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 skip and endovascular thoughts at the moment available.


A unique creation familiarizes readers with a few of the symptoms for those technically tough tactics. Concise chapters then provide thorough assurance of surgical concepts, 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 photos and angiographic photographs sincerely reveal the pre-, peri-, and postoperative administration of ischemic stroke, sizeable aneurysms, and the spectrum of advanced cerebrovascular diseases.


Features


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

  • 369 high quality operative pictures and
    endovascular photos illustrate key ideas

  • A targeted emphasis at the important position perioperative care performs in optimizing sufferer outcomes

Neurosurgeons, citizens, and fellows will on a regular basis discuss with this definitive consultant in either the working room and the catheterization lab. it's also an integral source for interventional radiologists, neurologists, vascular neurosurgeons, or for a person 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

Sample text

8/2/10 12:00:10 PM Fig. 1 In patients with high bifurcations, aneurysms, or paragangliomas, a high dissection is often required. Illustrated here are some useful techniques, including nasal intubation and an extended cervical incision either in front of or behind the ear depending on surgeon’s desired exposure. With high exposures, branches of the facial, spinal accessory, and vagus nerves are at risk, as is the hypoglossal nerve. indd 37 incision can be extended posterior toward the mastoid or anterior in front of the ear.

When treating basilar artery disease, we have rarely encountered a new small brainstem ischemic insult presumably related to a perforator injury either as a result of the angioplasty forcing plaque across the orifice of a perforator or possibly due to the interstices of a stent crossing a perforator origin. Embolic insult from the angioplasty or the development of acute in-stent thrombus can also occur (Fig. 4). indd 29 3 Indications for Endovascular Revascularization A Fig. 4 Basilar angioplasty and stenting.

Zubkov YN, Nikiforov BM, Shustin VA. Balloon catheter technique for dilatation of constricted cerebral arteries after aneurysmal SAH. indd 35 8/2/10 12:00:10 PM Chapter 4 Carotid Endarterectomy and Extracranial Carotid Reconstruction Fredric B. Meyer The cervical carotid artery pathologies that a neurovascular surgeon will encounter most frequently include carotid stenosis, carotid body tumor, and arterial dissection with delayed pseudoaneurysm formation. Each of these pathologies has its own natural history and hence indications for surgical or endovascular reconstruction.

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