Bookedited by Andrew J. Ringer.
Summary: 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 (approximately 27,000). Intracranial Aneurysms will address the natural history, biology, and basic management principles and treatment of aneurysms. The chapters also explore the unique features of each type or location of aneurysm while considering the medical, surgical, and endovascular options. Contributions are by members of the Endovascular Neurosurgery Research Group, a group of recognized expert neurosurgeons who specialize in cerebrovascular and endovascular management of aneurysms.
Contents:
Part I. Background
1.Cerebrovascular embryology and implications for the pathogenesis of cerebral aneurysms
2. Biology of cerebral aneurysm formation, growth, and rupture
3. Experimental aneurysm models
4. Training standards in neuroendovascular surgery (NES)
Part II. Evaluation and management of aneurysms and SAH
5. Imaging of intracranial aneurysms
6. Surveillance and screening for intracranial aneurysms
7. Severe headache and diagnosis of subarachnoid hemorrhage in the emergency department
8. Evaluation and initial management of subarachnoid hemorrhage
9. SAH of unknown etiology: natural history and further evaluation
10. Critical care management of aneurysmal SAH after the aneurysm is secured
11. Radiographic vasospasm and clinical (symptomatic) vasospasm
12. Delayed neurological injury not from large-vessel vasospasm
Part III. Surgical techniques
13. Anesthesia managmenet of intracranial aneurysms
14. Technical principles of aneurysm clipping
15. Management of complex intracranial aneurysms: principles of microsurgical deconstruction and cerebrovascular bypass
16. Intraoperative neurophysiologic monitoring in brain aneurysm surgery
Part IV. Endovascular techniques
17. Diagnostic angiography techniques and complication avoidance
18. Evolving technologies in the treatment of cerebral aneurysms
19. Platelet inhibition and anticoagulation in endovascular neurosurgery
20. Guide catheter access: basics and solutions to difficult anatomy
21. Basic endovascular techniques: direct, balloon-assisted, and stent-assisted coil embolization
22. Endovascular flow diversion
23. Intra-sacular flow disruption
24. Balloon test occlusion
25. Parent vessel sacrifice in endovascular surgery
26. Complication avoidance during neuroendovascular procedures
27. Complication avoidance and management of endovascular treatments
Part V. Specifics of aneurysm treatment
28. Anterior communicating artery aneurysms
29. Internal carotid artery aneurysms introduction
29a. Specifics of aneurysm treatment: paraclinoid internal carotid artery
29B. Internal carotid aneurysms- communicating segment
29C. Carotid terminus aneurysms
30. Middle cerebral artery
31. Vertebral artery and PICA aneurysms
32. Introduction basilar artery aneurysms
32A. Specifics of treatment for basilar trunk artery aneurysms
32B. Basilar terminus
32C. Posterior cerebral artery/superior cerebellar artery aneurysms
33. Pericallosal aneurysms
34. Specifics of aneurysm treatment distal aneurysms
Part VI. Atypical aneurysms
35. Dissecting intracranial aneurysms
36. Fusiform aneurysms
37. Mycotic cerebral aneurysms
38. Traumatic intracranial aneurysms
39. Blister aneurysms
Index.