Download Trends in Neurovascular Interventions by Tetsuya Tsukahara, Giuseppe Esposito, Hans-Jakob Steiger, PDF

By Tetsuya Tsukahara, Giuseppe Esposito, Hans-Jakob Steiger, Gabriel J.E. Rinkel, Luca Regli

ISBN-10: 3319024108

ISBN-13: 9783319024103

ISBN-10: 3319024116

ISBN-13: 9783319024110

This e-book covers topical matters in neurovascular surgical procedure, and particularly the administration of intracranial aneurysms, arteriovenous malformations, and cavernomas, present developments in cerebral revascularization, and new suggestions in cerebrovascular imaging. The contents mirror the ongoing advancements in interventions in cerebrovascular issues because of development in neuroimaging, evolution of pathophysiological suggestions, new medical trials, and technological ideas. The chapters are all written by means of said specialists from internationally, and contain unique papers offered on the sixth ecu jap Stroke surgical procedure convention, held in June 2012 in Utrecht, The Netherlands. The booklet could be of worth to all who're attracted to the most recent advancements within the box and provides attention-grabbing insights into diversified views and techniques.

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Extra info for Trends in Neurovascular Interventions

Example text

BA-SCA An. MCA ruptured) Fig. 2 Upper left: Intra-operative photographs of Case 3. Upper right: Intra-operative photographs of Case 4. Lower left: Intra-operative photographs of Case 5. Lower right: Intra-operative photographs of Case 6 However, the neck of the aneurysm was not completely obliterated (Fig. 3, upper right). The patient was referred to our hospital. We decided that her BA-SCA aneurysm was a relatively good indication for surgical clipping. A DSA taken the day before the craniotomy shows refilling of the neck.

Follow-up angiograms revealed a neck remnant, so clipping for BA-bif aneurysm was performed (Fig. 1, lower right). Case 3 is a 65-year-old female who suffered from SAH; a ruptured distal anterior cerebral artery aneurysm was T. Tsukahara et al. ), Trends in Neurovascular Interventions, Acta Neurochirurgica Supplement, Vol. 1007/978-3-319-02411-0_6, © Springer International Publishing Switzerland 2014 39 40 T. Nakagomi Approaches according to height bifurcation, or neck of aneurysm relative to posterior clinoid Pterional craniotomy for BA-bif and BA-SCA Ans Orbito-zygomatic 15 mm Pterional , subtemporal Subtemporal-transtentorial Transpetrosal Suboccipital, transcondylar From Kawase Case 1 : 60 F BA-bif An.

As reported in another paper by our group, we have seen that intermittent temporary clipping can prolong the “strokefree” period of occlusion even in a terminal artery such as the MCA [8]; in the present series, occlusion periods of over 10 min – required in specific cases and performed with intermittent modality – have been tolerated in the majority of cases. If long occlusion periods are anticipated, the use of intraoperative neurophysiological monitoring [5] could enhance safety in selected cases.

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