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Features:- Comprehensively covers the basic mechanisms, history, management and treatment of intracranial aneurysms
- Written for researchers, residents and clinical practitioners in clinical neuroscience, neurology and neurosurgery
- Contains contributions by expert neurosurgeons of the Endovascular Neurosurgery Research Group
Table of Contents:1. Background – i.e. biology, development, risk factors? - a. Vascular Development / Embryology
- b. Biology of Aneurysm formation
- c. Risk factors for aneurysm formation
- d. Experimental Aneurysm Models
2. Evaluation and Management of Aneurysms and SAH - a. Imaging for intracranial aneurysms
- b. Indications and benefits of surveillance for intracranial aneurysms
- c. Indications and benefits of screening for intracranial aneurysms
- d. Workup of SAH
- e. Natural history and evaluation of SAH of unknown cause
- f. Medical and ICU management of SAH
- g. Vasospasm: physiology, prevention and management
3. Surgical techniques - a. Technical principles of aneurysm clipping
- b. Anesthetic techniques
- c. Indications and technique for bypass
- d. Neurophysiological monitoring
- e. Parent artery sacrifice
- f. Complication avoidance and management
4. Endovascular techniques - a. Diagnostic angiography techniques and complication avoidance
- b. Endovascular devices
- c. Anticoagulation and antiplatelets
- d. Endovascular techniques: direct coil, balloon assist, stent assist
- e. Endovascular flow diversion
- f. Balloon test occlusion
- g. Parent artery sacrifice
- h. Complication avoidance and management
5. Specifics of aneurysm treatment (each chp/section will discuss specifics of endo and surg treatment) - a. Anterior communicating artery
- b. Internal carotid aneurysms
i. Carotid cave and paraclinoid
ii. Communicating segment (PComm/A Chor)
iii. Carotid terminus - c. Middle cerebral artery
- d. Vertebral artery/PICA
- e. Basilar artery
i. Trunk aneurysms / AICA
ii. Basilar terminus
iii. PCA / SCA - f. Pericallosal
- g. Distal aneurysms
6. Atypical aneurysms – - a. dissections,
- b. fusiform aneurysms,
- c. mycotic,
- d. traumatic
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