital No. 13

ORCID: 0000-0002-9484-6992

Kushniruk P.I.

Volgograd Regional Clinical Hospital No. 1

Myachin N.L.

Baranov Republican Hospital

ORCID: 0000-0002-8947-9569

Parfenov V.E.

Dzhanelidze Research Institute for Emergency Care

ORCID: 0000-0002-3221-5466

Rodionov S.V.

Voronezh Regional Clinical Hospital No. 1

Semin P.A.

Meshalkin National Medical Research Center

ORCID: 0000-0002-1576-7736

Khasanshin E.M.

Kaliningrad Regional Clinical Hospital

Shnyakin P.G.

Regional Clinical Hospital

ORCID: 0000-0001-6321-4557

Yakhontov I.S.

Republican Hospital No. 2-Center for Emergency Care

Received:

10.11.2023

Accepted:

17.11.2023

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References:

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