Scheglov D. Diagnostics and endovascular treatment ofintracranialarterial aneurysms

The dissertation covers to the questions of endovascular treatment and dynamics of its consequences for patients with cerebral arterial aneurysms in postoperative and remote periods over 5 y., monitoring of aneurysm occlusion stability, recurrence identification, complications and their predictors review, quality of life assessment. Classification of complications and their predictors has been developed: it was indicated of predictors and just of complications. The features of deconstruction are studied: specifics of planned and unplanned deconstructive occlusions, recanalization of artery, recurrence (recanalization of artery and aneurysm cavity), complications and quality of life. The algorithm of control monitoring in dynamics, features of each examination have been worked out depending on the manifestation and period of disease, type and radicalism of occlusion, technical features of operation, presence of complications or their predictors.The necessity and efficiency of reoperations is estimated (comparison of radicalism before and after reocclusion, origin of predictors of complications or complication during and after reoperations, repeated recanalization), criteria and indication for surgery are worked out for their realization.