Aneurysmal disease, especially acute ruptured cerebral aneurysms, poses a great social problem which is characterized by high rate of resulting disability and even mortality. 1%-10% of the population suffer from this pathology, up to 2% of them - ruptured. 30-days mortality is up to 45% and about 30% of patients also suffer significant neurological deficit [7, 8, 10]. In the Republic of Belarus idiopathic intracranial hemorrhage occurs in 14,5 cases out of 100,000 of population and of those 39,6%-85% - are due to aneurysmal sac...

Retrospective analysis of diagnostic results pre- and completely postembolized ruptured cerebral saccular aneurysms, obtained from 28 patients both sexes, was performed. There were 9 (32,1%) male patients with mean age 56,1±12,3 years and 19 (67,9%) female 53,7±13 years old. Mean age - 54,5±12,5 years. Distribution of aneurysms by localisation presented on Fig. 1 . Most common sites of aneurysms were anterior and medial cerebral arteries – in 39,3% and 28,6% correspondingly. By size we divided all aneurysm on small aneurysms (<5 mm), medium aneurysms (5<...

There was no statistical difference (p<0,05) in linear parameters and volumes of aneurysmal sac comparing data from CTA and DSA (axial scans and 3D images). But in 28,6% of cases involving CTA images, aneurysmal neck wasn’t clearly visualized ( Fig. 4 ) and in 21,4% of cases it wasn’t visible efferents less than 1 mm in diameter originating from the aneurysmal sac. ( Fig. 5 ). Statistically significant increases of aneurysmal sack volume up to 106,8% were revealed on DSA images ( Fig. 6 )....

Linear parameters of cerebral aneurysm and their mean volumes were comparable in 2D and 3D modes, both obtained by CTA and DSA. DSA has a prevalence in diagnostic of aneurysmal neck and aneurysm topography (branches origin from sac or near). During embolization, small and medium aneurysms can safely grow up to 106,7% without rebleeding. Less hydrogel polymer coated coils are needed for total aneurysm embolization up to 15 mm in diameter. In according to increasing of aneurysmal length and decreasing width - increases amount of...

Navichenka Aliaksandr, M.D., Ph.D. Endovascular Surgery Department, Minsk City Emergency Hospital, Belarus [email protected] Beimanov Alexander, M.D. Chief of Endovascular Surgery Department, Minsk City Emergency Hospital, Belarus [email protected] Konovalov Pavel, M.D. Endovascular Surgery Department, Minsk City Emergency Hospital, Belarus [email protected] Piskun Boris, M.D. Vice-chef of Minsk City Emergency Hospital, Belarus [email protected] Gontschar Alexander, M.D., Ph.D., Professor Chief of Bio-medical Research Center, Belarusian Medical Academy of Postgraduate Education, Belarus [email protected]

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