polenovjournalРоссийский нейрохирургический журнал имени профессора А. Л. ПоленоваRussian Neurosurgical Journal named after Professor A. L. Polenov2071-2693Семинары, Конференции и Форумыpolenovjournal-497Research ArticleОБЗОРЫ ЛИТЕРАТУРЫ И КЛИНИЧЕСКИЕ СЛУЧАИREVIEWS OF LITERATURE AND CLINICAL CASESУспешное хирургическое лечение посттравматической интракавернозной артериальной аневризмы с применением широкопросветного экстра-инракраниального аутоартериального шунтаSuccessful surgical treatment of posttraumatic intracavernous arterial aneurysm using a wide-angle extra-intracranial autoarterial shunthttps://orcid.org/0000-0002-9550-0205МатвеевВ. И.MatveevV. I.

Воронеж

Voronezh

https://orcid.org/0000-0002-6888-3183ГлущенкоА. В.GlushchenkoA. V.

Воронеж

Voronezh

ЛанецкаяВ. М.LаnetskayaV. M.

Воронеж

Voronezh

БачуринГ. М.BachurinG. M.

Воронеж

Voronezh

ВасильевН. О.VasilievN. O.

Воронеж

Voronezh

АмелинМ. О.AmelinM. O.

Воронеж

Voronezh

ФрюкинаМ. С.FrukinaM. S.

Воронеж

РодионовС. В.RodionovS. V.

Воронеж

Voronezh

https://orcid.org/0000-0003-3114-3541ЮровП. В.YurovP. V.

Воронеж

Voronezh

ФГБУ ВО ВГМУ им. Н.Н. БурденкоРоссияVoronezh State Medical University named after N.N. BurdenkoRussian FederationБУЗ ВО ВОКБ № 1РоссияVoronezh Regional Clinical Hospital № 1Russian FederationБУЗ ВО ВОКБ № 1Russian Federation2020160320251236166Copyright © Матвеев В.И., Глущенко А.В., Ланецкая В.М., Бачурин Г.М., Васильев Н.О., Амелин М.О., Фрюкина М.С., Родионов С.В., Юров П.В., 20252025Матвеев В.И., Глущенко А.В., Ланецкая В.М., Бачурин Г.М., Васильев Н.О., Амелин М.О., Фрюкина М.С., Родионов С.В., Юров П.В.Matveev V.I., Glushchenko A.V., Lаnetskaya V.M., Bachurin G.M., Vasiliev N.O., Amelin M.O., Frukina M.S., Rodionov S.V., Yurov P.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://polenovjournal.elpub.ru/jour/article/view/497ЦЕЛЬ ИССЛЕДОВАНИЯ

ЦЕЛЬ ИССЛЕДОВАНИЯ. Представить опыт хирургического лечения посттравматической артериальной аневризмы кавернозного отдела правой внутренней сонной артерии, проявлявшаяся обильными носовыми кровотечениями.

МАТЕРИАЛЫ И МЕТОДЫ

МАТЕРИАЛЫ И МЕТОДЫ. В основе работы лежит ретроспективный анализ выключение интракавернозной артериальной аневризмы из церебрального кровотока методом треппинг-операции после предварительного создания широкопросветного анастомоза между правой наружной сонной артерией и правой средней мозговой артерией с использованием аутоартериального трансплантата. Оценивалось функционирование созданного экстра-интракраниального широкопросветного анастомоза и клиническое состояние пациента в ближайшем послеоперационном периоде.

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ. Основными исследуемыми параметрами являлись: наличие повторных носовых кровотечений, наличие у больного очаговой неврологической симптоматики в послеоперационном периоде и функциональное состояние широкопросветного экстра-интракраниального анастомоза.

ВЫВОДЫ

ВЫВОДЫ. Представлена возможность успешного результата лечения после открытой операции у больного с артериальной аневризмой кавернозного отдела правой внутренней сонной артерии. Проведение операции позволило без возникновения ишемии головного мозга произвести выключение аневризмы из церебрального кровотока вместе с внутренней сонной артерией после предварительного создания широкопросветного анастомоза между правой наружной сонной артерией и средней мозговой артерией с использованием аутоартериального трансплантата.

OBJECTIVE

OBJECTIVE. Present the experience of surgical treatment of posttraumatic arterial aneurysm of the cavernous part of the right internal carotid artery, manifested by profuse nosebleeds.

MATERIALS AND METHODS

MATERIALS AND METHODS. The work is based on a retrospective analysis of disabling an intracavernous arterial aneurysm from the cerebral bloodstream by trapping surgery after preliminary creation of a wide-angle anastomosis between the right external carotid artery and the right middle cerebral artery using an autoarterial graft. The functioning of the created extra-intracranial wide-light anastomosis and the patient›s clinical condition in the immediate postoperative period were evaluated.

RESULTS

RESULTS. The main parameters studied were: the presence of repeated nosebleeds, the presence of focal neurological symptoms in the patient in the postoperative period, and the functional state of broad-spectrum extra-intracranial anastomosis.

CONCLUSIONS

CONCLUSIONS. The possibility of successful treatment after open surgery in a patient with an arterial aneurysm of the cavernous part of the right internal carotid artery is presented. The operation made it possible to switch off the aneurysm from the cerebral bloodstream together with the internal carotid artery without the occurrence of cerebral ischemia after preliminary creation of a wide-angle anastomosis between the right external carotid artery and the middle cerebral artery using an autoarterial graft.

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The authors declare that there are no conflicts of interest present.