ИСТИНА

Here we present a retrospective study, including 40 patients aged 33-78 y.o. (M=49) with anterior communicating artery aneurysms who underwent endovascular treatment during six years between 2012 and 2018. M/F proportion = 23/17. 33 patients experienced SAH, among them 21 were treated in acute stage of hemorrhage. All aneurysms were coiled. In one case coiling was accompanied with balloon assistance and in other one - with X-like double stent assistance. Raymond 1 occlusion was achieved in 33 cases and Raymond 2 - in the other 7 ones. In one case with balloon assistance there were intraoperative rupture without serious consequences for the patient. Outcomes were estimated at discharge with modified Rankin Scale and were different in elective group and group with acute SAH. Favourable outcomes (mRS < /= 2) were seen in all 19 elective cases and 13 of 21 acute ones. Unfavorable outcomes with two deaths and 6 severe disabled patients were connected to severity of initial subarachnoid hemorrhage. We conclude that in our facility elective endovascular treatment for anterior communicating artery aneurysms is safe and effective. In acute stage of SAH endovascular treatment is effective and safe for the I-III Hunt-Hess graders with anterior communicating artery aneurysms.