Cerebral Revascularization Microsurgical And Endovascular Techniques
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Cerebral Revascularization: Microsurgical and Endovascular Techniques
State-of-the-art brain revascularization techniques in a vividly illustrated how-to guide In Cerebral Revascularization: Microsurgical and Endovascular Techniques, renowned surgical experts combine their expertise to provide the most current and comprehensive coverage of open brain bypass and endovascular options currently available. A detailed introduction familiarizes readers with the various indications for these technically demanding procedures. Concise chapters then supply thorough coverage of surgical strategies, complications, and outcomes using case examples from the authors' own collections to help prepare readers for surgery. Enhancing the text throughout, operative photographs and angiographic images clearly demonstrate the pre-, peri-, and postoperative management of ischemic stroke, giant aneurysms, and the spectrum of complex cerebrovascular diseases. Features Extensive coverage of extracranial-intracranial bypass and the latest in endovascular therapy 369 high-quality operative photographs and endovascular images illustrate key concepts A unique emphasis on the vital role perioperative care plays in optimizing patient outcomes Neurosurgeons, residents, and fellows will regularly refer to this definitive guide in both the operating room and the catheterization lab. It is also an indispensable resource for interventional radiologists, neurologists, vascular neurosurgeons, or for anyone who needs to learn more about these cutting-edge cerebral revascularization techniques.
Cerebral Revascularization - E-Book
Author: Saleem I. Abdulrauf
language: en
Publisher: Elsevier Health Sciences
Release Date: 2010-12-03
Cerebral Revascularization: Techniques in Extracranial-to-Intracranial Bypass Surgery, by Saleem I. Abdulrauf, MD, FACS, offers unmatched expert guidance. Through a series of dynamic, step-by-step instructional videos of the most common and uncommon procedures, you will deepen your understanding of these techniques and be able to confidently perform them. Edited and written by international leaders in neurosurgery, this definitive reference - with a foreword written by M. Gazi Yasargil, MD creator of the procedure – is the first and only text entirely dedicated to this surgery and provides you with exclusive, authoritative information. Access the full text, video library, and reference links to PubMed at www.expertconsult.com. Sharpen your skills in Extracranial-to-Intracranial (EC-IC) Bypass Surgery with help from the first and only text entirely dedicated to this quickly evolving procedure. Get exclusive, first-hand expert knowledge from a an internationally renowned team of editors and contributors, all leaders in cerebrovascular care. See key EC-IC bypass procedures performed in detailed, step-by-step instructional video clips. Access the full text online including the complete video library, reference lists, and additional online-only information at www.expertconsult.com.
Hybrid (combined endovascular and microsurgical) treatments for cerebrovascular diseases
Most cerebrovascular diseases such as intracranial aneurysms (IA), arterio-venous malformations (AVM) or dural fistulas (AVF) can effectively be treated with microsurgical techniques (i.e. clipping) or with endovascular procedures (i.e. coiling). In certain patients, also gamma-knife (radiation) treatment may play a role. Sometimes, the treatment strategy may consist of a staged approach that combines some of the above-mentioned techniques in a serial manner. Likewise, also spinal vascular pathologies (i.e. spinal vascular malformations, spinal dural AV-fistulas or spinal cavernomas) may often be approached with a single treatment modality or, more rare with a staged approach. In selected cases however, simultaneous treatment combining open (micro-)surgical and endovascular procedures in one single hybrid operation may be favorable. So far only few series reported indications, potential benefits, or pitfalls with hybrid approaches in cerebrovascular surgery. This collection aims to summarise reported experiences with hybrid approaches that combine simultaneous endovascular and microsurgical interventions in a setting of vascular diseases in the brain and in the spine. It will put an emphasis on indication, benefits and potential harms of combined diagnostic-therapeutic procedures (i.e. intraoperative control DSA after clipping), advanced endovascular strategies enabled through surgical access (i.e. direct arterial punctuation after previous surgical vessel exposure) or combined therapeutic operations (i.e. proximal control through balloon occlusion during clipping).