Alejandro Berenstein, Pierre Lasjaunias

Surgical Neuroangiography (eBook, PDF)

5 Endovascular Treatment of Spine and Spinal Cord Lesions

• Format: PDF

Produktbeschreibung

In Volume 5 of Surgical Neuroangiography we will discuss indications and approaches for endovascular treatment of disorders affecting the spine and spinal cord circulations. Our approach is similar to those discussed in volume 2 and 4, it requires integration of knowledge concerning functional vascular anatomy, lesion angioarchitecture, and the relationship between normal and pathological circulations. In AVMs these features are considered as they relate to the clinical presen tation, progression, and natural history of the lesion. All these factors must then be combined with an understanding of technical capabilities to for mulate a pretherapeutic plan designed to favorably affect the long term out come in the individual patient. Endovascular surgery of spinal cord AVMs has become the treatment of choice, while microsurgery is reserved for those cases where embolization fails. Endovascular surgery may be the sole form of treatment, or may be combined with other therapeutic modalities including surgery, chemothera py, or radiation in cases of neoplasms, or may be palliative, to decrease pain or spinal cord compression. As in all other areas a multidisciplinary ap proach is essential for decision making to best accomplish the desired ob jectives.

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Produktdetails

• Verlag: Springer Berlin Heidelberg
• Seitenzahl: 250
• Erscheinungstermin: 6. Dezember 2012
• Englisch
• ISBN-13: 9783642973826
• Artikelnr.: 53149463

Autorenporträt

Alejandro Berenstein, Beth Israel Medical Center, New York, NY, USA / Pierre Louis Lasjaunias, Le Kremlin Bicetre, France / Karel ter Brugge, Toronto Western Hospital, Toronto, Ont., Canada

