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Krylov V.V.
Pirogov Russian National Research Medical University;
Sklifosovsky Research Institute for Emergency Care;
Neurology Research Center
Shatokhin T.A.
Pirogov Russian National Research Medical University;
Sklifosovsky Research Institute for Emergency Care;
Neurology Research Center
Vorobyov I.A.
First Republican Clinical Hospital
Kushniruk P.I.
Volgograd Regional Clinical Hospital No. 1
Rodionov S.V.
Voronezh Regional Clinical Hospital No. 1
Khasanshin E.M.
Kaliningrad Regional Clinical Hospital
Yakhontov I.S.
Republican Hospital No. 2-Center for Emergency Care
Russian study on brain aneurysm surgery: a continuation (RIHA II)
Journal: Burdenko's Journal of Neurosurgery. 2024;88(1): 7‑20
Views: 2018
Downloaded: 195
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
To assess the main performance indicators of neurosurgical departments in surgical treatment of cerebral aneurysms in the Russian Federation.
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.
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.
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:
Authors:
Krylov V.V.
Pirogov Russian National Research Medical University;
Sklifosovsky Research Institute for Emergency Care;
Neurology Research Center
Shatokhin T.A.
Pirogov Russian National Research Medical University;
Sklifosovsky Research Institute for Emergency Care;
Neurology Research Center
Vorobyov I.A.
First Republican Clinical Hospital
Kushniruk P.I.
Volgograd Regional Clinical Hospital No. 1
Rodionov S.V.
Voronezh Regional Clinical Hospital No. 1
Khasanshin E.M.
Kaliningrad Regional Clinical Hospital
Yakhontov I.S.
Republican Hospital No. 2-Center for Emergency Care
Received:
10.11.2023
Accepted:
17.11.2023
List of references:
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