Methods for prevention of intraoperative rupture during surgical interventions of intracranial aneurysm clipping

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Abstract

Intraoperative aneurysmal rupture (IAR) is one of the most dramatic complications of intracranial intervention. Its frequency, depending on the aneurysm’s localization and anatomical features, may reach 50%. IAR leads to the increase of unfavorable outcomes by 1.5–3 times. There exists a variety of techniques aimed to reduce the frequency of this complication, however, all of them have essential limitations.

The review presents analyses of the basic risk factors for IAR and techniques of its prevention, as well as modern approaches directed at the alleviation of this complication’s consequences.

About the authors

S. V. Kim

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Author for correspondence.
Email: mr.kims@yandex.ru

врач анестезиолог-реаниматолог

Russian Federation, Moscow

A. R. Shin

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Email: dr.alex.shin@gmail.com

к.м.н., врач анестезиолог-реаниматолог, заведующий отделением анестезиологии и реанимации

Russian Federation, Moscow

A. G. Vinokurov

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Email: avinok@yandex.ru

к.м.н., заведующий нейрохирургическим отделением, врач-нейрохирург, врач высшей категории

Russian Federation, Moscow

T. V. Klypa

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Email: tvklypa@gmail.com

д.м.н., врач высшей категории, заместитель главного врача по анестезиологии и реанимации

Russian Federation, Moscow

V. P. Baklaushev

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Email: serpoff@mail.ru

д.м.н., заместитель генерального директора по научной работе и медицинским технологиям

Russian Federation, Moscow

A. V. Troitsky

Federal Research Clinical Center of Specialized Medical Care and Medical Technologies of the FMBA of Russia

Email: serpoff@mail.ru

д.м.н., профессор, генеральный директор

Russian Federation, Moscow

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