By Brugge, Karel G. ter; Geibprasert, Sasikhan; Krings, Timo
That includes entire assurance of the most recent advancements and expertise
in the sphere, Case-Based Interventional Neuroradiology
presents a radical evaluation of
commonly encountered neurovascular ailments, in addition to specified history
information at the cause for every therapy selection. situations middle on
"real existence" eventualities with fine quality photos, and supply readers a concise,
practical, and updated method of the ailments neurointerventionalists face. A separate part
in every one case comprises exchange treatment plans -- together with
medical, surgical, or radiosurgical treatment plans -- in an effort to develop the
reader's knowing of the advantages and drawbacks of remedies
provided via comparable disciplines. Clinicians can quickly refresh their wisdom on
the luck and problems charges of the several therapies utilizing
the updated literature evaluate that includes the most recent references.
- 72 medical instances more advantageous via over 750 top of the range
radiographs hide the whole diversity of vascular and nonvascular neurointerventional
- Interpretations of medical and imaging findings aid
readers to completely comprehend the explanations for the therapy selection and the
specific ambitions to be accomplished
- offers the way to steer clear of problems,
as good as the best way to realize and deal with issues
- Examples of either winning and unsuccessful instances
offer a well-rounded point of view
- Readers are mentioned to hurry fast with sensible
information on imaging findings, the actual examination, epidemiology, differential
diagnoses, remedy modalities, the dangers of exchange remedies, and present
This state of the art compendium is a necessary source for either the start interventionalist and the pro practitioner in radiology, interventional radiology, neuroradiology, and vascular neurosurgery. citizens will locate the succinct presentation of circumstances a useful studying tool.
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Additional info for Case-based interventional neuroradiology
Discussion Background One of the main factors limiting the endovascular treatment of intracranial aneurysms is the shape of the aneurysmal sac, particularly the width of the neck. Wide-necked aneurysms were therefore treated with surgery rather than with endovascular options. The balloon-remodeling technique that was first described by Moret et al in 1997 helped to overcome this problem and expanded the number of aneurysms treatable by endovascular means. Noninvasive Imaging Workup CTA/DSA • • In cases in which the imaging workup demonstrates a wide-necked aneurysm, accessibility for the potential use of a balloon system must be evaluated.
Fig. 1 DSA. Right ICA angiogram in AP view demonstrates vasospasm of the right ICA with stagnation of contrast (upper row). Immediate withdrawal of the guiding catheter results in washout of the contrast (lower row). Radiologic Studies DSA Injection into the right internal carotid artery (ICA) demonstrated significant vasospasm surrounding the tip of the catheter with contrast stagnation in the supraclinoid ICA and delayed washout. The vasospasm was noted during the injection, and the catheter was immediately withdrawn, resulting in a good outflow of the contrast material (Fig.
Incomplete occlusion is, however, more likely to result in compaction, aneurysm recurrence, or even early rebleed. In our experience, balloon assistance is necessary in ~10% of aneurysms, and undoubtedly the use of this technique has increased the number of patients who can be treated with endovascular techniques. As with all endovascular treatments, experience with a device is directly related to periprocedural safety. This implies that general guidelines on whether or not to use these devices cannot be established.