Vascular Neurosurgery

This book aims to cover the majority of neurovascular diseases and management. The first section reviews neurovascular anatomy, the basics of angiography, and the basics of craniotomies for neurovascular diseases. Next, an entire section is devoted to intracranial aneurysms, covering the natural history, subarachnoid hemorrhage, endovascular management, microsurgical management, and vasospasm. Following this, a number of chapters are devoted to stroke including natural history, mechanical thrombectomy, intracranial stenosis, Moyamoya disease, bypass surgery, vertebrobasilar insufficiency, intracerebral hemorrhage, sinus thrombosis, and the surgical and endovascular management of extracranial carotid disease. Next, the text covers vascular malformations including arteriovenous malformation, arteriovenous fistulas, carotid cavernous fistulas, vein of Galen malformations, spinal malformations, and cavernous malformations. Finally, the book discusses a few miscellaneous topics including more recent advances in neurovascular care such as venous sinus stenting for idiopathic intracranial hypertension and middle meningeal artery embolization for subdural hematoma. Written by experts in the field, Introduction to Vascular Neurosurgery provides a comprehensive summary of neurovascular disease and management. The book can be used as a daily reference and serves as a trusted resource for medical students, residents, fellows, and young attendings.

Vascular Neurosurgery, a new volume in the second edition of the classic Neurosurgical Operative Atlas series, is an exquisitely detailed atlas of the surgical approaches to common neurovascular diseases and conditions. Chapters are divided into three main sections including aneurysms and subarachnoid hemorrhage, vascular malformations, and ischemic and other cerebrovascular diseases. In each chapter renowned experts guide the clinician step-by-step through management, providing insights into patient selection, preoperative evaluation, surgical technique, and postoperative management. Highlights: Concise chapters arranged in a consistent format to enhance ease of use Coverage of microsurgical techniques, minimally-invasive approaches, and endoscopy Practical tips on patient positioning, instruments, and how to avoid and manage potential complications More than 300 illustrations, most of them in full-color, demonstrating surgical steps Vascular Neurosurgery is a practical, how-to book for clinicians, fellows, and residents in neurosurgery and vascular surgery. It is an ideal reference to consult in advance of performing a neurovascular procedure or to prepare for the oral board examinations. The American Association of Neurological Surgeons and Thieme have collaborated to produce the second edition of the acclaimed Neurosurgical Operative Atlas series. Edited by leading experts in the field, the series covers the entire spectrum of neurosurgery in five volumes. In addition to Vascular Neurosurgery, the series also features: Neuro-Oncology, edited by Behnam Badie Spine and Peripheral Nerves, edited by Christopher Wolfla and Daniel K. Resnick Pediatric Neurosurgery, edited by James Tait Goodrich Functional Neurosurgery, edited by Philip A. Starr, Nicholas M. Barbaro, and Paul S. Larson

This book is a detailed resource on the technical aspects of pediatric neurosurgery that relate to vascular malformations of the brain and spinal cord. It introduces concepts relevant to cerebrovascular system development and the classification of vascular malformations. Information on a range of disorders is then provided with an emphasis placed on answering frequently asked questions in relation to a particular condition. Therefore, enabling the reader to systematically improve their understanding of how approach treating patients utilizing techniques such as ultrasound and spinal angiography. The chapters, authored by experts in their respective field, provide a standard of care based on current diagnostic and management guidelines for pediatric neurosurgical diseases. Pediatric Vascular Neurosurgery: Technical Nuances in Contemporary Pediatric Neurosurgery (Part 2) is a comprehensive overview of how to approach diagnosing and treating a range of vascular malformations encountered in pediatric patients. The problem-solving approach of this work makes it a valuable addition to the literature and suitable for use by residents, fellows and consultants within pediatrics and allied specialities, including Neurosurgery, Neurology, Neuro-anesthesia, Neuro-critical care and advanced health care providers amongst others.

A state-of-the-art neurovascular surgery atlas from internationally renowned neurosurgeon R. Loch Macdonald Neurosurgical Operative Atlas: Vascular Neurosurgery, Third Edition, by R. Loch Macdonald and expert contributors, reflects the latest advances in endoscopic, endovascular, microsurgical, and bypass techniques used in the treatment of cerebrovascular disease. The entire atlas has been streamlined and updated with new content, including 38 videos that complement the concise step-by-step guidance in the text. The book begins with five chapters on vascular and microsurgical instrumentation and equipment, clipping versus coiling, aneurysm surgery techniques, the pterional approach, and minimally invasive approaches. Disease and procedure-specific chapters are organized by three sections: aneurysms and subarachnoid hemorrhage, vascular malformations, and ischemic and other cerebrovascular disease. Every chapter includes salient tips on patient selection and procedural indications, preoperative information and tests, patient positioning, operative nuances, and postoperative complications. Key Highlights Nearly 300 high-quality color illustrations detail impacted anatomy and procedures The latest techniques for treating a full spectrum of aneurysms, such as ophthalmic segment, supraclinoid internal carotid artery, middle and anterior cerebral artery, basilar and posterior cerebral artery, and others Treatment of vascular abnormalities including arteriovenous malformations, superficial and brainstem cavernous malformations, arteriovenous fistulae, Moyamoya disease, and more Neurosurgical residents will benefit from the firsthand knowledge shared by international masters, while veteran neurosurgeons will glean invaluable insights on cutting-edge endovascular techniques to enhance clinical practice.

