- Intracranial Aneurysms: Treatment and Complications
- Traumatic Brain Injury and Neurovascular Disturbances
- Vascular Malformations Diagnosis and Treatment
- Cerebrovascular and Carotid Artery Diseases
- Meningioma and schwannoma management
- Neurosurgical Procedures and Complications
- Cerebrospinal fluid and hydrocephalus
- Facial Trauma and Fracture Management
- Augmented Reality Applications
- Anatomy and Medical Technology
- Surgical Simulation and Training
- Head and Neck Surgical Oncology
- Moyamoya disease diagnosis and treatment
- Intracerebral and Subarachnoid Hemorrhage Research
- Spinal Fractures and Fixation Techniques
- Pituitary Gland Disorders and Treatments
- Reconstructive Surgery and Microvascular Techniques
- Advanced X-ray and CT Imaging
- Advanced MRI Techniques and Applications
- Traumatic Brain Injury Research
- Medical Imaging and Analysis
- Advanced Neuroimaging Techniques and Applications
- Neurological Complications and Syndromes
- Robotics and Sensor-Based Localization
- Glioma Diagnosis and Treatment
Burdenko Neurosurgery Institute
2016-2025
Ministry of Health of the Russian Federation
2017-2025
Regional Clinical Research
2024
Sechenov University
2024
Bir Hospital
2024
Winthrop-University Hospital
2019
Augmented reality (AR) is a promising area in microsurgical treatment of cerebrovascular pathologies that can significantly facilitate preoperative planning and intraoperative understanding anatomy. Objective. To describe AR-assisted neuronavigation intracranial aneurysms, arteriovenous malformations cavernomas; to evaluate accuracy applicability neuronavigation. Material methods. The study involved 22 patients with cerebral cavernous malformations. Microsoft Hololens 2 HMD glasses...
Background External ventricular drainage (EVD) is a critical neurosurgical procedure for managing conditions. Despite its widespread use, EVD placement associated with specific risks, as improper catheter positioning can lead to severe complications. Recent advancements in augmented reality (AR) technology present new opportunities improve the precision and safety of surgical interventions. Methods This study presents AR-assisted approach placement, utilizing Microsoft HoloLens 2 Medgital...
Background: Patients with intracranial aneurysms often have comorbidities that require them to take acetylsalicylic acid (ASA). In recent years, many patients been prescribed ASA prevent aneurysm enlargement. is also in preparation for surgical revascularization. Methods: From 2016 2021, 64 underwent microsurgical clipping without revascularization, and an additional 20 extracranial (EC-IC) bypass. The following parameters were analysed: the frequency of hemorrhagic complications, blood loss...
Despite the achievements of recent years, cerebral AVMs continue to pose a challenge treatment. The objective this work was development recommendations for combined treatment based on analysis available material and published data.The study included 93 patients hospitalized at Neurosurgical Institute in 2010-2014. A group surgery (removal an AVM with preoperative embolization) consisted 40 patients, radiotherapy (radiation after partial embolization or removal AVM) 53 patients. 36 underwent...
Background External ventricular drain (EVD) placement is one of the most common procedures in neurosurgery. Neurosurgeons generally prefer to access ventricles via Kocher's point since it entry this area; however, used describe different anatomic landmarks and not well-defined. Objective The present study aims provide an anatomical assessment a novel ventriculostomy developed by authors using computerized tomography (CT) scans performed on 100 patients. Materials methods Data were collected...
The study purpose was to analyze the efficacy of intra-arterial administration verapamil (IAV) in treatment angiospasm SAH patients and determine optimal parameters procedure. A number studies demonstrated vasodilators, particular verapamil, after aneurysmal SAH, which served basis for inclusion this method recommended protocol [1-7].We analyzed IAV 35 acute period with 77.2% having a Hunt-Hess score III-V. criteria were as follows: within two weeks SAH; excluded aneurysm; dose per at least...
The choice of surgical approaches and options for the microsurgical vertebral artery (VA) posterior inferior cerebellar (PICA) aneurysms repair remains controversial.A retrospective analysis clinical, surgical, angiographic data 80 patients with VA PICA treated from 2012 to 2018 was performed.The were saccular in 50 cases (62.5%) fusiform 30 (37.5%). median suboccipital craniotomy most common approach (73.8%). Retrosigmoid performed 25% patients. There following types operations: neck...
The insertion of an external ventricular drainage (EVD) is one the most frequently used neurosurgical procedures. It performed to adjust intracranial hypertension in cases severe craniocerebral injury, acute posthemorrhagic hydrocephalus, meningitis, and oncological diseases related impaired circulation cerebrospinal fluid (CSF).In 2020, three patients with subarachnoid aneurysmal hemorrhage underwent EVD navigation percutaneous stereotaxic device. Three introduced.In all cases, satisfactory...
Individual polymer implants are widespread for bone reconstruction after decompressive craniectomy. Despite the availability of customized titanium products, various specialists and hospitals prefer implants.To compare methods modeling manufacturing polymethylmethacrylate identify features affecting quality reconstruction.We analyzed 14 patients with extensive skull defects installation polymethyl methacrylate implants. Software used individual by different was compared.Satisfactory result...
In recent years, the so-called primary or preventive decompressive craniectomy (DC) has been increasingly used in patients with aneurysmal subarachnoid hemorrhage (SAH). The main goal of technique is prevention refractory intracranial hypertension (ICH) and its consequences.The study purpose was to define CT criteria for reasonability efficacy DC as well clarification indications SAH after microsurgical aneurysm exclusion.The included 46 who underwent clipping aneurysms period between 2010...
Treatment of cerebral aneurysms in the acute stage subarachnoid hemorrhage (SRH) especially on background vasospasm continues to be a difficult task.Assessment dynamics surgical treatment results patients with period SRH.A comparative analysis patients' NMRCN Burdenko about aneurysm 1-21 days after was made. The following periods were selected: 2006-2014 (343 patients) and 2015-2018 (356 patients). Most had microsurgical operations both periods. tactics choosing surgery time main difference...
The possibility of segmenting three-dimensional objects by DICOM-series is well known and available both on specialized workstations personal computers. technique, however, relatively rarely used in clinical practice, we believe that the benefits preoperative preparation using segmented 3D models are underestimated. article devoted to our experience segmentation anatomical structures based CT MRI for surgical operations performed neurosurgical departments patients with vascular pathology....
Surgical treatment of patients with cerebral aneurysms still remains one the most important issues cerebrovascular neurosurgery, which is associated both complexity and risks posed by disease. The purpose this publication to discuss recommendations algorithms adopted at Neurosurgical Institute for choosing surgical single multiple intracranial based on clinical course disease anatomical morphological classifications aneurysms. study was a large material: we analyzed outcomes in 1,621...
To evaluate mechanical strength of three methods polymethyl methacrylate skull implant fixation in two experimental models.
Microsurgeries are common for complex aneurysms of the middle cerebral artery (MCA).