Inhaltsangabe

of Volumes 2.1 and 2.2.- 1 Occlusive Vascular Disease.- 1.1 Introduction.- 1.2 Arterial Occlusive Disease.- 1.3 Venous Occlusive Disease.- 2 Dural and Bony Tumors.- 2.1 Introduction.- 2.2 Meningiomas.- 2.3 Other Bony and Dural Tumors.- 3 Nasopharyngeal Tumors.- 3.1 Juvenile Angiofibromas.- 3.2 Other Nasopharyngeal Tumors.- 3.3 Conclusion.- 4 Paragangliomas.- 4.1 Introduction.- 4.2 Embryology.- 4.3 Epidemiology.- 4.4 Pathology.- 4.5 Natural History.- 4.6 Clinical Aspects.- 4.7 Differential Diagnosis.- 4.8 Pretherapeutic Evaluation.- 4.9 Therapeutic Strategies.- 4.10 Technical Aspects of Embolization.- 4.11 Complications of Embolization of Paragangliomas.- 5 Other Head and Neck Tumors.- 5.1 Thyrolaryngeal Tumors.- 5.2 Craniofacial Tumors.- 6 Traumatic Arteriovenous Fistulae.- 6.1 Introduction.- 6.2 Traumatic Carotid Cavernous Fistulae.- 6.3 Other Traumatic Arteriovenous Fistulae.- 7 Aneurysmal Vasculopathies.- 7.1 From Aneurysm to Aneurysmal Vasculopathies.- 7.2 Extradural Aneurysms.- 7.3 Intradural Aneurysms.- 7.4 Intradural Artery Dissections.- 7.5 Intradural Giant Saccular and Nonsaccular Arterial Aneurysms.- 7.6 Infectious, Immune, and Inflammatory Intradural Aneurysms.- 7.7 Flow-Related Arterial Aneurysms and Other Aneurysmal Vasculopathies.- 7.8 Therapeutic Management.- 8 Dural A rteriovenous Shunts.- 8.1 Historical Review.- 8.2 Pathophysiology.- 8.3 The Osteodural-Venous Complex.- 8.4 Classification.- 8.5 Clinical Presentation of Dural Arteriovenous Shunts.- 8.6 Natural History.- 8.7 Progression of Symptoms.- 8.8 Pretherapeutic Evaluation.- 8.9 Therapeutic Aspects.- 9 Cerebral Vascular Malformations: Incidence,Classification, Angioarchitecture, and Symptomatology of Brain Arteriovenous and Venous Malformations.- 9.1 Incidence of Cerebral Vascular Malformations.-9.2 Principles of Classification.- 9.3 Classification of Cerebral Vascular Malformations.- 9.3.1 Brain Arteriovenous Shunts.- 9.3.1.1 General Appearance of Arteriovenous Shunts.- 9.3.1.2 Multiple Brain Arteriovenous Malformations.- 9.3.1.3 Topographic Analysis of Brain Arteriovenous Malformations.- 9.3.1.4 Angioarchitecture of Brain Arteriovenous Malformations.- 9.3.1.5 Clinical-Angioarchitectural Correlation in Brain Arteriovenous Malformations.- 9.3.2 Venous Variations,Malformations,and Mixed Lesions.- 9.3.2.1 Developmental Venous Anomalies.- 9.3.2.2 Cavernous Hemangiomas.- 9.3.2.3 Cerebral Cavernous Malformations.- 9.3.2.4 Occult and Cryptic Malformations.- 9.3.2.5 Sturge-Weber Syndrome.- 10 Goals and Objectives in the Management of Brain Arteriovenous Malformations.- 10.1 Introduction.- 10.2 Indications for Treatment of Brain Arteriovenous Malformations.- 10.3 Therapeutic Management Strategy.- 10.4 Embolization.- 11 Spinal Arteriovenous Malformations.- 11.1 Parachordal Arteriovenous Fistulae (Extracranial, Vertebro-Vertebral, Paraspinal, Extradural, and Extraspinal Arteriovenous Fistulae).- 11.2 Spinal Cord Vascular Lesions.- 11.3 Spinal Cord Arteriovenous Malformations.- 11.4 Spinal Cord Hemodynamics.- 11.5 Treatment of Vascular Lesions.- 12 Spinal Dural Arteriovenous Fistulae.- 12.1 Pathology.- 12.2 Pathophysiology.- 12.3 Clinical Presentation of Spinal Dural Arteriovenous Fistulae.- 12.4 Imaging of Spinal Dural Arteriovenous Fistulae.- 12.5 Treatment of Spinal Dural Arteriovenous Fistulae.- 13 Tumors of the Spinal Column and Spinal Cord.- 13.1 Introduction.- 13.2 Spinal Angiography.- 13.3 Angiographic Protocol.- 13.4 Embolization.- 13.5 Benign Tumors.- 13.6 Malignant Tumors.- 13.7 Spinal Cord Tumors.- 13.8 Other Intradural Vascular Tumors and SpinalHemorrhage.- 14 Technical Aspects of Surgical Neuroangiography.- 14.1 Introduction.- 14.2 Patient Preparation.- 14.3 Anesthesia.- 14.4 Arteriotomy Sites.- 14.5 Catheters and Delivery Systems.- 14.6 Guidewires.- 14.7 Embolic Agents.- 14.8 Opacifying Agents.- 14.9 Chemotherapy.- 14.10 Miscellaneous.- 14.11 Flow Control.- 14.12 Postembolization Care.- 14.13 Complications of Embolization.- 14.14 Follow-up.- 14.15 Combined Endovascular Treatments.- 14.16 Techniques of Carotid Angioplasty and Stenting.- References.- Subject Index for Volumes 2.1 and 2.2.- Manufacturers.

Rezensionen

From the reviews: "The presentation of the book is admirable with most chapters beginning with discussion of basic pathophysiology and continuing with clinical aspects and practical advice. ... The authors are careful not to present simply the latest technological advances, but to underpin the book with clinicopathological aspects of vascular disease which they regard as fundamental for the successful management of these difficult cases. ... It functions best as a reference text and has an accessible and easy to use index which helps in this regard." (Justin Cross, Acta Neurochirurgica, 2005)