ENDOVASCULAR TREATMENT OF ARTERIAL ANEURYSMS BY TUNGSTEN SPIRALS IN AN ACUTE PERIOD OF SUBARACHNOID HEMORRHAGES
A.B. Klimov, G.E. Belosiorov, V.V. Krylov
Sklifosovsky Research Institute of Emergency Care
There were 17 endovascular operations aimed at embolization of arterial aneurysms of the brain. They were performed in 16 patients with subarachnoid hemorrhages (SAH). The operation was made within 21 days after SAH. Lumbar puncture was indicative of SAH in all patients. Aneurysms were diagnosed with the help of total cerebral angiography. Endovascular embolization was performed in 6 patients with aneurysms of the vertebrobasilar basin, 5 cases with aneurysms of ICA (they were localized in a subclinoid portion of ICA in 2 patients), 4 cases with aneurysms of the anterior communicating artery, 1 patient with aneurysm of MCA. Every patient was operated by the instrument manufactured by the BALT firm (France).
Use of tungsten detachable spirals resulted in total and subtotal occlusion of aneurysms in 11 (68%) and 5 (32%) patients respectively. Ischemic complications were watched in 2 cases (12.4%); one patient died of extensive ischemic lesion of the brain.
Conclusion: Endovascular embolization of arterial aneurysms of the brain is a prospective method of treatment of patients with SAH.