title: [Estimation of the results of endovascular occlusion of the sac-like aneurysms of the middle cerebral artery basin].
abstract: The problem of treatment of a sac-like aneurysms of middle cerebral artery (SLAMCA) is actual due to peculiarities of their localization and structure present. Clinical and neurological status of the patients was estimated. Positive results (0-3 points, according to Rankin's scale) were noted in 131 (87.9%) patients, satisfactory (4-5 points)--in 12 (8.1%), nonsatisfactory (6 points)--in 6 (4%). Postoperatively a total occlusion of SLAMCA was achieved in 69.7% observations, residual neck--in 18.6%, partial occlusion--in 11.7%. There were established the occlusion type (deconstruction, reconstruction) and the collateral blood flow ways; possible complications and their predictors were analyzed. The results of the investigation performed have permitted to analyze the state dynamics in the patients, suffering SLAMCA in the early postoperative period.
authors.forename: D V
authors.initials: DV
authors.lastname: Shchehlov
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002560:Cerebrovascular Circulation / Q000502:physiology; D003097:Collateral Circulation / Q000502:physiology; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000517:prevention & control; D012720:Severity of Illness Index; D016896:Treatment Outcome; D055815:Young Adult