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Paraclinoid Aneurysms: Who to Treat with Craniotomy?
Pages 1-16
This concise, easy-to-use book offers expert insights into current controversies in vascular neurosurgery with a view to providing the practitioner with authoritative practical guidance that will assist in the management of difficult disease entities.
While vascular neurosurgery has undergone unprecedented advances during the past decade, enabling safer and easier access to previously untreatable pathology, this progress has been accompanied by confusion as to what constitutes best, or even acceptable, practice. Here, experts in the field discuss the various tools available and explain how best to use them when confronted by different pathologies, drawing upon their personal experience. Each chapter focuses on a specific case that is discussed by two experienced surgeons; a third author then evaluates the case, highlighting the available evidence and pearls in the treatment of that particular disease. The authors have been carefully chosen to provide a truly balanced viewpoint on paradigms that they themselves use. They therefore have a sound understanding of the thought processes of surgeons when dealing with challenging diseases for which there may be no single correct path. Furthermore, they are well placed to identify not only appropriate uses of new treatment options and technologies but also circumstances in which their use is best avoided. The ultimate benefactor of this book will be the patient: our biases as physicians should never become a patient’s morbidity.
Paraclinoid Aneurysms: Who to Treat with Craniotomy?
Pages 1-16
Paraclinoid Aneurysms: Flow Diverters and Endovascular Treatment
Pages 17-53
Treatment Options for Paraclinoid Aneurysms: Discussion
Pages 55-58
Aneurysm Neck Remnants: A Strong Case Can Be Made for Re-treatment
Pages 59-64
Remnant Intracranial Aneurysms: Safety and Feasibility of Observation Over Retreatment
Pages 65-78
Controversies in Vascular Neurosurgery: Aneurysm Remnants
Pages 79-81
Basilar Artery Aneurysm: Role for Open Surgery
Pages 83-92
Craniotomy Is Over for Basilar Artery Aneurysms
Pages 93-108
Treatment of Basilar Artery Aneurysms: Natural Selection and Propagation of Endovascular Techniques
Pages 109-119
Surgical and Radiologic Intervention for Prevention of Ischemic Stroke
Pages 121-129
Whom I Stent
Pages 131-137
Distal Protection for Carotid Artery Stenting: Where Is the Evidence?
Pages 139-145
Carotid Artery Stenosis: Discussion
Pages 147-156
Arteriovenous Malformations: How We Changed Our Practice
Pages 157-164
Discussion
Pages 165-170
Intra-arterial Treatment: Who and When
Pages 171-178
Acute Ischemic Stroke: Discussion
Pages 179-186
Arterial Bypass
Pages 187-194
Cranial Dural AV Fistulas: Making Sense of Who to Treat and How
Pages 195-218
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