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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

Shetova I.M.

Neurology Research Center

Eliava Sh.Sh.

Burdenko Neurosurgical Center

Belousova O.B.

Burdenko Neurosurgical Center

Airapetyan A.A.

Inozemtsev Moscow City Clinical Hospital

Alekseev A.G.

Interregional Clinical Diagnostic Center

Asratyan S.A.

Buyanov Moscow City Clinical Hospital

Bakharev E.Yu.

Sklifosovsky Research Institute for Emergency Care

Vorobyov I.A.

First Republican Clinical Hospital

Dedkov D.S.

Semashko Republican Clinical Hospital

Dubovoy A.V.

Federal Center for Neurosurgery

Eliseev V.V.

Stavropol Regional Clinical Hospital

Elfimov A.V.

Yaroslavl Regional Clinical Hospital

Kozhaev Z.U.

Republican Clinical Hospital

Kolotvinov V.S.

Ekaterinburg City Clinical Hospital No. 40

Kosmachev M.V.

Vladimirtsev Regional Clinical Hospital

Kravets L.Ya.

Nizhny Novgorod City Clinical Hospital No. 13

Kushniruk P.I.

Volgograd Regional Clinical Hospital No. 1

Myachin N.L.

Baranov Republican Hospital

Parfenov V.E.

Dzhanelidze Research Institute for Emergency Care

Rodionov S.V.

Voronezh Regional Clinical Hospital No. 1

Semin P.A.

Meshalkin National Medical Research Center

Khasanshin E.M.

Kaliningrad Regional Clinical Hospital

Shnyakin P.G.

Regional Clinical Hospital

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

Views: 2018

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Table of contents

RUSSIAN STUDY ON BRAIN ANEURYSM SURGERY: A CONTINUATION (RIHA II)
RUSSIAN STUDY ON BRAIN ANEURYSM SURGERY: A CONTINUATION (RIHA II)

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 2025-2 (Burdenko's Journal of Neurosurgery)
 
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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

Shatokhin T.A.

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

Shetova I.M.

Neurology Research Center

Eliava Sh.Sh.

Burdenko Neurosurgical Center

Belousova O.B.

Burdenko Neurosurgical Center

Airapetyan A.A.

Inozemtsev Moscow City Clinical Hospital

Alekseev A.G.

Interregional Clinical Diagnostic Center

Asratyan S.A.

Buyanov Moscow City Clinical Hospital

Bakharev E.Yu.

Sklifosovsky Research Institute for Emergency Care

Vorobyov I.A.

First Republican Clinical Hospital

Dedkov D.S.

Semashko Republican Clinical Hospital

Dubovoy A.V.

Federal Center for Neurosurgery

Eliseev V.V.

Stavropol Regional Clinical Hospital

Elfimov A.V.

Yaroslavl Regional Clinical Hospital

Kozhaev Z.U.

Republican Clinical Hospital

Kolotvinov V.S.

Ekaterinburg City Clinical Hospital No. 40

Kosmachev M.V.

Vladimirtsev Regional Clinical Hospital

Kravets L.Ya.

Nizhny Novgorod City Clinical Hospital No. 13

Kushniruk P.I.

Volgograd Regional Clinical Hospital No. 1

Myachin N.L.

Baranov Republican Hospital

Parfenov V.E.

Dzhanelidze Research Institute for Emergency Care

Rodionov S.V.

Voronezh Regional Clinical Hospital No. 1

Semin P.A.

Meshalkin National Medical Research Center

Khasanshin E.M.

Kaliningrad Regional Clinical Hospital

Shnyakin P.G.

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:

  1. Klochihina OA, Shprakh VV, Stakhovskaya LV, Polunina OS, Polunina EA. Indicators of stroke morbidity and mortality from stroke in the territories included in the Federal program of caring for patients with stroke. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2021;121(3-2):22-28. (In Russ.). https://doi.org/10.17116/jnevro202112103222
  2. Avan A, Digaleh H, Di Napoli M, Stranges S, Behrouz R, Shojaeianbabaei G, Amiri A, Tabrizi R, Mokhber N, Spence JD, Azarpazhooh MR. Socioeconomic status and stroke incidence, prevalence, mortality, and worldwide burden: an ecological analysis from the Global Burden of Disease Study 2017. BMC Medicine. 2019;17(1):191.  https://doi.org/10.1186/s12916-019-1397-3
  3. Krylov VV, Dash’yan VG, Shatokhin TA, Shetova IM, Eliava SS, Belousova OB, Orlov KY, Dubovoy AV, Asratyan SA, Kambiev RL, Chechulov PV, Maksimov VV, Kolotvinov VS, Kravets LY, Myachin NL, Rodionov SV, Kosmachev MV, Yakhontov IS, Mozheyko RA, Kozhaev ZU, Elfimov AV, Shnyakin PG, Alekseev AG, Khasanshin EM, Kushniruk PI, Dedkov DS. Surgical treatment of cerebral aneurysms in the Russian Federation. Burdenko’s Journal of Neurosurgery. 2018;82(6):5-14. (In Russ.). https://doi.org/10.17116/neiro2018820615
  4. Samorodskaya IV, Zayratyants OV, Perkhov VI, Andreev EM, Vaisman DS. Dinamika pokazateleĭ smertnosti naseleniia ot ostrogo narusheniia mozgovogo krovoobrashcheniia v Rossii i SShA za 15-letniĭ period [Trends in stroke mortality rates in Russia and the USA over a 15-year period]. Arkh Patol. 2018;80(2):30-37. (In Russ.). https://doi.org/10.17116/patol201880230-37
  5. Vlak MH, Algra A, Brandenburg R, Rinkel GJ. Prevalence of unruptured intracranial aneurysms, with emphasis on sex, age, comorbidity, country, and time period: a systematic review and meta-analysis. Lancet Neurology. 2011;10:626-636.  https://doi.org/10.1016/S1474-4422(11)70109-0
  6. Gasparotti R, Liserre R. Intracranial aneurysms. European Radiology. 2005;15:441-447. 
  7. Krylov VV, Dash’Yan VG, Shatokhin TA, Sharifullin FA, Solodov AA, Prirodov AV, Levchenko OV, Tokarev AS, Khamidova LT, Kuksova NS, Ayrapetyan AA, Kalinkin AA. The timing of open surgical treatment for patients with massive basal subarachnoid hemorrhage (Fisher 3) because of cerebral ANEURYSMS RUPTURE. Russian journal of neurosurgery. 2015;(3):11-17. (In Russ.) https://doi.org/10.17650/1683-3295-2015-0-3-11-17
  8. Shatohin TA, Belokon’ OS, Eliseev VV, Shetova IM, Luk’janchikov VA, Krylov VV. A comparative assessment of the results of the treatment of patients with a rupture of cerebral aneurysm in the acute period of subarachnoid hemorrhage with endovascular and microsurgical methods (continued Russian study of aneurysm surgery). Rossiiskii neirokhirurgicheskii zhurnal imeni professora A.L. Polenova. 2023;15(3):134-144. (In Russ.). https://doi.org/10.56618/2071—2693_2023_15_3_134
  9. Monsivais D, Morales M, Day A, Kim D, Hoh B, Blackburn S. Cost Analysis of Endovascular Coiling and Surgical Clipping for the Treatment of Ruptured Intracranial Aneurysms. World Neurosurgery. 2018;1878-8750(18)32850-X.  https://doi.org/10.1016/j.wneu.2018.12.028
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