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| Science & Technology |
| Aortic aneurysms in Moscow are increasingly being treated with minimally invasive methods, according to a surgeon |
| 2026-05-29 |
| Direct Translation via Google Translate. Edited [Regnum] Minimally invasive treatments are increasingly being used to treat aortic isthmus aneurysms, a rare and difficult-to-diagnose vascular condition. This was reported by Natalia Yasnopolskaya, MD, Head of the Cardiovascular Surgery Department at the S.S. Yudin Moscow City Clinical Hospital. According to her, isthmus aortic aneurysms account for approximately 5-10% of all thoracic aortic aneurysms. The main difficulty lies in diagnosing these conditions—the aneurysm's development is associated with degenerative changes in the vascular wall, congenital abnormalities, or the consequences of trauma. "This area is difficult to access with standard cardiac ultrasound, so identifying abnormalities can be challenging. In many cases, a contrast-enhanced CT scan is required, but specific indications are needed for it," the doctor noted. Today, such pathologies are treated using minimally invasive endovascular techniques. "Endovascular interventions reduce the surgical trauma and reduce the burden on the patient. For aneurysms in this location, these technologies are considered optimal," the surgeon explained. Stent graft placement requires meticulous pre-planning. The implant is individually selected based on the patient's anatomy: the aortic dimensions are calculated in advance and the location of the vessels supplying the brain and upper extremities is assessed. In some cases, vascular debranching is performed before the main procedure. If the stent graft occludes the subclavian artery, this can disrupt the blood supply to the arm and vertebral artery, so a bypass graft is created in advance—a bypass graft between the carotid and subclavian arteries. Such procedures require the simultaneous participation of several surgical teams. "This operation involved both vascular and endovascular surgeons working simultaneously. First, debranching was performed, and then a stent graft was placed, which completely excluded the aneurysm from the bloodstream," the specialist noted. Earlier, Moscow Deputy Mayor for Social Development Anastasia Rakova reported that doctors in the capital saved a pregnant patient with a saccular aortic arch aneurysm: they performed a complex endoscopic arthroplasty and saved the pregnancy. The patient quickly recovered and gave birth to a healthy baby girl. Natalia Yasnopolskaya emphasized that the combination of modern endovascular technologies and teamwork allows Moscow specialists to successfully perform even the most complex vascular surgeries. |
| Posted by:badanov |