By Naci Kocer
ISBN-10: 331941786X
ISBN-13: 9783319417868
ISBN-10: 3319417886
ISBN-13: 9783319417882
This atlas specializes in the imaging and treatment plans on hand for large intracranial aneurysms due to the fact Nineteen Nineties at first of the so-called glossy endovascular period. in this interval, there have been major advances made within the treatment of small intracranial aneurysms even though the remedy of big aneurysms persisted to pose an insurmountable problem. on the flip of this century, this grim state of affairs progressively more desirable with greater knowing of the pathophysiology of huge intracranial aneurysms. This replaced situation in big intracranial aneurysm treatment has been illustrated using informative medical case reviews. The medical presentation of big aneurysms in adults and kids is defined as are the advantages of other imaging modalities defined and illustrated. broad attention has been given to trendy fusion imaging that has enhanced our perception into the character of the ailment. Endovascular remedy methods (including illustrative open surgical ways) and reconstructive and deconstructive options are absolutely documented, with cautious cognizance given to components that impact administration suggestions, therapy selection and complications.The atlas should be a precious reference and sensible reduction for neuroradiologists, neurosurgeons, neurologists, fellowship trainees, postgraduate & graduate scholars.
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Extra resources for Giant Intracranial Aneurysms: A Case-Based Atlas of Imaging and Treatment
Sample text
There are isolated case reports that describe the use of LEO® stent as a scaffold for SILK® FD deployment within it [2–5]. References 1. 2. 3. 4. 5. Islak C, Kocer N, Albayram S, Kizilkilic O, Uzma O, Cokyuksel O (2002) Bare stent-graft technique: a new method of endoluminal vascular reconstruction for the treatment of giant and fusiform aneurysms. AJNR Am J Neuroradiol 23(9):1589–1595 Shankar JJ, Vandorpe R, Pickett G, Maloney W (2013) SILK flow diverter for treatment of intracranial aneurysms: initial experience and cost analysis.
The patient was treated by balloon angioplasty of the in-stent stenosis. Post balloon angioplasty there was significant improvement in the caliber of the stenotic segment and improved perfusion of the distal territory. 5 years, IV VASO CT® reveals stable aneurysmal occlusion with no intimal hyperplasia 6 39 Case 7 © Springer International Publishing Switzerland 2016 N. 1007/978-3-319-41788-2_7 7 40 Case 7 Telescopic Multiple FD Technique Keywords: Posterior circulation dissecting aneurysms, Telescopic FDs, FD porosity Vertebrobasilar Dissecting Aneurysms and FDs In a literature review for cases similar to the present case, we found two described instances.
17 Case 3 c d . Fig. 1 (continued) (c) Fluoroscopic images reveal the final position of LEO® and SILK® FD across the aneurysm with “eclipse” sign suggestive of immediate intra-aneurysmal stagnation. The origins of ACA, anterior choroidal, and posterior communicating arteries were covered by the stents. Note: there is an increased flow into distal branches due to flow redirection. (d) Immediate postprocedural FDCT shows left Sylvian fissure subarachnoid hemorrhage. This was probably due to wire perforation as there was no contrast extravasation at any time during the procedure.