Interventional Neuroradiology

Through the combination of the latest imaging modalities and microdevice delivery, interventional neuroradiologic techniques are currently revolutionizing the therapy for many of the most common neurological and neurosurgical disorders. Crossing the boundaries of classically delineated medical and surgical specialties including neurosurgery, neuroradiology, and neurology, interventional neuroradiology uses advanced neuroimaging combined with endovascular techniques to guide catheters and devices through blood vessels. These procedures can treat diseases involving structures of the head, neck, and central nervous system. These advances now provide noninvasive treatment for many disorders that were previously treated only with open surgical techniques, and make treatments possible for many patients—who until recently would have had no acceptable therapeutic options. Interventional Neuroradiology discusses CT, MR, and ultrasonographic evaluation of cerebrovascular disease, focusing on current neuroimaging evaluation of disorders. It emphasizes the integration of current neuroimaging information into decision-making and performance practices for neuroendovascular procedures. The book describes clinical techniques and includes the most current technical modifications for the varying devices in use today. Filled with scientifically concise illustrations, the text depicts pertinent neuroanatomy, imaging, and neuroendovascular techniques. Written by a panel of today's leading experts in the field of interventional neuroradiology, this volume demonstrates the potential of these lifesaving techniques.

Interventional radiology has seen a dramatic increase in the number of minimally invasive therapies performed. Interventional radiology treatments now play a major role in many disease processes and continues to grow with new procedures added to the armamentarium of the interventional radiologist, almost on a yearly basis. There are many textbooks which are disease specific, which incorporate interventional radiology techniques. These books are important to understand the natural history, epidemiology, pathophysiology and diagnosis of disease processes. However, a detailed handbook that describes the technique of performing the various interventional radiology procedures is a useful addition to have in the Cath Lab, where information can be accessed easily before, during or even after a case. This technique-specific book is primarily of benefit to those in training in general radiology and more specifically for Residents and Fellows who are training in interventional radiology and who may be taking subspeciality certificate examinations in interventional radiology. In addition, this book will be of help to most practicing interventional radiologists, be they be in academic or private practice. This is the kind of book that can be left in the interventional lab and will be of benefit to ancillary staff, such as technicians/radiographers or nurses who are specialising in the care of patients referred to interventional radiology. This volume on neurointervention will enhance the series by expounding on the specific techniques required when working on conditions of the head, neck and spine.

A practical case-based approach to state-of-the-art neurointerventional techniques Featuring comprehensive coverage of the latest developments and technology in the field, Case-Based Interventional Neuroradiology provides a thorough review of commonly encountered neurovascular diseases, as well as detailed background information on the rationale for each treatment choice. Cases center on "real life" scenarios with high-quality images, and offer readers a concise, practical, and up-to-date approach to the diseases neurointerventionalists face. A separate section in each case contains alternate treatment options -- including medical, surgical, or radiosurgical treatment options -- in order to broaden the reader's understanding of the benefits and disadvantages of treatments provided by related disciplines. Clinicians can rapidly refresh their knowledge on the success and complications rates of the different treatment options using the up-to-date literature review featuring the latest references. Features: 72 clinical cases enhanced by over 750 high-quality radiographs cover the full range of vascular and nonvascular neurointerventional diseases Interpretations of clinical and imaging findings help readers to fully understand the reasons for the treatment choice and the specific goals to be achieved Presents tips on how to avoid complications, as well as how to recognize and manage complications Examples of both successful and unsuccessful cases offer a well-rounded perspective Readers are brought up to speed quickly with practical information on imaging findings, the physical exam, epidemiology, differential diagnoses, treatment modalities, the risks of alternate treatments, and current studies This cutting-edge compendium is an essential resource for both the beginning interventionalist and the seasoned practitioner in radiology, interventional radiology, neuroradiology, and vascular neurosurgery. Residents will find the succinct presentation of cases an invaluable learning tool.

Endovascular intervention - using medication and devices introduced through catheters or microcatheters placed into the blood vessels through a percutaneous approach - has emerged as a relatively new minimally invasive approach to treat cerebrovascular disease and possibly intracranial neoplasms. This textbook provides a comprehensive review of principles pertinent to endovascular treatment of cerebrovascular diseases and intracranial tumors, with a detailed description of techniques for these procedures and periprocedural management strategies. Particular emphasis is placed on expert interpretation of the quality of evidence provided and implications for practice related to endovascular procedures. This will be essential reading for clinicians working in interventional neurology and cardiology, endovascular neurosurgery, vascular surgery and neuroradiology.

Interventional Neuroradiology, Volume 179, provides a basic outline of the field of interventional neuroradiology that is accessible to fellows, residents, clinicians and researchers in various disciplines, from diagnostic and interventional radiology to vascular neurology, general and vascular neurosurgery, and vascular biology. This volume offers a timely update to experienced clinical practitioners in a logical, easy-to-follow format. Content includes neurovascular anatomy, vascular biology, neurovascular physiology, vascular imaging, as well as sections on the diagnosis and therapeutic treatment of neurovascular disease. Explores the general scope of current clinical interventional neuroradiology, both for endovascular and percutaneous image-guided diagnosis and interventions in a variety of pathologies Defines basic physiological principles (e.g., cerebral perfusion pressure, intracranial pressure, vasospasm, tissue osmolality) with reference to those most essential to the management of neurovascular diseases Discusses pathophysiology and the unique challenges of pediatric cerebrovascular diseases, as well as endovascular and surgical therapies

The methods of interventional neuroradiology represent a distinct and difficult branch with in the new field of interventional radiology. The editor of this volume, Anton Valavanis, is a pioneer in this area, and one of the outstanding neuroradiologists in the world. Furthermore, he has brought together the foremost scientists and clinical neuroradiologists in the field to present the individual chapters. The book gives an overview ofthe state of the art in interventional neuroradiology. Each of the 12 chapters is devoted to a disease which can be treated by interventional neuroradio logical techniques. Pertinent information is provided on anatomical detail, technical back ground, and clinical aspects; in each case a detailed description of the indications, techniques, and possible complications of interventional neuroradiology is provided. Due consideration is given to the endovascular and nonvascular applications of the techniques. This book is the first comprehensive update of interventional neuroradiology and will acquaint the reader with well-established facts, recent advances, and future perspectives within this new discipline. It will be of special value to those working in neuroradiology but will also prove very helpful for neurosurgeons, neurologists, and ophthalmologists, as well as all physicians and researchers in the clinical neurosciences. We hope that the book will meet with the reception and success that it undoubtedly merits.

Endovascular Interventional Neuroradiology is comprised of selected papers from the prestigious "Stonwin Medical" "Conference," which each summer invites a group of internationally prominent neuroscientists, bioengineers, neurosurgeons, and radiologists to explore and discuss selected topics of neurosurgical investigation. This volume addresses recent advances in endovascular approaches to cerebral circulation, including: Surgical exposure of the superior ophthalmic vein in the management of carotid cavernous fistulas at Johns Hopkins; Current and future perspectives in interventional neuroradiology at New York University; Interventional neuroradiology; Principles of endovascular neurosurgery: N.N. Burdenko Neurosurgical Institute; Intravascular embolization of craniocerebral vascular diseases: Beijing Neurosurgical Institute; and more.