Microsurgical brain aneurysms: illustrated concepts and cases
Gespeichert in:
| Hauptverfasser: | , , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Berlin [u.a.]
Springer
2015
|
| Schlagworte: | |
| Online-Zugang: | Inhaltstext Inhaltsverzeichnis |
| Beschreibung: | XV, 137 S. Ill., graph. Darst. 254 mm x 178 mm |
| ISBN: | 9783662456781 3662456788 |
Internformat
MARC
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Datensatz im Suchindex
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CONTENTS
1 THE CURRENT STATE OF ANEURYSM MICROSURGERY 1
1.1 CLIP OR COIL? 1
1.2 TO TREAT OR NOT TO TREAT INCIDENTAL ANEURYSMS? 2
1.3 THE ENIGMA OF SECONDARY ISCHEMIC DAMAGE FOLLOWING
SUBARACHNOID HEMORRHAGE 4
1.4 PRIMARY PREVENTION OF ANEURYSM FORMATION 4
REFERENCES 5
2 PATHOPHYSIOLOGY AND ANATOMY 7
2.1 TERMINAL VERSUS LATERAL ANEURYSMS 7
2.2 GEOMETRY OF BIFURCATIONS 9
2.3 ANEURYSM PROJECTIONS AND BLOOD FLOW 14
2.4 SHAPE OF ANEURYSM NECKS 19
2.5 ANEURYSM SIZES 22
2.6 ANEURYSM CONTOURS 23
2.7 NONSACCULAR AND COMPLEX ANEURYSMS 24
REFERENCES 25
3 PERIOPERATIVE MANAGEMENT OF PATIENTS
WITH SUBARACHNOID HEMORRHAGE 27
3.1 GUIDELINES FOR THE ADMISSION 27
3.2 INITIAL ASSESSMENT 27
3.2.1 CLINICAL EXAMINATION 27
3.2.2 COMPUTED TOMOGRAPHY 28
3.2.3 CEREBRAL PERFUSION MONITORING 28
3.2.4 ANGIOGRAPHY 28
3.2.5 EXCEPTIONS 28
3.3 CHOICE OF TREATMENT MODALITY AND TIMING OF SECURING
THE ANEURYSM 29
3.4 INITIAL MANAGEMENT (BEFORE ELIMINATION OF ANEURYSM) . 29
3.4.1 GENERAL MEASURES 29
3.4.2 ANALGESIA AND SEDATION 30
3.4.3 BLOOD PRESSURE CONTROL 30
3.5 PREOPERATIVE MEASURES 30
3.6 POSTOPERATIVE TREATMENT 30
3.6.1 MEDICATION AND FLUID THERAPY 30
3.6.2 CONTROLS 31
3.6.3 MOBILIZATION 31
IX
HTTP://D-NB.INFO/1060265435
X
3.7 TREATMENT OF SYMPTOMATIC VASOSPASM 31
3.7.1 GENERAL CONSIDERATIONS 31
3.7.2 DIAGNOSTICS 32
3.7.3 TREATMENT OF SYMPTOMATIC VASOSPASM
IN THE ICU 32
3.7.4 MANAGEMENT OF HYDROCEPHALUS 33
3.8 TREATMENT OF PATIENTS WITH SAH WITHOUT
AN ANGIOGRAPHICALLY PROVEN SOURCE OF BLEEDING 34
REFERENCES 34
4 SURGICAL APPROACHES 35
4.1 GENERAL PHILOSOPHY AND PROCEDURES 35
4.1.1 APPROACHES 35
4.1.2 CSF DRAINAGE 37
4.1.3 INTRAOPERATIVE MONITORING 38
4.1.4 NEURONAVIGATION 38
4.1.5 POSITIONING 38
4.2 ORBITOCRANIOTOMY FOR ANTERIOR COMMUNICATING
ARTERY ANEURYSMS 38
4.2.1 TYPICAL INDICATIONS 38
4.2.2 ANATOMICAL LANDMARKS 38
4.2.3 POSITIONING AND SKIN INCISION 39
4.2.4 SOFT TISSUE DISSECTION 40
4.2.5 ORBITOCRANIOTOMY 41
4.2.6 DURAL OPENING AND APPROACH 42
4.2.7 CLOSURE 42
4.2.8 PITFALLS AND COMPLICATIONS 42
4.3 FRONTAL INTERHEMISPHERIC APPROACH TO PERICALLOSAL
ARTERY ANEURYSMS 43
4.3.1 TYPICAL INDICATIONS 43
