Download Controversies in Neurological Surgery: Neurovascular by Michael T. Lawton, Darryl Gress, Randall T. Higashida PDF

By Michael T. Lawton, Darryl Gress, Randall T. Higashida

ISBN-10: 1588903443

ISBN-13: 9781588903440

This textual content presents insights into present developments and arguable matters
regarding cutting-edge suggestions in neurosurgery, interventional
neuroradiology, and endovascular surgical procedure. The authors confront such questions
as: Are unruptured aneurysms controlled so much successfully by means of neurosurgical clipping
or endovascular coiling? Is surgical procedure or endovascular coiling the easiest remedy
for ruptured cerebral aneurysms of the anterior or posterior cerebral
circulation? In coping with arteriovenous malformations and fistulas, may still
clinicians use neurointerventional options or surgical procedure, or a mixture of
both?

Highlights:

  • More than 240 first-class illustrations, figures, and
    radiological pictures reviewing key recommendations
  • Detailed assurance of remedies for ischemic
    ailments, together with extracranial and intracranial atherosclerosis
  • Discussion of the organizational problems with integrating
    subspecialties and coaching subspecialists

This textual content additionally will give you the chance to earn worthy CME credit on-line. Neurosurgeons, neuroradiologists, neurologists, vascular surgeons, and experts will locate the book's balanced assurance of severe present matters in neurosurgery an fundamental relief in making knowledgeable decisions.

(A co-publication of Thieme and the yankee organization of Neurological Surgeons)

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Extra info for Controversies in Neurological Surgery: Neurovascular Diseases

Example text

Selective endovascular treatment of 71 intracranial aneurysms with platinum coils. J Neurosurg 1993;79:3–10 36. Hanner JS, Quisling RG, Mickle JP, et al. Gianturco coil embolization of vein of Galen aneurysms: technical aspects. Radiographics 1988;8:935–946 37. Kinoshita A, Ito M, Skakaguchi T, et al. Mechanical detachable coil as a therapeutic alternative for cerebral aneurysm. Neurol Res 1994;16:475–476 38. Marks MP, Chee H, Liddell RP, et al. A mechanically detachable coil for the treatment of aneurysms and occlusion of blood vessels.

Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. JAMA 1995;273:1421–1428 43. Wholey MH, Eles G. Cervical carotid artery stent placement. Semin Interv Cardiol 1998;3:105–115 44. Yadav JS, Roubin GS, Iyer S, et al. Elective stenting of the extracranial carotid arteries. Circulation 1997;95:376–381 45. Endovascular versus surgical treatment in patients with carotid stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): a randomised trial. Lancet 2001;357:1729–1737 46.

Because coil filling is incomplete even in the most densely packed aneurysms, increased filling may require the use of a different medium. 80 However, the same study suggests that complete filling of the aneurysm is more technically feasible with GDC than with CAP, underscoring the relative benefits of each. Another agent currently under clinical evaluation in the United States is the ethylene vinyl alcohol (EVAL) copolymer dissolved in dimethyl sulfoxide (DMSO). Clinical use of the ethylene vinyl alcohol mixture for aneurysm embolization was first reported by Nishi et al85; the parent vessel was occluded in two of three cases.

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