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

By Eric Nussbaum, J Mocco

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


A distinctive creation familiarizes readers with a few of the symptoms for those technically difficult systems. Concise chapters then offer thorough assurance of surgical ideas, problems, and results utilizing case examples from the authors' personal collections to aid organize readers for surgical procedure. bettering the textual content all through, operative photos and angiographic pictures sincerely exhibit the pre-, peri-, and postoperative administration of ischemic stroke, huge aneurysms, and the spectrum of advanced cerebrovascular diseases.


Features


  • Extensive assurance of extracranial-intracranial
    pass and the newest in endovascular remedy

  • 369 high quality operative pictures and
    endovascular pictures illustrate key techniques

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

Neurosurgeons, citizens, and fellows will frequently seek advice from 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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Additional resources for Cerebral revascularization: microsurgical and endovascular techniques

Example text

The superficial temporal artery (STA) (star) has been anastomosed to a large MCA branch (arrow) within the Sylvian fissure (C,D). The distal M1 has been sacrificed, and the second, smaller aneurysm has been occluded with a separate clip (E). indd 15 8/2/10 11:40:57 AM F G (just below the star) (F). Delayed postoperative axial T2-weighted MRI demonstrates resolution of the preoperative edema without ischemic injury (G). I Background Fig. 9 (continued) Intraoperative external carotid artery (ECA) angiogram reveals the STA (arrow) filling the distal MCA vasculature with retrograde filling of a small portion of the giant aneurysm neck A B Fig.

2). 25 8/2/10 11:50:49 AM B I Background A C E D Fig. 2 Vertebral angioplasty and stenting. (A) Initial left subclavian and vertebral artery origin angiogram from a 60-year-old woman presenting with episodic complaints of dizziness and lightheadedness. A high-grade (90%) stenosis (arrow) was noted at the left vertebral artery origin secondary to focal plaque at the origin. (B) Static flow is seen with the midcervical portions with the catheter positioned at the origin. The patient had a hypoplastic right vertebral artery that did not appear to provide any supply to the basilar artery.

Classic HHH (hypertensive, hypervolemic, hemodilution) therapy remains the gold standard of treatment 31 8/2/10 11:50:53 AM for a prolonged period often ranging from 5 to 7 days depending on the severity of vascular narrowing. In refractory cases that fail to respond to drug infusion and in those patients demonstrating progressive areas of ischemia despite maximal medical therapy, balloon angioplasty should be considered as a possible option. , Plymouth, MN) to angioplasty the larger involved vessels; such treatment will often provide a durable improvement in the spasm.

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