persmedРоссийский журнал персонализированной медициныRussian Journal for Personalized Medicine2782-38062782-3814ФОНД АЛМАЗОВА10.18705/2782-3806-2022-2-5-72-79persmed-88Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCLINICAL CASEПерсонализированный подход в лечении пациента с рецидивом аневризмы внутренней сонной артерии. Случай из практикиEndovascular reconstruction with flow diverting stent as a treatment for recurrent internal carotid artery aneurysm. A case reportБобиновВ. В.BobinovV. V.

врач-нейрохирург

neurosurgeon

neyro.bobinov@yandex.ruПетровА. Е.PetrovA. E.

к.м.н., врач-нейрохирург, заведующий нейрохирургическим отделением № 3

PhD, MD, neurosurgeon

ГорощенкоС. А.GoroshchenkoS. A.

к.м.н., старший научный сотрудник, врач-нейрохирург

PhD, MD, neurosurgeon

КоломинЕ. Г.KolominE. G.

клинический ординатор — нейрохирург

Resident-neurosurgeon

РожченкоЛ. В.RozhchenkoL. V.

к.м.н., руководитель НИЛ хирургии сосудов головного и спинного мозга, врач-нейрохирург, РНХИ

PhD, MD, Neurosurgeon of the Neurosurgical Department No. 3, Chef of Laboratory for Surgery of the Vessels of the Cerebral and Spinal Cord, neurosurgeon

Российский нейрохирургический институт имени профессора А. Л. Поленова — филиал Федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияPolenov Neurosurgical Research Institute, branch of the Almazov National Medical Research CentreRussian Federation202228112022257279Copyright © Бобинов В.В., Петров А.Е., Горощенко С.А., Коломин Е.Г., Рожченко Л.В., 20222022Бобинов В.В., Петров А.Е., Горощенко С.А., Коломин Е.Г., Рожченко Л.В.Bobinov V.V., Petrov A.E., Goroshchenko S.A., Kolomin E.G., Rozhchenko L.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://persmed.elpub.ru/jour/article/view/88

Рецидивы церебральных аневризм после перенесенного оперативного лечения являются актуальной медико-социальной проблемой, являясь возможной причиной и существенным фактором риска внутричерепных кровоизлияний, несмотря на первичное тотальное выключение аневризмы из кровотока. Своевременная оценка рисков, диагностика и персонализированный подход при лечении рецидива церебральной аневризмы могут помочь улучшить результаты лечения этих пациентов.В статье описан случай персонализированного подхода при внутрисосудистом лечении пациента с рецидивом аневризмы офтальмического сегмента внутренней сонной артерии после окклюзии отделяемыми спиралями.Оценка стабильности выключения аневризмы из кровотока в отдаленном периоде после внутрисосудистого вмешательства на церебральной аневризме является неотъемлемой частью лечебного процесса при данном виде цереброваскулярной патологии. Персонализированный подход к лечению церебральных аневризм, как первичных, так и с признаками рецидива, позволяет улучшить ближайшие и отдаленные результаты лечения пациентов с этим видом цереброваскулярной патологии. В ряде случаев одним из методов решения данной проблемы является применение потокотклоняющих стентов.

Recurrence of cerebral aneurysms after surgical treatment is an urgent medical and social problem, being a possible cause and a significant risk factor for intracranial hemorrhage, despite the primary total embolisation of the aneurysm. Timely risk assessment, diagnosis and personalized approach in the treatment of recurrent cerebral aneurysm can help improve the treatment outcomes of these patients.Purpose: to describe a case of a personalized approach in endovascular treatment of recurrent aneurysm of the ophthalmic segment of the internal carotid artery after occlusion with detachable coils.Assessment of the stability of aneurysm mbolisation in the long-term period after endovascular intervention on a cerebral aneurysm is an integral part of the treatment process in this type of cerebrovascular pathology. A personalized approach to the treatment of cerebral aneurysms, both primary and with signs of recurrence, makes it possible to improve the immediate and long-term results of treatment of patients with this type of cerebrovascular pathology. In some cases, one of the methods for solving this problem is the use of flow-diverting stents.

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