ПРИМЕНЕНИЕ ТРЕХМЕРНОГО МОДЕЛИРОВАНИЯ И ПЕЧАТИ В НЕЙРОХИРУРГИЧЕСКОМ И ЭНДОВАСКУЛЯРНОМ ЛЕЧЕНИИ ПАЦИЕНТОВ С ИНТРАКРАНИАЛЬНЫМИ АНЕВРИЗМАМИ

Распространенность интракраниальных аневризм (ИА) в общей популяции составляет порядка 2-6%, частота их в качестве причины субарахноидального кровоизлияния по разным данным оценивается в 10–38%. Эндоваскулярное вмешательство является терапией первой линии, как при разрыве, так и при неразорвавшейся ИА. Специалистам, выполняющим лечебные вмешательства по поводу ИА, необходимо иметь специализированную теоретическую и практическую подготовку, поскольку специфика строения сосудистого русла, деликатность анатомического региона и вариабельность характера поражения обусловливают крайне высокую цену ошибки. Кроме того, вмешательства на интракраниальных сосудах самостоятельно выполняются резидентами и ординаторами наименее часто. Печать трехмерных моделей позволяет: более точно планировать вмешательство; проводить подбор расходного материла; использовать модель в качестве ориентира во время операции. Кроме того, это уникальный образовательный инструмент, повышающий эффективность обучения хирургическим и эндоваскулярным техникам за счет реалистичного анатомического представления и тактильного опыта. Трехмерное моделирование является перспективным, активно развивающимся направлением. Требуются дальнейшие исследования, направленные как на совершенствование методики изготовления моделей, так и на снижение её себестоимости, что поспособствует в обозримом будущем более широкому применению этой тех

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