Оценка эффективности ультраранней рентгенэндоваскулярной эмболизации церебральных аневризм при субарахноидальном кровоизлиянии

 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. 

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