Neurointerventional Surgery: Current Status and Future Prospects

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Xianli Lv, MD – Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
Zhongxue Wu, MD – Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China

Series: Surgery – Procedures, Complications, and Results
BISAC: MED085010
DOI: https://doi.org/10.52305/WOPX9620

Endovascular neurosurgery is now the most commonly practiced therapeutic approach for most vascular lesions involving the brain and spinal cord. At the beginning, balloons were the only available techniques; later, coils, embolic agents, and stents were introduced. With expansion of the endovascular devices and techniques, the treatment strategies for cerebrospinal vascular diseases have been refined. Neurosurgeons must have the mindset to embrace and nurture progress and technological advances. This book describes the endovascular diagnosis and treatment of vascular lesions involving the brain and spinal cord using catheters in the DSA (digital subtraction angiography) unite. The field of endovascular neurosurgery has resulted in effective endovascular therapies for carotid-cavernous fistulas(CCFs), intracranial aneurysms, arteriovenous malformations (AVMs), dural arteriovenous fistulas, atherosclerosis of cerebral arteries, acute stroke, carotid artery disease, and vascular tumors of the head, neck, and spinal vascular malformations and tumors. The scope of practice of neurovascular endovascular surgery has become complex, requiring training in specific skill sets and techniques. The evolution of the neuroendovascular field has resulted in the development of program requirements for residency or fellowship education in endovascular neurosurgery.

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Table of Contents

Preface

Chapter 1. Indications for Neurointerventional Surgery
Xianli Lv, MD
Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China

Chapter 2. Radiological Investigations for Vascular Lesions of the Brain
Atul Goel
Department of Neurosurgery, K. E. M. Hospital and Seth G. S. Medical College, Parel, Mumbai, India

Chapter 3. Anaesthetic Considerations during Endovascular Interventions
Harshal Dholke, Ann Campos and Manas Panigrahi
Department of Anaesthesia and Critical Care, Department of Neurosurgery, Krishna Institute Of Medical Sciences, Secunderabad, Telangana, India

Chapter 4. Direct Carotid Cavernous Fistula – Advances in Endovascular Treatments
Manoj Kr. Mahata1
1Department of Interventional Neurology, Bellevue Clinic, Kolkata, India

Chapter 5. Flow Diverters in Neurointerventions
Manas Panigrahi
Department of Anaesthesia and Critical Care, Department of Neurosurgery, Krishna Institute of Medical Sciences, Secundrabad, Telangana, India

Chapter 6. Endovascular Treatments of Aneurysms Co-Existing with Moyamoya Angiopathy
Shambaditya Das1, MD, Souvik Dubey1, DM and Biman Kanti Ray1, DM
1Department of Neurology, Institute of Post Graduate Medical Education & Research, Bangur Institute of Neurosciences, Kolkata, India

Chapter 7. Branch False Diverticulum Caused by Spontaneous Dissection of Intradural Segment of Major Arteries: Angiographic Findings and Endovascular Treatment
Huachen Zhang and Xianli Lv
Neurosurgery Department, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China

Chapter 8. Endovascular Embolization of Brain Arteriovenous Malformations
Xianli Lv
1Department of Neurointervention, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China

Chapter 9. Intracranial Dural Arteriovenous Fistulas
Yigit Can Senol, Batuhan Dereli, Musa Onur Ozbakir and Ergun Daglioglu
Department of Neurosurgery, Ankara Bilkent City Hospital, University of Health Sciences, The Ministry of Health, Ankara, Turkey

Chapter 10. Hybrid, Quasi and Pseudohybrid Surgical Interventions in the Treatment of Complex Multilevel Multifocal Lesions of the Brachiocephalic Arteries
Dmitry Usachev, MD PhD, Anna Shulgina, MD PhD, Vasily Lukshin, MD PhD and Sergey Yakovlev, MD PhD
N. N. Burdenko National Medical Research Center for Neurosurgery, Moscow, Russia

Chapter 11. Endovascular Treatment of Acute Thrombosis of Sinuses of the Brain
Ketevan Mikeladze, MD, PhD and Sergey Yakovlev, MD, PhD
N. N. Burdenko National Medical Research Center for Neurosurgery, Moscow, Russia

Chapter 12. Mechanical Thrombectomy: Techniques and Devices
Zaid Aljuboori1, Samer S. Hoz2, Hayder R. Salih2, Zahraa F. Al-Sharshahi2 and Hagar A. Algburi3
1Department of Neurosurgery, University of Washington, Seattle, WA, USA
2Department of Neurosurgery, Neurosurgery Teaching Hospital, Baghdad, Iraq
3College of Medicine, University of Baghdad, Baghdad, Iraq

Chapter 13. Stentriever Design
Yazan Radaideh MD and Michael Chen, MD
Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA

Chapter 14. Carotid Revascularization with Endovascular Therapy in Patients at Higher Risk of Stroke
Fumitaka Yamane1, Yuhei Michiwaki1, Tatsuya Tanaka1, Akira Matsuno1, Shinya Kohyama2, Takeshi Uno3 and Yuta Oyama3
1
Department of Neurosurgery, International University of Health and Welfare Narita Hospital,
2Department of Endovascular Neurosurgery, Saitama Medical University International Medical Center
3Department of Neurosurgery, Teikyo University School of Medicine

Chapter 15. Application of Inferior Petrosal Sinus Blood Sampling in the Diagnosis of ACTH-Dependent Cushing’s Syndrome
Hongzhen Zhang1, Jian Wang2, Ziyi Zhang3 and Aiyun Liu2
1
Department of Neurosurgery, Dong’e People’s Hospital, Dong’e, Shandong, PR China
2Department of endocrinology, Dong’e People’s Hospital, Dong’e, Shandong, PR China
3Interventional Radiography, Dong’e People’s Hospital, Dong’e, Shandong, PR China

Chapter 16. Complications of Endovascular Treatment of Intracranial Aneurysms and Their Management
Marios Lampros1, George Alexiou1, Spyridon Voulgaris1, Peter Zampakis3 and Vasileios Panagiotopoulos2
1
Department of Neurosurgery, University Hospital of Ioannina, Ioannina, Greece
2Department of Neurosurgery, University Hospital of Patras
3Department of Neuroendovascular Surgery, University Hospital of Patras, Patra, Greece

Index