{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T19:50:25Z","timestamp":1760644225779,"version":"3.41.0"},"reference-count":20,"publisher":"Media Sphere Publishing House","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Burdenko's Journal of Neurosurgery"],"published-print":{"date-parts":[[2025,5,30]]},"abstract":"<jats:p>Background. Treatment of cerebral aneurysms is followed by more favorable results in hospitals with at least 50\u2014100 patients annually. In this regard, analysis and comparison of data from various clinics are of interest. Objective. To analyze the features of microsurgical treatment of cerebral aneurysms, immediate clinical and angiographic results. Material and methods. There were 600 patients with cerebral aneurysms aged 16\u201479 years (mean 53.7\u00b112) between 01\/09\/2024 and 12\/29\/2024. There were multiple aneurysms in 29.7% of patients. Saccular and fusiform aneurysms were observed in 95% and 5% of patients. Giant aneurysms were detected in 1.8% of cases. Aneurysms of anterior and middle cerebral arteries accounted for 74.3%. Forty-nine (8.2%), 29 (4.8%) and 99 (16.5%) patients underwent surgery in acute (1\u201414 days), subacute (15\u201421 days) and delayed (&gt;21 days) period of hemorrhage. Cerebral aneurysms with mass effect were noted in 8 patients (1.3%), ischemia \u2014 in 15 (2.5%) cases. Incidental aneurysms were diagnosed in 400 patients (66.7%). Results. Aneurysm neck clipping was performed in 97.5% of cases, trapping without anastomosis \u2014 0.6%, trapping with anastomosis \u2014 1.2%, reinforcement of microaneurysms with autologous muscle \u2014 in 0.7% of cases. There was mRS score 0\u20142 after 14 postoperative days in 96.3% of patients. Postoperative complications were noted in 14% of cases. There were no fatal cases. Complete exclusion of saccular aneurysms was achieved in 92.2% of cases, fusiform aneurysms \u2014 in 69.5% of cases. Conclusion. Microsurgical treatment of patients with cerebral aneurysms in high-flow hospitals demonstrates favorable clinical and angiographic results. Favorable postoperative results require modern methods of preoperative diagnostics, accumulation of experience by neurosurgeons, adherence to algorithms for choosing a treatment method and current intensive care protocols, as well as preparation for surgery taking into account surgical risks associated with concomitant diseases.<\/jats:p>","DOI":"10.17116\/neiro20258903160","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T11:14:06Z","timestamp":1748603646000},"page":"60","source":"Crossref","is-referenced-by-count":2,"title":["Microsurgical treatment of 723 cerebral aneurysms: a single-center prospective study"],"prefix":"10.17116","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6103-9329","authenticated-orcid":false,"given":"Sh.Sh.","family":"Eliava","sequence":"first","affiliation":[{"name":"Burdenko Neurosurgical Center","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4001-3212","authenticated-orcid":false,"given":"Yu.V.","family":"Pilipenko","sequence":"additional","affiliation":[{"name":"Burdenko Neurosurgical Center","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9916-722X","authenticated-orcid":false,"given":"M.B.","family":"Kholmatov","sequence":"additional","affiliation":[{"name":"Burdenko Neurosurgical Center","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4908-8923","authenticated-orcid":false,"given":"O.B.","family":"Belousova","sequence":"additional","affiliation":[{"name":"Burdenko Neurosurgical Center","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6395-2055","authenticated-orcid":false,"given":"A.S.","family":"Kheyreddin","sequence":"additional","affiliation":[{"name":"Burdenko Neurosurgical Center","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0815-5624","authenticated-orcid":false,"given":"D.N.","family":"Okishev","sequence":"additional","affiliation":[{"name":"Burdenko Neurosurgical Center","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0932-4752","authenticated-orcid":false,"given":"An.N.","family":"Konovalov","sequence":"additional","affiliation":[{"name":"Burdenko Neurosurgical Center","place":["Moscow, Russia"]},{"name":"Sechenov First Moscow State Medical University","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2622-7804","authenticated-orcid":false,"given":"F.V.","family":"Grebenev","sequence":"additional","affiliation":[{"name":"Burdenko Neurosurgical Center","place":["Moscow, Russia"]},{"name":"Sechenov First Moscow State Medical University","place":["Moscow, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6743","reference":[{"key":"key-10.17116\/neiro20258903160-1","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyaa465"},{"key":"key-10.17116\/neiro20258903160-2","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-020-04463-x"},{"key":"key-10.17116\/neiro20258903160-3","doi-asserted-by":"publisher","DOI":"10.17116\/NEIRO2024880117"},{"key":"key-10.17116\/neiro20258903160-4","doi-asserted-by":"publisher","DOI":"10.17116\/NEIRO20208406176"},{"key":"key-10.17116\/neiro20258903160-5","unstructured":"Pilipenko YuV, Eliava ShSh, Okishev DN, Konovalov AnN, Grebenev FV. 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