The evolution of non-reconstructive methods of endovascular treatment of cerebral aneurysms

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Abstract

The evolution of endovascular treatment of cerebral aneurysms has logically developed in the direction from non-constructive methods (treatment of aneurysms using detachable balloons, using liquid embolizing agents, occlusion of aneurysms with detachable coils, occlusion of aneurysms with balloon-assisted coils, implantation of various types of intradaccular devises) to reconstruction of the artery segment carrying the aneurysm (occlusion of aneurysms with stent-assisted coils and the use of flow-diverters). The effectiveness of these methods, including in the treatment of patients in the acute period of aneurysm rupture, in the immediate postoperative period has been proven by a variety of randomized studies, at the same time, in the long-term period, there are cases of aneurysm recurrence, including those accompanied by its rupture and the need for repeated surgical treatment. It should be noted that the development and modernization of various devices for the treatment of cerebral aneurysms is aimed at reducing the risk of operational complications and achieving greater radicality not only in the near, but also in the long-term postoperative period. The purpose of this review is to describe the stages of development of endovascular treatment of cerebral aneurysms. In this work, we describe the most well-known non-constructive methods of treatment.

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About the authors

Vasiliy V. Bobinov

Polenov Neurosurgical Institute – Branch of Almazov National Medical Research Centre

Email: neyro.bobinov@yandex.ru
ORCID iD: 0000-0003-0956-6994
SPIN-code: 3525-8479
Scopus Author ID: 57194758065
ResearcherId: ABC-6421-2020

Research Associate of the Research Laboratory of Surgery of the Vessels of the Brain and Spinal Cord

Russian Federation, Saint Petersburg

Larisa V. Rozhchenko

Polenov Neurosurgical Institute – Branch of Almazov National Medical Research Centre

Email: rozhch@mail.ru
ORCID iD: 0000-0002-0974-460X
SPIN-code: 6729-0652
Scopus Author ID: 57194758412
ResearcherId: AAH-1610-2019

MD, Cand. Sci. (Med.), Assistant Professor, Head of the Research Laboratory of Vascular Surgery of the Brain and Spinal Cord

Russian Federation, Saint Petersburg

Sergey A. Goroshchenko

Polenov Neurosurgical Institute – Branch of Almazov National Medical Research Centre

Email: goroschenkos@gmail.com
ORCID iD: 0000-0001-7297-3213
SPIN-code: 8164-3865
Scopus Author ID: 57194756444
ResearcherId: L-7404-2016

MD, Cand. Sci. (Med.), Senior Research Associate of the Research Laboratory of Vascular Surgery of the Brain and Spinal Cord

Russian Federation, Saint Petersburg

Egor G. Kolomin

Polenov Neurosurgical Institute – Branch of Almazov National Medical Research Centre

Email: egor96kolomin@gmail.com
ORCID iD: 0000-0002-3904-2393
SPIN-code: 6308-2527

Junior Research Associate of the Research Laboratory of Surgery of the Vessels of the Brain and Spinal Cord

Russian Federation, Saint Petersburg

Konstantin A. Samochernykh

Polenov Neurosurgical Institute – Branch of Almazov National Medical Research Centre

Email: neurobaby12@gmail.com
ORCID iD: 0000-0003-0350-0249
SPIN-code: 4188-9657
Scopus Author ID: 24280115200
ResearcherId: AAS-7689-2020

MD, Dr. Sci. (Med.), Professor of RAS, Director

Russian Federation, Saint Petersburg

Andrey E. Petrov

Polenov Neurosurgical Institute – Branch of Almazov National Medical Research Centre

Author for correspondence.
Email: doctorpetrovandrey@gmail.com
ORCID iD: 0000-0002-3112-6584
SPIN-code: 7048-2180
Scopus Author ID: 25422475800
ResearcherId: ADT-2963-2020

MD, Cand. Sci. (Med.), Head of Neurosurgical Department No. 3

Russian Federation, Saint Petersburg

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