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Management of Cerebral Aneurysms
By Peter D. LeRoux, MD, H. Richard Winn, MD and David W. Newell
1088 pp., Approx. 800 illustrations, Copyright 2004
Description
Two top neurosurgeons deliver complete, up-to-date guidance on the diagnosis and management of cerebrovascular aneurysms and malformations in this groundbreaking new resource. Stressing a multidisciplinary, team approach, this text presents a wealth of information on the treatment of aneurysms, the management of subarachnoid hemorrhage, techniques to occlude aneurysms*both surgical and endovascular*patient selection, and more.
Key Features
Represents the first book of its kind that describes all aspects of cerebral aneurysms and subarachnoid hemorrhage.
Uses over 400 original images to illustrate nuances of diagnosis and technique.
Features the work of international authors who are experts in their respective fields.
Presents full-chapter coverage of the topics most relevant to practice today: Microsurgical Anatomy of the Anterior Cerebral Circulation (Ch. 3) • Surgical Management of Giant Cerebral Aneurysms (Ch. 42) • Endovascular Equipment and Devices for the Treatment of Intracranial Aneurysms (Ch.55) • Future Endovascular Management of Aneurysms (Ch. 60) • Surgical or Endovascular Treatment of Aneurysms: A Comparison of Techniques (Ch. 61) • and Endovascular Biological Aneurysm Management (Ch. 62).
Reflects the significant advances in understanding the pathophysiology of cerebral aneurysms and the development of innovative techniques (both surgical and endovascular) to occlude aneurysms.
Examines unique aneurysms such as those occurring during pregnancy, in childhood, and in elderly patients • infectious or traumatic aneurysms • aneurysms associated with arterio-venous malformations • multiple aneurysms and subarachnoid hemorrhage of unknown cause.
Table of Contents
LEROUX: MANAGEMENT OF CEREBRAL ANEURYSMS TABLE OF CONTENTS I. BACKGROUND 1. A History of Aneurysm Management and Surgery 2. History of Endovascular Aneurysm Occlusion 3. Microsurgical Anatomy of the Anterior Cerebral Circulation 4. Anatomy - Posterior Circulation 5. Experimental Animal Models of Cerebral Aneurysms 6. Animal Models of Subarachnoid Hemorrhage and Cerebral Vasospasm 7. Pathology of Intracranial Aneurysms 8. Flow Dynamics in Aneurysms 9. Subarachnoid Hemorrhage and the Blood Brain Barrier 10. Pathology & Pathophysiology of Aneurysmal Subarachnoid Hemorrhage 11. Biology of Cerebral Blood Vessels and Blood Flow 12. Genetic and Acquired Reasons for Aneurysm Formation 13. Aneurysms and Subarachnoid Hemorrhage - Epidemiology 14. Natural History of Saccular Cerebral Aneurysms II. EVALUATION AND PERIOPERATIVE CARE 15. Clinical Characteristics of Aneurysms and SAH 16. Imaging of Intracranial Aneurysms and Subarachnoid Hemorrhage 17. Physiologic Assessment of the Aneurysm Patient Using Non-Invasive Techniques 18. The Efficacy and Cost-Effectiveness of Screening for Cerebral Aneurysms 19. Management of Unruptured Aneurysms 20. SAH with Unknown Cause 21. Management of the Ruptured Aneurysm 22. Surgical Timing for the Ruptured Aneurysm 23. Pregnancy and Aneurysms 24. Pediatric Intracranial Aneurysms 25. The Management of Aneurysms Associated with Arteriovenous Malformations 26. Infectious Intracranial Aneurysms 27. Traumatic Aneurysms 28. Subarachnoid Hemorrhage and Cerebral Aneurysms in the Elderly 29. Multiple Intracranial Aneurysms 30. Perioperative and ICU Care of Patients with Aneurysmal Subarachnoid Hemorrhage 31. Vasospasm: Diagnosis and Medical Management 32. Interventional Management of Vasospasm 33. Rehabilitation After Subarachnoid Hemorrhage 34. Cost and Outcomes Analysis III. SURGICAL TECHNIQUES OF ANEURYSM OCCLUSION 35. Anesthesia for Patients with Intracranial Aneurysms 36. Cerebral Protection 37. General Techniques of Aneurysm Surgery 38. Intraoperative Monitoring Techniques During Aneurysm Surgery 39. Temporary Vascular Occlusion During Aneurysm Surgery 40. Cardiac Standstill for Giant Cerebral Aneurysms 41. Bypass and Revascularization for the Treatment of Cerebral Aneurysms 42. Skull Base Approaches for Aneurysm Occlusion 43. Surgical Management of Giant Cerebral Aneurysms 44. Fusiform, Dolichoectatic, and Dissecting Aneurysms: Diagnosis and Management 45. Microsurgical Treatment of Intracavernous Carotid Artery Aneurysms 46. Surgical Treatment of Clinoidal and Ophthalmic Segment Internal Carotid Artery Aneurysms 47. Surgical Treatment of Aneurysms of the Supraclinoid Segment of the Internal Carotid Artery 48. Surgical Treatment of Anterior Cerebral Artery Aneurysms 49. Surgical Treatment of Middle Cerebral Artery Aneurysms 50. Surgical Treatment of Basilar Bifurcation Aneurysms 51. Surgical Treatment of Basilar Trunk Aneurysms 52. Surgical Treatment of Posterior Cerebral and Superior Cerebellar Aneurysms 53. Surgical Treatment of Vertebral and Posterior Interior Cerebellar Artery Aneurysms 54. Intraoperative Aneurysm Rupture 55. Endoscopy and Stereotaxy for Aneurysms IV. ENDOVASCULAR TECHNIQUES OF ANEURYSM OCCLUSION 56. Endovascular Equipment and Devices for the Treatment of Intracranial Aneurysms 57. Endovascular Aneurysm Occlusion: Periprocedural Management 58. Neurointerventional Management of Intracranial Aneurysms 59. Combined Endovascular and Surgical Techniques 60. Future Endovascular Management of Aneurysms 61. Surgical or Endovascular Treatment of Intracranial Aneurysms: A Comparison of Techniques 62. Endovascular Biological Aneurysm
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