Neurovascular Surgery : : Surgical Approaches for Neurovascular Diseases.

Neurovascular Surgery : : Surgical Approaches for Neurovascular Diseases.

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Bibliographic Details
:
July, Julius.
TeilnehmendeR:
Wahjoepramono, Eka J.
Place / Publishing House:Singapore : : Springer,, 2018.
©2019.
Year of Publication:2018
Edition:1st ed.
Language:English
Online Access:
Physical Description:1 online resource (285 pages)
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Table of Contents:
  • Intro
  • Preface
  • Contents
  • About the Editors
  • Contributors
  • Part I: Surgical Approaches
  • 1: Pterional Approach
  • 1.1 Introduction
  • 1.2 Steps of the Approach
  • 1.2.1 Positioning and Preparation
  • 1.2.2 Dissection and Mobilize Temporal Muscle
  • 1.2.3 Craniotomy
  • 1.2.4 Basal Drilling
  • 1.2.5 Opening the Dura and Exposing the Brain
  • 1.2.6 Splitting Sylvian Fissure
  • 1.2.7 Closing
  • 1.3 Indications of the Approach
  • 1.4 Limitations of the Approach
  • 1.5 Complications and How to Avoid
  • References
  • 2: Eyebrow Keyhole Approach in Aneurysm Surgery
  • 2.1 Basic Consept
  • 2.2 Preoperative Planning
  • 2.3 Step of the Approach
  • 2.3.1 Positioning and Preparation
  • 2.3.2 Skin Cut
  • 2.3.3 Mini Craniotomy and Dural Incision
  • 2.3.4 Intradural Dissection
  • 2.3.5 Closure and Bone Flap Replacement
  • 2.4 Complications and How to Avoid
  • 2.5 Limitations
  • Bibliography
  • 3: Fronto-orbito-zygomatic (FOZ) Approach
  • 3.1 Introduction
  • 3.2 Steps of the Approach
  • 3.2.1 Position and Preparation
  • 3.2.2 Skin Incision and Soft Tissue Dissection
  • 3.2.3 Craniotomy and Orbito-zygomatic Osteotomy
  • 3.2.4 Surgical Closure
  • 3.3 Indications of the Approach
  • 3.4 Limitation and Complication and How to Avoid
  • References
  • 4: Lateral Supraorbital Approach
  • 4.1 Introduction
  • 4.2 Steps of the Approach
  • 4.2.1 Positioning
  • 4.2.2 Incision
  • 4.2.3 Craniotomy
  • 4.2.4 Closure
  • 4.3 Indications of the Approach
  • 4.4 Limitation of the Approach
  • 4.5 Complication and How to Avoid
  • Bibliography
  • 5: Interhemispheric Approach
  • 5.1 Introduction
  • 5.2 Steps of the Approach
  • 5.2.1 Positioning
  • 5.2.2 Incision
  • 5.2.3 Craniotomy
  • 5.2.4 Closure
  • 5.3 Indication of the Approach
  • 5.4 Limitation of the Approach
  • 5.5 Complication and How to Avoid
  • Bibliography.
  • 6: Subtemporal Approach
  • 6.1 Introduction
  • 6.2 Steps of the Approach
  • 6.3 Indication of the Approach
  • 6.4 Limitation, Complication, and How to Avoid
  • Bibliography
  • 7: Lateral Suboccipital Approach (Retrosigmoid)
  • 7.1 Introduction
  • 7.2 Steps of the Approach
  • 7.2.1 Positioning of the Head
  • 7.2.2 Skin Incision: Craniotomy
  • 7.2.3 Closure
  • 7.3 Indication of the Approach
  • 7.4 Limitation of the Approach
  • 7.5 Complication and How to Avoid
  • References
  • 8: Transmastoid Approach for Retrolabyrinthine and Translabyrinthine
  • 8.1 Introduction
  • 8.2 Steps of the Surgery
  • 8.2.1 Positioning, Incision, and Bony Landmarks
  • 8.2.2 Mastoidectomy and Retrolabyrinthine Exposure
  • 8.2.3 Translabyrinthine Drilling/IAC
  • 8.2.4 Combined Transpetrosal Approach
  • References
  • 9: Dissection of Extended Middle Fossa and Anterior Petrosectomy Approach
  • 9.1 Introduction
  • 9.2 Standard Middle Fossa Approach
  • 9.2.1 Steps of the Surgery
  • 9.2.1.1 Incision, Craniotomy, and Dural Elevation
  • 9.2.1.2 IAC Drilling
  • 9.2.1.3 IAC Dura Incision and Tumor Removal
  • 9.3 Extended Middle Fossa and Anterior Petrosectomy Approach
  • 9.3.1 Steps of the Surgery
  • 9.3.1.1 Incision, Scalp Reflection, and Craniotomy
  • 9.3.1.2 Dural Elevation and Identification of "Rhomboid" Structure
  • 9.3.1.3 Extradural Bone Removal
  • 9.3.1.4 Dural Opening
  • 10: Basic Endovascular Technique for Aneurysm Coiling
  • 10.1 Introduction
  • 10.2 Indication
  • 10.3 Technical Aspect
  • 10.3.1 Preparation
  • 10.3.2 Vascular Access Phase
  • 10.3.3 Intervention Phase
  • 10.4 Case Illustration
  • References
  • Part II: Surgery for Specific Location of Vascular Lesion or Specific Pathology
  • 11: Surgery of Posterior Communicating Artery Aneurysm
  • 11.1 Sign and Symptoms
  • 11.2 Investigation and Imaging.
