Download Cerebral revascularization: microsurgical and endovascular by Eric Nussbaum, J Mocco PDF

By Eric Nussbaum, J Mocco

ISBN-10: 1604062630

ISBN-13: 9781604062632

In Cerebral Revascularization: Microsurgical and Endovascular Techniques, popular surgical specialists mix their services to supply the most up-tp-date and complete assurance of open mind skip and endovascular suggestions presently available.

A exact creation familiarizes readers with a number of the symptoms for those technically difficult tactics. Concise chapters then offer thorough insurance of surgical innovations, issues, and results utilizing case examples from the authors' personal collections to assist arrange readers for surgical procedure. bettering the textual content all through, operative pictures and angiographic photographs in actual fact display the pre-, peri-, and postoperative administration of ischemic stroke, large aneurysms, and the spectrum of complicated cerebrovascular diseases.


  • Extensive assurance of extracranial-intracranial
    skip and the newest in endovascular treatment

  • 369 high quality operative images and
    endovascular pictures illustrate key thoughts

  • A distinctive emphasis at the important function perioperative care performs in optimizing sufferer outcomes

Neurosurgeons, citizens, and fellows will frequently discuss with this definitive advisor in either the working room and the catheterization lab. it's also an vital source for interventional radiologists, neurologists, vascular neurosurgeons, or for someone who must study extra approximately those state of the art cerebral revascularization techniques.

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Extra resources for Cerebral revascularization: microsurgical and endovascular techniques

Sample text

Treatment options include intravenous thrombolytic infusion, intraarterial pharmacologic or mechanical thrombolysis, and rarely, surgical intervention. In those patients selected for endovascular therapy, our goal has been to reestablish large vessel flow as quickly and safely as possible. Current microcatheter technology allows the interventionalist to address not just acute occlusion of the cervical ICA but also occlusion of the intracranial ICA, the MCA and its branches, as well as the vertebrobasilar system.

12 A 62-year-old woman was found to have a giant MCA aneurysm measuring over 6 cm in maximal diameter on a routine screening MRI (A). Amazingly, the lesion was asymptomatic. Angiography revealed a partially thrombosed, fusiform lesion (arrow) (B). Extracranial-intracranial bypass was performed in preparation for a proximal M1 occlusion. Intraoperative angiography (C) to assess patency of the graft revealed immediate thrombosis of the aneurysm without obvious filling of the M1 segment (arrow) of the middle carotid artery, which was confirmed with delayed angiography as well.

Indd 26 8/2/10 11:50:50 AM ◆ Intracranial Angioplasty and Stenting The development of intracranial angioplasty and stenting for atherosclerotic disease has provided a novel option for treatment of a difficult condition that often occurs in patients with multiple comorbidities, which may limit other treatment options. Early options for intracranial stenting required the use of balloon-mounted, stiff coronary stents that often carried significant risk of local arterial injury. Newer, improved technology has made intracranial angioplasty and stenting a more feasible and safer option.

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