By Erol Veznedaroglu
This concise, easy-to-use e-book bargains professional insights into present controversies in vascular neurosurgery in order to offering the practitioner with authoritative useful information that might help in the administration of adverse ailment entities.
While vascular neurosurgery has passed through unparalleled advances prior to now decade, allowing more secure and more uncomplicated entry to formerly untreatable pathology, this growth has been followed by means of confusion as to what constitutes most sensible, or perhaps appropriate, perform. right here, specialists within the box talk about a few of the instruments on hand and clarify how most sensible to take advantage of them while faced through diverse pathologies, drawing upon their own event. every one bankruptcy specializes in a selected case that's mentioned through skilled surgeons; a 3rd writer then evaluates the case, highlighting the to be had proof and pearls within the remedy of that individual affliction. The authors were rigorously selected to supply a very balanced point of view on paradigms that they themselves use. They accordingly have a valid knowing of the idea procedures of surgeons while facing not easy ailments for which there is no unmarried right direction. in addition, they're good positioned to spot not just acceptable makes use of of recent healing procedures and applied sciences but in addition situations during which their use is better kept away from. the last word benefactor of this e-book could be the sufferer: our biases as physicians should not develop into a patient’s morbidity.
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Additional info for Controversies in Vascular Neurosurgery
Acute visual loss after open surgery may be caused by occlusion of the ophthalmic artery, ischemia to the optic nerve secondary to perforator injury or manipulation of the nerve, or retinal ischemia [35,36]. In an endovascular series, the use of platinum coils alone to embolize paraclinoid aneurysms in patients presenting with visual field defects did not result in significant improvement of vision . Inflammation following coiling and new thrombus formation post-coiling were suspected as the commonest reasons for non-improvement or deterioration in vision.
The paraophthalmic segment is the transition intracranially and therefore aneurysmal rupture may present as a subarachnoid hemorrhage. Paraophthalmic aneurysms may also present as cranial neuropathies including visual field defects from direct optic nerve compression. This segment is also the most tortuous intracranial segment, and aneurysm catheterization and optimal wall apposition of intracranial stents, including flow diverters, can be challenging. Although the ophthalmic artery frequently has a dual supply from both internal and external carotid arteries, retinal artery occlusion is a wellrecognized complication following treatment of paraophthalmic aneurysms.
72. Ma D, Xiang J, Choi H, et al. Enhanced aneurysmal flow diversion using a dynamic push-pull technique: an experimental and modeling study. AJNR Am J Neuroradiol. 2014;35:1779–85. 73. Shapiro M, Raz E, Becske T, et al. Building multidevice Pipeline constructs of favorable metal coverage: a practical guide. AJNR Am J Neuroradiol. 2014;35:1556–61. 74. Puffer RC, Kallmes DF, Cloft HJ, et al. Patency of the ophthalmic artery after flow diversion treatment of paraclinoid aneurysms.