  • 11.2.1 The Size of the PCoA Itself
  • 11.2.2 The Direction of Aneurysm Dome
  • 11.2.3 Anterior Clinoidectomy
  • 11.3 Steps of the Surgery
  • 11.3.1 Position, Skin Incision, and Craniotomy
  • 11.3.2 Dural Opening and Dissection
  • 11.3.3 Closing
  • 11.4 Expert Opinion/Suggestion to Avoid Complication
  • 11.5 Things to Be Observed and Postoperative Care/Follow-Up
  • References
  • 12: Surgery of IC-Anterior Choroidal Aneurysms
  • 12.1 Signs and Symptoms
  • 12.1.1 Anatomy
  • 12.1.2 Variants
  • 12.2 Preoperative Investigation
  • 12.3 Presurgical Preparation
  • 12.3.1 Approach
  • 12.4 Surgical Steps
  • 12.5 Complication Management and Avoidance
  • 12.6 Postoperative Care and Follow-Up
  • 12.6.1 Pearls
  • References
  • 13: Surgery of Paraclinoid Aneurysm
  • 13.1 Signs and Symptoms
  • 13.1.1 Case Illustration One
  • 13.1.2 Case Illustration Two
  • 13.2 Investigation
  • 13.3 Preoperative Preparation
  • 13.3.1 Neuroimaging Examinations
  • 13.3.2 Suction Decompression
  • 13.3.3 Bypass Procedure (Revascularization)
  • 13.3.4 Intraoperative Angiography
  • 13.3.5 Spinal Drainage
  • 13.3.6 Intraoperative Monitoring
  • 13.3.7 Instruments for Anterior Clinoidectomy
  • 13.3.8 Approach
  • 13.4 Steps of the Surgery
  • 13.4.1 Patient Position
  • 13.4.2 Skin Incision
  • 13.4.3 Craniotomy
  • 13.4.4 Opening the Optic Canal and then Complete Removal of ACP
  • 13.4.5 Removing Optic Strut to Insert the Clip Blades
  • 13.4.6 Open the Dura and Sylvian Fissure Dissection
  • 13.4.7 Cutting Falciform Ligament and DDR
  • 13.4.8 Clip Application
  • 13.4.9 Suction Decompression (If Necessary)
  • 13.4.10 Hemostasis and Closure
  • 13.5 Expert Opinion/Suggestion to Avoid Complication
  • 13.5.1 Avoiding Visual Disturbance (Optic Nerve Injury)
  • 13.5.2 Avoiding CSF Leakage (Rhinorrhea)
  • 13.5.3 Intraoperative Rupture of the Aneurysm.