This book is a guide dedicated to vascular pathologies affecting the central nervous system. It uses a multiple-choice format with more than 340 genuine MCQs in a convenient format that is ideal for self-study. Seven chapters provide comprehensive coverage of core concepts in vascular neurosurgery. The questions are structured and organized so as to offer a step-by-step description of each disease, from the definition, related anatomy, pathology, clinical features, radiology to surgical decisions and operative tricks. Answers and explanations appear directly below the questions to make reading easy. This book is essential for residents across neurosurgical disciplines as it includes most of the neurovascular information neurosurgical residents need to prepare for their certification exam. It is also beneficial for those seeking a refresher or for those preparing for certification maintenance.

This comprehensive guide brings neurosurgeons up to date with the latest techniques in their field. Each chapter is divided into two parts, discussing the open surgical and endovascular aspects of the treatment. Authored by a Philadelphia-based neurosurgeon, each section covers a different neurovascular disease, including brain aneurysms, arteriovenous malformations, stroke and vascular abnormalities of the spinal cord. New techniques such as glue for aneurysms, flow diversion, acute stroke interventions and future innovations in microneurosurgery and endovascular neurosurgery, are discussed in detail. More than 550 colour images and figures illustrate all the techniques. Key points Comprehensive guide to the latest techniques in neurovascular surgery Covers wide range of neurovascular diseases discussing both open surgical and endovascular aspects of treatment Includes more than 550 colour images, illustrations and figures Authored by Philadelphia-based neurosurgeon

The complex, highly technological field of neurovascular surgery is quickly expanding, encompassing traditional surgical approaches, as well as endovascular and neurointerventional techniques. The last decade has seen increased cross-specialty interest in utilizing minimally invasive techniques to help prevent and treat cerebrovascular disease. Concurrently, there has been important research analyzing the efficacy of surgical methods versus endovascular approaches and the clip versus coil discussion is covered herein. Written by 21st Century pioneers in the field, this second, cutting-edge edition offers the latest science throughout 1,400 pages and a remarkable video library covering anatomy, diagnosis, epidemiology, history, treatment indications, technical nuances, outcomes, and complications. Internationally renowned experts from across the globe share clinical pearls and best practices,from the research lab to the ER to the OR. Medical, surgical, endovascular, cerebral revascularization, bypass surgery, radiation therapy, and other procedures are covered in depth. Evidence-based and transdisciplinary, the second edition covers the full spectrum of neurovascular pathologies,preoperatively and postoperatively,including: Ischemic Stroke and Vascular Insufficiency Cerebral and Spinal Aneurysms Cerebral and Spinal Arteriovenous Fistulae and Malformations Vascular Tumors Carotid Artery Disease Moya-Moya Disease Moya-Moya Disease Revascularization techniques Organized into 11 primary sections, 99 richly illustrated chapters, and more than 140 videos, this volume is an invaluable, one-stop reference tool. It is a must-have for general, vascular and endovascular neurosurgeons; interventional radiologists; neurologists; critical care practitioners; and neuro-rehabilitation specialists.

Endovascular neurosurgery is a recently introduced but rapidly evolving medical field, which uses minimally invasive interventions to treat major life-threatening vascular lesions of the Central Nervous System. Although its history counts less than 15 years of worldwide acceptance, it has rapidly displaced the traditional open neurosurgical techniques, being nowadays the first treatment choice for brain aneurysms and vascular malformations. Thus, the experience of each neuroendovascular center and performer is invaluable, offering the base for learning and teaching the new generation of interventionalists as well as for the evolvement of the method itself. This book presents the basic principles of endovascular neurosurgery starting from clinical cases. Through this close-to-clinical-reality-process, the reader will be able to more thoroughly understand the pathophysiology of the brain and spine vascular lesions as well as the decision-making strategy, related to the indications, endovascular methods and results, finding suggestions and solutions to his/her clinical questions and problems. Besides chapters devoted to CNS vascular embryology and anatomy, clinical cases organized in groups based on the treated lesions are introduced: ruptured and unruptured cerebral aneurysms of the anterior and posterior circulation, side-wall and bifurcation aneurysms, arteriovenous malformations (AVM), dural arteriovenous fistulae (dAVF), arterial stenosis and angioplasty as well as spinal vascular lesions. A separate chapter is devoted to the organization and necessary equipment of the angio room and the department offering neuroendovascular service. This volume will be of interest to neurosurgeons, interventional neuroradiologists, vascular surgeons, neurologists and ICU physicians as well as health care providers who are involved in the diagnosis and management of the vascular lesions of the brain and spine.