4.3.2 ANATOMICAL LANDMARKS 43
4.3.3 POSITIONING AND SKIN INCISION 43
4.3.4 CRANIOTOMY AND VENTRICULAR DRAINAGE 44
4.3.5 DURAL OPENING AND INTERHEMISPHERIC ACCESS 44
4.3.6 WOUND CLOSURE 45
4.3.7 PITFALLS AND COMPLICATIONS 45
4.4 KEYHOLE APPROACH TO MIDDLE CEREBRAL ARTERY
ANEURYSMS (SYLVIAN CRANIOTOMY) 45
4.4.1 TYPICAL INDICATIONS 45
4.4.2 ANATOMICAL LANDMARKS 45
4.4.3 POSITIONING AND SKIN INCISION 46
4.4.4 CRANIOTOMY 47
4.4.5 DURAL OPENING AND OPENING THE SYLVIAN FISSURE . . 47
4.4.6 WOUND CLOSURE 48
4.4.7 PITFALLS AND COMPLICATIONS 48
4.5 PTERIONAL APPROACH TO INTERNAL CAROTID ARTERY ANEURYSMS. . 48
4.5.1 TYPICAL INDICATIONS 48
4.5.2 ANATOMICAL LANDMARKS 48
4.5.3 POSITIONING AND SKIN INCISION 49
XI
4.5.4 CRANIOTOMY 50
4.5.5 DURAL OPENING AND SPLITTING THE SYLVIAN
FISSURE 50
4.5.6 WOUND CLOSURE 52
4.5.7 PITFALLS AND COMPLICATIONS 52
4.6 PARACONDYLAR APPROACH TO VERTEBRAL ARTERY ANEURYSMS . 52
4.6.1 TYPICAL INDICATIONS 52
4.6.2 ANATOMICAL LANDMARKS 52
4.6.3 POSITIONING AND SKIN INCISION 53
4.6.4 CRANIOTOMY 54
4.6.5 DURAL OPENING AND PONTOMEDULLARY DISSECTION . 54
4.6.6 WOUND CLOSURE 56
4.6.7 PITFALLS AND COMPLICATIONS 56
REFERENCES 56
5 DISSECTION OF THE ANEURYSM AND PRINCIPLES OF CLIPPING 57
5.1 APPROACH TO THE ANEURYSM 57
5.2 OPENING THE CISTERNS 57
5.3 GAINING PROXIMAL CONTROL 57
5.4 DISSECTING THE NECK OF THE ANEURYSM 59
5.5 TEMPORARY CLIPPING, PHARMACOLOGICAL NEUROPROTECTION,
AND INDUCED HYPOTENSION 60
5.6 PILOT CLIPPING 62
5.7 FINAL SOLUTIONS 63
5.8 COMPLEX SOLUTIONS 64
REFERENCES 66
6 ANEURYSMS OF THE ANTERIOR CEREBRAL ARTERY 67
6.1 ANTERIOR COMMUNICATING ARTERY ANEURYSMS 67
6.1.1 GENERAL CONSIDERATIONS 67
6.1.2 DISSECTION OF ANTERIOR COMMUNICATING
ARTERY ANEURYSMS AND CLIPPING 67
6.1.3 SPECIAL CASES 74
6.2 A2-PERICALLOSAL ARTERY ANEURYSMS 75
6.2.1 GENERAL CONSIDERATIONS 75
6.2.2 DISSECTION OF PERICALLOSAL ARTERY ANEURYSMS
AND CLIPPING 76
6.2.3 SPECIAL CASES 77
6.3 PROXIMAL ANTERIOR CEREBRAL ARTERY ANEURYSMS
(A1 ANEURYSMS) 78
6.3.1 GENERAL CONSIDERATIONS 78
6.3.2 DISSECTION AND CLIPPING 78
REFERENCES 79
SUGGESTED READING 79
7 ANEURYSMS OF THE MIDDLE CEREBRAL ARTERY 81
7.1 ANEURYSMS OF THE MIDDLE CEREBRAL ARTERY
MAIN BIFURCATION 81
7.1.1 GENERAL CONSIDERATIONS 81
7.1.2 DISSECTION AND CLIPPING 83
XII
7.2 ANEURYSMS OF THE PROXIMAL MIDDLE CEREBRAL
ARTERY (ML) 84
7.2.1 GENERAL CONSIDERATIONS 84
7.2.2 DISSECTION AND CLIPPING 85
7.3 MIDDLE CEREBRAL ARTERY ANEURYSM WITH INTRACEREBRAL
MASS HEMORRHAGE 85
7.3.1 SPECIFIC CLINICAL CONSIDERATIONS 85
7.3.2 PREOPERATIVE WORK-UP AND MICROSURGICAL
INDICATION 85
7.3.3 POSITIONING AND APPROACH 87
7.3.4 DISSECTION AND CLIPPING 88
