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

This textual content offers insights into present traits and arguable matters
regarding cutting-edge ideas in neurosurgery, interventional
neuroradiology, and endovascular surgical procedure. The authors confront such questions
as: Are unruptured aneurysms controlled such a lot successfully by way of neurosurgical clipping
or endovascular coiling? Is surgical procedure or endovascular coiling the simplest remedy
for ruptured cerebral aneurysms of the anterior or posterior cerebral
circulation? In handling arteriovenous malformations and fistulas, should still
clinicians use neurointerventional strategies or surgical procedure, or a mixture of


  • More than 240 first-class illustrations, figures, and
    radiological photographs reviewing key innovations
  • Detailed assurance of remedies for ischemic
    illnesses, 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 precious CME credit on-line. Neurosurgeons, neuroradiologists, neurologists, vascular surgeons, and experts will locate the book's balanced insurance of severe present concerns in neurosurgery an crucial relief in making proficient decisions.

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

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Extra resources for Controversies in Neurological Surgery: Neurovascular Diseases

Sample text

Am Heart J 2000;139:359–370 Ross AM, Coyne KS, Reiner JS, et al. A randomized trial comparing primary angioplasty with a strategy of short-acting thrombolysis and immediate planned rescue angioplasty in acute myocardial infarction: the PACT trial. PACT investigators. Plasminogen-activator Angioplasty Compatibility Trial. J Am Coll Cardiol 1999;34: 1954–1962 Smith WS, Sung G, Starkman S, et al. Safety and efficacy of Mechanical embolectomy in acute ischemic stroke: results of the MERCI trial. Stroke 2005;36:1432–1438 Hebert PR, Gaziano JM, Chan KS, et al.

The internal carotid artery, therefore, immediately proximal to the ophthalmic artery, was then occluded with multiple coils. (C) Complete occlusion of the fistula is shown. 12 SECTION I ■ Trends in Neurovascular Medicine (CEA), first performed successfully in 1953 by Dr. Michael DeBakey,40 is one of the most widely performed surgical procedures in the United States. 41,42 The North American Symptomatic Carotid Endarterectomy Trial (NASCET; published in 1991)41 included patients under the age of 79 years who had experienced a transient retinal or cerebral ischemic attack or a nondisabling stroke within the past 120 days.

Management of Intracranial Arteriovenous Malformations Endovascular embolization procedures have undergone dramatic evolution and improvement in recent years. The role of endovascular embolization in the treatment of AVMs is increasing as procedural safety and durability are demonstrated. The future of AVM embolization will involve a combination of advances in embolic materials, imaging technology, catheter designs, and embolization strategies. Embolic Materials and Catheter Designs A wide variety of embolic materials has been used for endovascular embolization of brain AVMs.

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