Surgical Neuroangiography: 4 Endovascular Treatment of Cerebral Lesions

ISBN-13: 9783642718663 / Angielski / Miękka / 2011 / 344 str.

Alejandro Berenstein; Pierre Lasjaunias

Opis

Based on the principles of functional vascular anatomy and endovascular treatment described in the first three volumes of Surgical Neuroangiography, Volumes 4 and 5 complete the series that takes a revolutionary approach in endovascular neurosurgery. The authors are world leaders, recipients of numerous prizes in medicine, and can offer the unique fruit of their combined anatomical, clinical and therapeutic experience to investigate and understand the disease process, its anatomical features and its relationship to patients' symptoms and treatment planning. Volume 4 is geared to track the vascular abnormalities of the brain; Volume 5 the vascular abnormalities of the spine and spinal cord. Both volumes identify the specifics of vascular lesions and set the interventional neuroradiological techniques before a background of proper clinical analysis and expertise. Each volume emphasizes the strategy and management objectives from an endovascular perspective taking into consideration a multidisciplinary approach where neurologists, neurosurgeons and neuroradiologists examine the clinical presentation, the diagnostic study and the therapeutic options in a joint decision-making process.

Spis treści

1 Classification of Brain Arteriovenous Malformations.- I. Incidence of Brain Arteriovenous Malformations.- II. Principles of Classification.- III. Classification of CVMs.- 1. Arteriovenous Shunts.- 2. General Appearance of Arteriovenous Shunts.- 3. Multiple BAVMs.- 4. Topographic Analysis.- 5. Angioarchitecture.- IV. Venous Lesions.- 1. Developmental Venous Anomalies.- 2. Cavernous Hemangiomas and Cavernous Malformations.- 3. Occult and Cryptic Malformations.- 4. Sturge-Weber Syndrome.- 2 Clinico-angioarchitectural Correlations.- I. Introduction.- II. Hemorrhage and Angioarchictecture.- III. Cerebral Function and Angioarchitecture of the BAVM.- IV Seizures and Angioarchitecture of the BAVM.- V Systemic and Remote Effects.- VI. Headaches and Angioarchitecture of BAVMs.- VII. AVM and Pregnancy.- 3 Indications and Objectives in the Treatment of Brain Arteriovenous Malformations.- I. Introduction.- II. Hemodynamic Basis of BAVMs.- III. Indications for Treatment of BAVMs.- 1. Age.- 2. Sex.- 3. Lifestyle.- 4. Presenting Symptoms.- IV Location, Size, and Deep Venous Drainage.- V. Associated Lesions.- VI. Therapeutic Modalities.- 1. Surgery.- 2. Radiation.- 3. Curative Embolization.- VII. Combination Treatments.- 1. Preoperative Embolization.- 2. Radiosurgery and Embolization.- 3. Partial Treatment.- 4. Intraoperative Embolization.- 5. Timing of Embolization.- 6. Staging Embolization.- 7. Emergency Embolization.- VIII. Contraindications for Treatment.- IX. Embolization.- X. Complications of Embolization.- XI. Conclusions.- 4 Technical Aspects of Surgical Neuroangiography.- I. Introduction.- II. Patient Preparation.- III. Perioperative Care.- 1. Corticosteroids.- 2. Anticonvulsants.- 3. Puncture Site.- 4. Anesthesia.- 5. Input and Output Monitoring.- 6. Blood Pressure Monitoring.- 7. Heparinization.- 8. Angiographic Investigation.- IV. Functional Evaluation.- 1. Somatosensory Evoked Potentials.- 2. Pharmacological Testing.- V. Catheters and Delivery Systems.- 1. Flow Guided Microcatheters.- 2. Variable Stiffness Microcatheters.- 3. Calibrated Leak Balloons.- 4. Microwires.- VI. Embolic Agents in Cerebral and Spinal Embolization.- 1. Particulate Agents.- 2. Liquid Agents.- VII. Flow Controlled Cerebral Embolization.- 1. Distal Catheterization.- 2. Flow Reversal.- 3. Flow Arrest.- 4. Systemic Hypotension.- 5. Catheter Withdrawal.- VIII. Postoperative Care.- 1. Cerebral AVMs.- 2. Aneurysm.- 3. Spinal AVMs.- IX. Complications of Cerebral Embolization.- 1. Medical Therapy for Acute Stroke.- 2. Hemorrhage.- 3. Distal Embolization.- 4. Arterial Stenosis.- 5. Vasospasm.- 5 Arteriovenous Fistulas of the Brain.- I. Introduction.- II. Systemic and Neurological Manifestations.- 1. Congestive Heart Failure.- 2. Failure to Thrive.- 3. Prominence of CSF Spaces.- 4. Calcifications.- III. Arteriovenous Shunts Involving the Vein of Galen.- 1. Embryology.- 2. Vein of Galen Aneurysmal Malformation.- 3. Vein of Galen Aneurysmal Dilatation.- IV. AVFs of the Brain.- 1. Treatment of Brain AVFs.- References.