nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2021-10-4-750-759nmp-1280Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSЭндоваскулярные методики профилактики и лечения сосудистого спазма вследствие разрыва церебральных аневризм: за и противEndovascular Methods of Prevention and Treatment of Vascular Spasm Due to Rupture of Cerebral Aneurysms: Pros and Conshttps://orcid.org/0000-0003-2444-8136ПриродовА. В.PrirodovA. V.

доктор медицинских наук, заведующий нейрохирургическим отделением, 129090, Москва, Б. Сухаревская площадь, д. 3;

профессор кафедры нейрохирургии и нейрореанимации, 127473, Москва, ул. Делегатская, д. 20, стр. 1

Doctor of Medical Sciences, Head of the Neurosurgical Department, 3 Bolshaya Sukharevskaya Square, Moscow 129090;

Professor of the Department of Neurosurgery and Neuroresuscitation, 20, bldg. 1 Delegatskaya St., Moscow 127473

aprirodov@yandex.ruhttps://orcid.org/0000-0003-1525-1585БахаревЕ. Ю.BakharevE. Yu.

кандидат медицинских наук, врач нейрохирург нейрохирургического отделения,

129090, Москва, Б. Сухаревская площадь, д. 3

Candidate of Medical Sciences, neurosurgeon, Neurosurgical Department,

3 Bolshaya Sukharevskaya Square, Moscow 129090

ads_nvkz@mail.ruКалинкинА. А.KalinkinA. A.

кандидат медицинских наук, врач нейрохирург нейрохирургического отделения,

115682, Москва, Ореховый бульвар, д. 28

Candidate of Medical Sciences, Neurosurgeon of the Neurosurgical Department,

28 Orekhovy Boulevard, Moscow 115682

aleksandr_kalinkin27@mail.ruГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского ДЗМ»; ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» МЗ РФРоссияN.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department; A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian FederationRussian FederationГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare DepartmentRussian FederationФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий ФМБА России»РоссияFederal Scientific and Clinical Center for Specialized Types of Medical Aid and Medical Technologies of the Federal Medical and Biological Agency of RussiaRussian Federation202120012022104750759Copyright © Природов А.В., Бахарев Е.Ю., Калинкин А.А., 20222022Природов А.В., Бахарев Е.Ю., Калинкин А.А.Prirodov A.V., Bakharev E.Y., Kalinkin A.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1280

В данном обзоре освещены современные подходы к эндоваскулярной терапии церебрального ангиоспазма при нетравматическом субарахноидальном кровоизлиянии вследствие разрыва церебральной аневризмы (ЦА). Освещены основные клинические рекомендательные протоколы по ведению пациентов с разрывом ЦА, представлены клинические исследования, посвященные применению баллонной ангиопластики, интраартериальному введению различных вазодилататоров, описаны преимущества и осложнения использования различных методик. 

This review highlights current approaches to endovascular therapy of cerebral angiospasm in non-traumatic subarachnoid hemorrhage due to a ruptured cerebral aneurysm (CA). The main clinical guidelines for the management of patients with CA rupture are highlighted, clinical studies on the use of balloon angioplasty, intra-arterial administration of various vasodilators are presented, the advantages and complications of using various techniques are described. 

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