  • 13.5.4 Occlusion and Injury of Ophthalmic Artery or ICA
  • 13.6 Things to Be Observed and Postoperative Care/Follow-Up
  • References
  • 14: Surgery of Anterior Communicating Artery Aneurysms
  • 14.1 Sign and Symptoms
  • 14.2 Investigation
  • 14.2.1 Aneurysm Projections
  • 14.2.2 A2 Fork
  • 14.3 Preoperative Preparation
  • 14.3.1 Approach
  • 14.4 Steps of the Surgery
  • 14.4.1 Proximal Control Clipping
  • 14.4.2 Gyrus Rectus Resection
  • 14.4.3 Aneurysm Dissection and Clipping
  • 14.4.4 Superior Projecting Aneurysms
  • 14.4.5 Anterior Projecting Aneurysms
  • 14.4.6 Inferior Projecting Aneurysms
  • 14.4.7 Posterior Projecting Aneurysms
  • 14.5 Surgeon Plan to Handle the Complication
  • 14.6 Expert Opinion/Suggestion to Avoid Complication
  • 14.7 Things to Be Observed and Postoperative Care/Follow-Up
  • References
  • 15: Surgery of Middle Cerebral Artery (MCA) Aneurysm
  • 15.1 Sign and Symptoms
  • 15.2 Investigation and Imaging
  • 15.3 Preoperative Preparation and Simulation
  • 15.4 Steps of the Surgery
  • 15.4.1 Position (Fig. 15.2)
  • 15.4.2 Skin Incision (Fig. 15.3)
  • 15.4.3 Craniotomy (Fig. 15.3)
  • 15.4.4 Dural Incision (Fig. 15.3)
  • 15.4.5 Dissection of Sylvian Fissure
  • 15.4.6 Selection of Proximal and Distal Approach
  • 15.4.7 Proximal Approach (From ICA to M1 Approach)
  • 15.4.8 Distal Approach (From M2 to M1 Approach)
  • 15.4.9 Dissection of the Aneurysm and Neck Clipping
  • 15.4.10 Dural Closure
  • 15.5 Surgeon Plan to Handle the Complication
  • 15.6 Expert Opinion/Suggestion to Avoid Complication
  • 15.7 Things to Be Observed and Postoperative Care/Follow-Up
  • References
  • 16: Surgery of Posterior Cerebral Artery Aneurysm
  • 16.1 Sign and Symptoms
  • 16.2 Investigation
  • 16.3 Preoperative Preparation
  • 16.3.1 Approach
  • 16.4 Steps of the Surgery
  • 16.5 Surgeon Plans to Handle the Complication.
  • 16.6 Expert Opinion/Suggestion to Avoid Complication
  • 16.7 Things to Be Observed and Postoperative Care/Follow-Up
  • References
  • 17: Surgery of Upper Basilar Artery Aneurysm
  • 17.1 Signs and Symptoms
  • 17.2 Investigation
  • 17.3 Preoperative Preparation
  • 17.3.1 Approach
  • 17.3.1.1 Extradural Temporopolar Approach ETA
  • 17.3.1.2 Patient Position, Skin Incision, and Craniotomy
  • 17.4 Steps of the Surgery
  • 17.5 Specific Plans to Handle Complications and Expert Opinion
  • 17.5.1 How to Avoid Heat Injury During Skull Base Drilling
  • 17.5.2 How to Control Bleeding from the Cavernous Sinus
  • 17.6 Important Observations and Postoperative Care
  • References
  • 18: Surgery of Superior Cerebellar Artery Aneurysm (SCA)
  • 18.1 Signs and Symptoms
  • 18.2 Investigation
  • 18.3 Preoperative Preparation
  • 18.4 Steps of Surgery
  • 18.5 Expert Opinion/Suggestion to Avoid Complication
  • 18.6 Postoperative Measures
  • References
  • 19: Surgery of Posterior Inferior Cerebellar Artery (PICA) Aneurysm
  • 19.1 Sign and Symptoms
  • 19.2 Investigation and Vascular Anatomy
  • 19.3 Steps in Surgery
  • 19.4 Expert Opinion
  • References
  • 20: Surgery of Giant Aneurysm
  • 20.1 Sign and Symptoms
  • 20.2 Investigation
  • 20.3 Steps of Surgery
  • 20.3.1 Surgical Approach
  • 20.3.2 Endovascular Approach
  • 20.4 Expert Opinion/Suggestion to Avoid Complication
  • References
  • 21: Surgery of Posterior Fossa AVM
  • 21.1 Signs and Symptoms
  • 21.1.1 Location
  • 21.1.2 Signs and Symptoms
  • 21.2 Investigation
  • 21.2.1 Approach
  • 21.3 Modalities of Treatment
  • 21.3.1 Endovascular Techniques
  • 21.3.2 Radiotherapy
  • 21.3.3 Microsurgery
  • 21.4 Steps of the Surgery
  • 21.4.1 Supracerebellar Approach [20]
  • 21.4.1.1 Positioning
  • 21.4.1.2 Incision and Craniotomy
  • 21.4.1.3 Dural Opening
  • 21.4.2 Retrosigmoid Approach [20].
  • 21.4.2.1 Positioning.

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