This book describes the pathoanatomical, pathophysiological, and imaging features of vascular malformations and aneurysms of the brain and the modern, minimally invasive endovascular methods or techniques employed in their treatment. Individual chapters are devoted to venous malformations, capillary telangiectasias and cavernomas, pial arteriovenous malformations, dural arteriovenous malformations, and intracranial aneurysms. Each chapter is subdivided into four principal sections on pathology, clinical presentation, diagnostic imaging, and therapy, ensuring a standardized approach throughout. The book is richly illustrated with numerous informative CT, MR and DSA images.

Professor Fox has undertaken the monumental In his Preface, Dr. Fox has quoted Cannon task of compiling the available data on intracra and Rosenblueth in questioning where to stop nial arterial aneurysms. The magnitude and ex the record. One can only document progress tent of the undertaking attest to the tremen to date-and certainly the advances in this field dous amount of information which has are noteworthy-and then make some cau accumulated in the past few decades and to tious predictions for the future. They have cor the accelerated pace at which the field has ex rectly made note that the overall morbidity panded, particularly since the end of World and mortality of these aneurysm patients re War II. mains unacceptably high, largely as a result of Our heritage can be traced to many sources, the secondary complications of the subarach among whom should be mentioned such nota noid hemorrhage itself. More attention should bles as Willis, Quincke, Blackall, Moniz, Dott, be directed in the future to the recognition of Dandy, Hounsfield, and others. The modern era those patients with unruptured aneurysms and includes a number of investigators and clini those with minimal bleeds. Hopefully infor cians, some of whom have contributed to this mation will be forthcoming as to which indi magnificent tome. The bibliography of over viduals are at risk because of some unusual con 4000 references represents the increasing in genital, metabolic, or acquired defect.

As life expectancy is extended, the incidence and occurrence of Aortic Aneurysms are becoming increasingly common. Until recently, the treatment of aortic disease was primarily surgical, carrying a high mortality rate among the high risk elderly population. In Aortic Aneurysms: Pathogenesis and Treatment, Gilbert R. Upchurch Jr., Enrique Criado, and a panel of distinguished physicians comprehensively assess the rapidly evolving field of aneurysm treatment, focusing on aneurysms of the descending thoracic and abdominal aorta. The discussion of Aortic Aneurysms covers endovascular aortic repair as well as the recent significant improvements in stent graft design. This volume provides a concise and authoritative view of the current state of patient management, serving as a primer on clinical care and surgical procedures for aortic aneurysms. Comprehensive and up-to-date, Aortic Aneurysms: Pathogenesis and Treatment, offers Cardiologists, Vascular Surgeons, and Thoracic and Cardiac Surgeons a multidisciplinary approach to the management and treatment of patients with aortic disease.

This compact book provides step-by-step guidance in the approaches and techniques developed and currently used at the authors’ center in Düsseldorf for the treatment of a variety of aneurysms. All of the described procedures are minimally invasive and of proven efficacy. In order to assist the reader in fully comprehending all aspects of the techniques, they are illustrated through clear graphics instead of complex photos and radiologic imaging. While the rapid development of endovascular treatment means that it is no longer necessary to employ microsurgery for difficult and hidden aneurysms, proficiency in microsurgery remains essential. For example, full mastery of microsurgical techniques is vital in order to treat middle cerebral and peripheral aneurysms efficiently and with minimal trauma. Minimal invasiveness and optimal cosmetic results have become critically important in enabling the microsurgical method to compete with the endovascular method. In documenting “tried and tested” procedures, this book will be invaluable for both established neurosurgeons and residents in neurosurgery.