7.3.5 POSTOPERATIVE CARE 88
REFERENCES 89
8 ANEURYSMS OF THE INTERNAL CAROTID ARTERY 91
8.1 ICA-OPHTHALMIC ARTERY ANEURYSMS 92
8.1.1 GENERAL CONSIDERATIONS 92
8.1.2 DISSECTION OF ICA-OPHTHALMIC ARTERY
ANEURYSM AND CLIPPING 93
8.1.3 SPECIAL ASPECTS 94
8.2 ICA-POSTERIOR COMMUNICATING ARTERY ANEURYSMS 95
8.2.1 GENERAL CONSIDERATIONS 95
8.2.2 DISSECTION AND CLIPPING 95
8.2.3 ADDITIONAL REMARKS 97
8.3 ICA-ANTERIOR CHOROIDAL ARTERY ANEURYSMS 97
8.3.1 GENERAL CONSIDERATIONS 97
8.3.2 APPROACH AND CLIPPING 98
8.4 GIANT ANEURYSMS OF THE ANTERIOR AND POSTERIOR WALLS 99
8.4.1 GENERAL CONSIDERATIONS 99
8.4.2 EXPOSURE AND CLIPPING 99
8.5 ANEURYSMS OF THE INTERNAL CAROTID ARTERY BIFURCATION 101
8.5.1 GENERAL CONSIDERATIONS 101
8.5.2 DISSECTION AND CLIPPING 101
REFERENCES 103
SUGGESTED READING 103
9 ANEURYSMS OF THE VERTEBRAL ARTERY AND BRANCHES 105
9.1 GENERAL CONSIDERATIONS 105
9.1.1 PICA ANEURYSMS 106
9.1.2 AICA ANEURYSMS 106
9.1.3 DISSECTING ANEURYSMS OF THE VERTEBRAL ARTERY . 106
9.1.4 DOLICHOECTATIC VERTEBROBASILAR ANEURYSMS 107
9.1.5 FEEDER ANEURYSMS WITH CEREBELLAR
ARTERIOVENOUS MALFORMATION 108
9.2 MICROSURGERY OF PICA ANEURYSMS 109
9.2.1 VERTEBRAL ARTERY PICA-ORIGIN ANEURYSMS 109
9.2.2 PARAMEDULLARY AND PERIPHERAL PICA ANEURYSMS. . . 112
REFERENCES 113
XIII
10 SOME COMPLEX ANEURYSMS AND SOLUTIONS 115
10.1 GENERAL CONSIDERATIONS 115
10.2 PARACLINOID GIANT ANEURYSM: BALLOON-ASSISTED
CLIPPING 116
10.3 FUSIFORM ANEURYSM: BYPASS AND COIL OCCLUSION 117
REFERENCES 119
11 PERIPHERAL AND MYCOTIC ANEURYSMS 121
11.1 SACCULAR ANEURYSMS LOCATED AT DISTAL BIFURCATIONS 121
11.1.1 GENERAL CONSIDERATIONS 121
11.1.2 APPROACH AND CLIPPING 121
11.2 MYCOTIC OR INFECTIOUS ANEURYSMS 124
11.2.1 GENERAL CONSIDERATIONS 124
11.2.2 EXPOSURE AND OCCLUSION 124
11.3 AVM FEEDER ANEURYSMS 126
REFERENCES 126
12 QUALITY MANAGEMENT 127
12.1 CONCEPTS OF CLINICAL QUALITY MANAGEMENT 127
12.2 THE QUALITY MANAGEMENT SYSTEM OF THE HHU
DEPARTMENT OF NEUROSURGERY 129
12.2.1 INTERNAL GUIDELINES 129
12.2.2 REPORTING OF MORBIDITY AND MORTALITY 129
12.2.3 CLASSIFICATION OF MORBIDITY AND MORTALITY 129
12.2.4 CRITERIA FOR AMENDMENTS OF GUIDELINES 129
12.2.5 OVERALL MORBIDITY AND MORTALITY RATES 130
12.2.6 CASE FATALITY RATES FOLLOWING ANEURYSMAL
SUBARACHNOID HEMORRHAGE. 131
12.3 MANAGEMENT-RELATED COMPLICATIONS WITH RUPTURED
AND UNRUPTURED ANEURYSMS 131
REFERENCES 131
INDEX 133 |
| any_adam_object | 1 |
| author | Steiger, Hans-Jakob 1953- Etminan, Nima Hänggi, Daniel |
