rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2021-102-2-116-123rentrad-631Research ArticleОБЗОРЫREVIEWSОценка эффективности ультраранней рентгенэндоваскулярной эмболизации церебральных аневризм при субарахноидальном кровоизлиянииEvaluation of the Efficiency of Ultra-Early Endovascular Embolization of Cerebral Aneurisms in Subarachnoid Hemorragehttps://orcid.org/0000-0002-9762-9723ШалыгинК. В.ShalyginK. V.

 ассистент кафедры лучевой диагностики; заведующий отделением 

ул. Красный проспект, 52, Новосибирск, 630091, Российская Федерация

ул. Залесского, 6, Новосибирск, 630047, Российская Федерация

 Assistant Professor, Chair of Radiation Diagnostics; Head of Department 

Krasnyy prospekt, 52, Novosibirsk, 630091, Russian Federation

ul. Zalesskogo, 6, Novosibirsk, 630047, Russian Federation

shalygin3@yandex.ruhttps://orcid.org/0000-0003-4799-6338ГорбуновН. А.GorbunovN. A.

 д. м. н., профессор кафедры лучевой диагностики 

ул. Красный проспект, 52, Новосибирск, 630091, Российская Федерация

 Dr. Med. Sc., Professor, Chair of Radiation Diagnostics 

Krasnyy prospekt, 52, Novosibirsk, 630091, Russian Federation

https://orcid.org/0000-0002-8637-4083ДергилевА. П.DergilevA. P.

 д. м. н., профессор, заведующий кафедрой лучевой диагностики  

ул. Красный проспект, 52, Новосибирск, 630091, Российская Федерация

 Dr. Med. Sc., Professor, Chief of Chair of Radiation Diagnostics 

Krasnyy prospekt, 52, Novosibirsk, 630091, Russian Federation

https://orcid.org/0000-0002-8656-7213ЛяшенкоА. М.LyashenkoA. M.

 ассистент кафедры лучевой диагностики; врач отделения 

ул. Красный проспект, 52, Новосибирск, 630091, Российская Федерация

ул. Залесского, 6, Новосибирск, 630047, Российская Федерация

 Assistant Professor, Chair of Radiation Diagnostics; Radiologist 

Krasnyy prospekt, 52, Novosibirsk, 630091, Russian Federation

ul. Zalesskogo, 6, Novosibirsk, 630047, Russian Federation

https://orcid.org/0000-0003-0810-4720СударкинаА. В.SudarkinaA. V.

 ассистент кафедры лучевой диагностики 

ул. Красный проспект, 52, Новосибирск, 630091, Российская Федерация

 Assistant Professor, Chair of Radiation Diagnostics 

Krasnyy prospekt, 52, Novosibirsk, 630091, Russian Federation

ФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава России; ГБУЗ НСО «Городская клиническая больница № 1»РоссияNovosibirsk State Medical University; City Clinical Hospital No. 1Russian FederationФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава РоссииРоссияNovosibirsk State Medical UniversityRussian Federation2021090620211022116123Copyright © Шалыгин К.В., Горбунов Н.А., Дергилев А.П., Ляшенко А.М., Сударкина А.В., 20212021Шалыгин К.В., Горбунов Н.А., Дергилев А.П., Ляшенко А.М., Сударкина А.В.Shalygin K.V., Gorbunov N.A., Dergilev A.P., Lyashenko A.M., Sudarkina A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/631

 В обзоре обсуждается эффективность рентгенэндоваскулярной эмболизации интракраниальных аневризм при  субарахноидальном кровоизлиянии (САК) в первые 24 ч после  разрыва. Необходимость данного исследования продиктована  медико-социальной значимостью заболевания, в частности  высокой степенью летальности и инвалидизации при САК  аневризматического генеза, в том числе у молодых пациентов. Выбор сроков рентгенэндоваскулярной эмболизации при САК остается предметом дискуссии профессионального сообщества с момента внедрения метода в клиническую практику. Выполнение эмболизации в 1-е сутки с момента дебюта заболевания, так называемая ultra-early embolization  (ультраранняя эмболизация), потенциально положительно  влияет на исходы САК, снижая количество летальных случаев и увеличивая число благоприятных исходов. Основным преимуществом данной тактики является предотвращение повторного разрыва аневризмы, вероятность которого  наиболее высока в 1-е сутки заболевания, а также возможность начала интенсивной терапии САК в самые ранние сроки. 

 The review discusses the effectiveness of endovascular embolization of intracranial aneurysms in subarachnoid hemorrhage (SAH) in the first 24 hours after rupture. The need for this study is dictated by the medical and social significance of the disease, in particular, the high degree of mortality and disability in SAH of aneurysmal origin, including in young patients. The choice of embolization timing for SAH remains a subject of discussion in the professional community since the introduction of the technique into clinical practice. Performing embolization on the first day after the onset of the  disease, the so-called “ultra-early embolization” has a potentially positive effect on the outcomes of SAH, reducing the number of deaths and increasing the number of favorable outcomes. The main advantage of this tactic is to prevent repeated rupture of the aneurysm, the probability of which is highest in the first day of  the disease, as well as the possibility of starting intensive therapy for SAH at the earliest possible time. 

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