The first aneurysms explored by such pioneers of neurosurgery as Cushing and Dandy were the giant intracranial aneurysms. These giant aneurysms present many therapeutic difficulties and, because of their unique anatomical features and size, may present in a multitude of ways. With the advent of specialized imaging techniques such as computed tomography (CT), mag netic resonance imaging (MRI) and selective angiography, preoperative diag nosis today is most often accomplished without difficulty. However, com pletely thrombosed giant aneurysms may mimic other lesions with mass effect (such as basilar meningiomas, chordomas or chondromas) and their true anatomical shapes and relations to other cranial structures can only be ascer tained by direct operative inspection. Due to their morphological features (thrombosed, nonthrombosed, par tially thrombosed, fusiform), anatomical variations and difficult locations, giant aneurysms present new challenges for the modern neurosurgeon. Al though microsurgical techniques have rendered direct surgical treatment of giant intracranial aneurysms safer, elimination of the aneurysm without dis turbing the hemodynamics continues to be problematic. Some of these lesions have relatively small necks and can therefore be clipped fairly easily. Others have large necks, are fusiform, or contain perforators; how best to treat these lesions is a question still unresolved by presentday neurosurgery.

Nurse's 5-Minute Clinical Consult: Treatments provides instant access to information on more than 200 medications, surgeries, and other therapies, including key procedural steps and nursing interventions. The quick-glance design enables nurses to review and master any topic in 5 minutes or less. Each treatment is presented on a page or two-page spread. Recurring headings include indications, procedure, complications, nursing diagnoses and patient outcomes, pre-treatment care, post-treatment care, and patient teaching. Icons highlight information that is critical for patient safety and age-related concerns. Illustrated, reproducible patient teaching guides are included for many treatments. Scores of illustrations, photos, and quick-scan tables and charts complement the text.

Cardiovascular disease is the leading cause of morbidity and premature death of modern era medicine. It is estimated that approximately 81 million people in the United States (US) currently have one or more of the many forms of cardiovascular disease, resulting in 1 in every 2.8 deaths, or 900,000 deaths per year. 40% of all deaths in Europe are a result of cardiovascular disease in people under the age of 75. Aneurysms form a significant portion of these cardiovascular related deaths and are defined as a permanent and irreversible localised dilation of a blood vessel greater than 50% of its normal diameter. Although aneurysms can form in any blood vessel, the more lethal aneurysms develop in the cranial arteries, and in the thoracic aorta and abdominal aorta. Frequently aneurysms are undetected and if left untreated may eventually expand until rupture with very high levels of morbidity and mortality. The biomechanics and mechanobiology of aneursymal diseases are not fully understood and this monograph aims to provide new insights into aneurysm aetiology and behavior based on the most recent biomechanics research related to this important topic. The contributors to this volume bring together a unique blend of expertise in experimental, computational and tissue biomechanics relating to aneurysm behavior and enable the reader to gain a fresh understanding of key factors influencing aneurysm behavior and treatment. Biological risk factors such as tobacco smoking, sex, age, hypertension, family history and mechanobiological risk factors such as aneurysm geometry and shape as well as mechanical properties of the diseased tissues are considered in detail as are many of the diagnostic and treatment options.

Through the combination of the latest imaging modalities and microdevice delivery, interventional neuroradiologic techniques are currently revolutionizing the therapy for many of the most common neurological and neurosurgical disorders. Crossing the boundaries of classically delineated medical and surgical specialties including neurosurgery, neuroradiology, and neurology, interventional neuroradiology uses advanced neuroimaging combined with endovascular techniques to guide catheters and devices through blood vessels. These procedures can treat diseases involving structures of the head, neck, and central nervous system. These advances now provide noninvasive treatment for many disorders that were previously treated only with open surgical techniques, and make treatments possible for many patients—who until recently would have had no acceptable therapeutic options. Interventional Neuroradiology discusses CT, MR, and ultrasonographic evaluation of cerebrovascular disease, focusing on current neuroimaging evaluation of disorders. It emphasizes the integration of current neuroimaging information into decision-making and performance practices for neuroendovascular procedures. The book describes clinical techniques and includes the most current technical modifications for the varying devices in use today. Filled with scientifically concise illustrations, the text depicts pertinent neuroanatomy, imaging, and neuroendovascular techniques. Written by a panel of today's leading experts in the field of interventional neuroradiology, this volume demonstrates the potential of these lifesaving techniques.