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| spelling | Steiger, Hans-Jakob 1953- Verfasser (DE-588)1145654908 aut Microsurgical brain aneurysms illustrated concepts and cases Hans-Jakob Steiger ; Nima Etminan ; Daniel Hänggi 201502 Berlin [u.a.] Springer 2015 XV, 137 S. Ill., graph. Darst. 254 mm x 178 mm txt rdacontent n rdamedia nc rdacarrier Hirngefäßchirurgie (DE-588)4159931-7 gnd rswk-swf Operationstechnik (DE-588)4215428-5 gnd rswk-swf Minimal-invasive Chirurgie (DE-588)4327907-7 gnd rswk-swf Intrakranielles Aneurysma (DE-588)4131421-9 gnd rswk-swf Intrakranielles Aneurysma (DE-588)4131421-9 s Hirngefäßchirurgie (DE-588)4159931-7 s Minimal-invasive Chirurgie (DE-588)4327907-7 s Operationstechnik (DE-588)4215428-5 s DE-604 Etminan, Nima Verfasser aut Hänggi, Daniel Verfasser aut X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=4813450&prov=M&dok_var=1&dok_ext=htm Inhaltstext DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027975167&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Steiger, Hans-Jakob 1953- Etminan, Nima Hänggi, Daniel Microsurgical brain aneurysms illustrated concepts and cases Hirngefäßchirurgie (DE-588)4159931-7 gnd Operationstechnik (DE-588)4215428-5 gnd Minimal-invasive Chirurgie (DE-588)4327907-7 gnd Intrakranielles Aneurysma (DE-588)4131421-9 gnd |
| subject_GND | (DE-588)4159931-7 (DE-588)4215428-5 (DE-588)4327907-7 (DE-588)4131421-9 |
| title | Microsurgical brain aneurysms illustrated concepts and cases |
| title_auth | Microsurgical brain aneurysms illustrated concepts and cases |
| title_exact_search | Microsurgical brain aneurysms illustrated concepts and cases |
| title_full | Microsurgical brain aneurysms illustrated concepts and cases Hans-Jakob Steiger ; Nima Etminan ; Daniel Hänggi |
| title_fullStr | Microsurgical brain aneurysms illustrated concepts and cases Hans-Jakob Steiger ; Nima Etminan ; Daniel Hänggi |
| title_full_unstemmed | Microsurgical brain aneurysms illustrated concepts and cases Hans-Jakob Steiger ; Nima Etminan ; Daniel Hänggi |
| title_short | Microsurgical brain aneurysms |
| title_sort | microsurgical brain aneurysms illustrated concepts and cases |
| title_sub | illustrated concepts and cases |
| topic | Hirngefäßchirurgie (DE-588)4159931-7 gnd Operationstechnik (DE-588)4215428-5 gnd Minimal-invasive Chirurgie (DE-588)4327907-7 gnd Intrakranielles Aneurysma (DE-588)4131421-9 gnd |
| topic_facet | Hirngefäßchirurgie Operationstechnik Minimal-invasive Chirurgie Intrakranielles Aneurysma |
| url | http://deposit.dnb.de/cgi-bin/dokserv?id=4813450&prov=M&dok_var=1&dok_ext=htm http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027975167&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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