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Surgery of Vertebrobasilar Aneurysms
It is a great privilege to write the foreword for this classical work of Professor Charles Drake. There is no doubt that intracranial aneurysms have existed since the beginning of time. This terrifying disease of the brain arteries, with its dramatic consequences for the patient, has surely been observed in all human collectives, although clear definition and description in the literature began only 300 years ago. During the last century, clinical signs and symptoms have been carefully observed and analyzed, and 100 years ago, the first attempts were made for surgical treatment, such as the ligature of external and internal carotid and vertebral arteries. With the introduction of angiography...
Vertebrobasilar Ischemia and Hemorrhage
A comprehensive review of vascular disease in the vertebrobasilar circulation by one of the world's leading authorities, fully updated throughout.
Giant Intracranial Aneurysms
The first aneurysms explored by such pioneers of neurosurgery as Cushing and Dandy were the giant intracranial aneurysms. These giant aneurysms present many therapeutic difficulties and, because of their unique anatomical features and size, may present in a multitude of ways. With the advent of specialized imaging techniques such as computed tomography (CT), mag netic resonance imaging (MRI) and selective angiography, preoperative diag nosis today is most often accomplished without difficulty. However, com pletely thrombosed giant aneurysms may mimic other lesions with mass effect (such as basilar meningiomas, chordomas or chondromas) and their true anatomical shapes and relations to other c...
Intracranial Aneurysms
Intracranial aneurysm result from complex interactions between cerebrovascular anatomy, vascular injury, and adaptive remodeling of the arterial wall and represent a cerebrovascular disorder with the potential for substantial morbidity and mortality. Most intracranial aneurysms occur in the larger arteries near the skull base, in or around the circle of Willis, but variants may appear virtually anywhere in the cerebral vasculature. The aneurysm can leak or rupture, causing life-threatening bleeding, and is the most common cause of spontaneous subarachnoid hemorrhage, the third most common form of stroke. Intracranial aneurysms affect about 1 in 10,000 people per year in the United States (ap...
New Insights into the Treatment of Aneurysms with Flow Diverters: Novel Indications and Therapeutic Advances
With the publications of the International subarachnoid aneurysm trial (ISAT), endovascular treatment has become one of the most important treatments of intracranial aneurysms, and was used more and more in clinic settings. However, intracranial complex aneurysms (such as giant aneurysms, wide-necked aneurysms, fusiform aneurysms and dissecting aneurysms) still impose a huge challenge for clinicians. Flow diverter (FD) is a novel device for the treatment of aneurysms based on the understanding of hemodynamic mechanism of aneurysm occlusion. It could divert the blood flow from the aneurysm neck, and promote aneurysm occlusion without inserting coils into the aneurysms. In addition, the FDs had the advantage of simplifying the procedure and relieving the mass effect.
Intracranial Aneurysm Surgery
A simplified guide on the basics of aneurysm surgery from leading vascular surgeons Intracranial Aneurysm Surgery: Basic Principles and Techniques is a highly approachable and user-friendly manual that takes a step-by-step approach to explaining the techniques of aneurysm surgery. Its straightforward format makes it appealing to all levels, from trainees to seasoned practitioners by putting basic information at the reader's fingertips. Special Features: Offers readers a concise, easy-to-follow guide to aneurysm surgery, so neurosurgeons can quickly find the information they need Provides an opportunity for readers to learn the surgical techniques used by senior vascular neurosurgeons with st...
Giant Intracranial Aneurysms
Giant Intracranial Aneurysms discusses the numerous advances in the understanding of the pathophysiology, diagnosis, treatment and outcomes related to this serious and challenging problem. Written by acknowledged leaders in the field, Giant Intracranial Aneurysms is on its way to becoming the standard reference source on the subject for years to come. A sampling of the topics covered in Giant Intracranial Aneurysms include: Morphology and structural pathology Hemodynamics and pathophysiology of giant intracranial aneurysms Clinical manifestations Imaging and diagnostic evaluation Therapeutic strategies and treatment options Giant fusiform and serpentine aneurysms Endovascular treatment (Distributed by Thieme for the American Association of Neurological Surgeons)
Endovascular Treatment of Intracranial Aneurysms
A comprehensive review of current endovascular techniques for the treatment of cerebral aneurysms, this is a practical manual for those practicing, or intending to practice, this rapidly expanding branch of minimally invasive surgery. The authors provide descriptions based on an extensive combined experience of clinical management, technical problems, complications and recent results, and discuss the limitations and role of combined extravasular/endovascular techniques.
Cerebral Aneurysms
Microsurgery has brought about important changes and progress in the treatment of cere bral aneurysms in recent years. Only 12 years ago McKissock, one of the most experienced surgeons in the treatment of aneurysms pompared the results of operative and nonoperative treatment. He found that mortality and morbidity of cerebral aneurysms was not significantly affected by whether the patients have been operated upon or not. This view is held by many neursurgeons, and was confirmed by results of the Co-operative Study in 1969. In the review on treatment of aneurysms in Progress in Neurological Surgery in 1969, techniques such as encasement with plastic compounds, piloinjection, stereotactic coppe...
