Trends in Cerebrovascular Surgery and Interventions.

• Superior document: Acta Neurochirurgica Supplement Series ; v.132
• Author: Esposito, Giuseppe.
• TeilnehmendeR: Regli, Luca.; Cenzato, Marco.; Kaku, Yasuhiko.; Tanaka, Michihiro.; Tsukahara, Tetsuya.
• Place / Publishing House: Cham : : Springer International Publishing AG,, 2021.; ©2021.
• Year of Publication: 2021
• Edition: 1st ed.
• Language: English
• Series: Acta Neurochirurgica Supplement Series
• Physical Description: 1 online resource (143 pages)

Table of Contents

Intro -- Contents -- History of the European-Japanese Cerebrovascular Congress -- Part I: Intracranial Aneurysms -- When Is Diagnostic Subtraction Angiography Indicated Before Clipping of Unruptured and Ruptured Intracranial Aneurysms? An International Survey of Current Practice -- Introduction -- Methods -- Survey Development and Distribution -- Data Analysis -- Results -- Baseline Characteristics of Survey Responders -- Impact of Aneurysm Location and Rupture Status -- Impact of Surgeon Experience on Decision to Perform a Preoperative DSA -- Factors Influencing the Decision to Perform a Preoperative DSA -- Discussion -- Limitations -- Conclusion -- Appendix: Survey Questions -- References -- Current Strategies in the Treatment of Intracranial Large and Giant Aneurysms -- Introduction -- Reconstructive Techniques -- Clipping and Clip Reconstruction -- Coil Embolization -- Stent-Assisted Coiling -- Flow Diversion -- Deconstructive Techniques -- Parent Artery Occlusion -- Parent Artery Occlusion in Conjunction with Bypass Surgery -- Conclusion -- References -- Computational Fluid Dynamics for Cerebral Aneurysms in Clinical Settings -- Introduction -- CFD Process for Cerebral Aneurysms -- Rupture Status -- Hyperplastic Remodeling of Aneurysm Wall -- Recurrence of Coiled Aneurysms -- Conclusions -- References -- Microneurosurgical Management of Posterior Inferior Cerebellar Artery Aneurysms: Results of a Consecutive Series -- Introduction -- Materials and Methods -- Results -- Illustrative Cases -- Discussion -- References -- Posterior Circulation Aneurysms: A Critical Appraisal of a Surgical Series in Endovascular Era -- Introduction -- Materials and Methods -- Results -- Patients Demographics and Clinical Data -- Surgery -- Approach Selection -- Direct vs. Indirect Treatment -- Temporary Clipping and Neurophysiological Monitoring.

Technological Adjuvants and Flow Assessment Techniques -- Neurological Outcome -- Angiographic Outcome -- Illustrative Case -- Discussion -- References -- Microneurosurgery for Paraclinoid Aneurysms in the Context of Flow Diverters -- Introduction -- Materials and Methods -- Results -- Demographics and Clinical Data -- Surgery -- Approach Selection and Proximal Hemodynamic Control -- Direct vs. Indirect Treatment -- Temporary Clipping and Neurophysiological Monitoring -- Technological Adjuvants and Flow Assessment Techniques -- Neurological Outcome -- Visual Outcome -- Angiographic Outcome -- Illustrative Cases -- Discussion -- References -- Part II: Cerebral Revascularization -- Characteristic Pattern of the Cerebral Hemodynamic Changes in the Acute Stage After Combined Revascularization Surgery for Adult Moyamoya Disease: N-isopropyl-p-[123I] iodoamphetamine Single-Photon Emission Computed Tomography Study -- Introduction -- Materials and Methods -- Inclusion Criteria of Patients and Surgical Procedure -- Postoperative CBF Measurement and Perioperative Management Protocol -- Results -- Discussion -- References -- Outcomes of Balloon Angioplasty and Stenting for Symptomatic Intracranial Atherosclerotic Stenosis at a High Volume Center -- Introduction -- Materials and Methods -- Results -- Discussion -- References -- Part III: Arteriovenous Malformations and Dural Arteriovenous Fistulas -- Living with a Brain AVM: A Quality of Life Assessment -- Introduction -- Methods and Materials -- Results -- Results of the EQ-5D-5L Descriptive System -- Mobility -- Self-Care -- Usual Activity -- Pain and Discomfort -- Anxiety and Depression -- Impact of the Different Factors on QOL -- Results of the EQ-5D-5L VAS -- Discussion -- References -- Complications in AVM Surgery -- Direct Lesion of an Eloquent Area -- Postoperative Hematoma -- Postoperative Hyperemia.

Conclusions -- References -- Surgical Simulation with Three-Dimensional Fusion Images in Patients with Arteriovenous Malformation -- Introduction -- Methods -- Results -- Discussion -- Conclusions -- References -- Surgical Treatment of Unruptured Brain AVMs: Short- and Long-Term Results -- Introduction -- Materials and Methods -- Results -- Discussion -- References -- Maximum Nidus Depth as a Risk Factor of Surgical Morbidity in Eloquent Brain Arteriovenous Malformations -- Introduction -- Material and Methods -- Patient Selection -- Diagnosis and Treatment Strategy -- Outcome Parameters -- Statistical Analysis -- Results -- Patient Demographics and BAVM Characteristics -- Outcomes -- Univariate and Multivariate Analyses of Predictors of Surgical Morbidity for Rolandic BAVM -- Optimal Cut-off Values for Surgical Morbidity -- Discussion -- Nidus Depth as a New Indicator of Surgical Risk for Eloquent BAVM -- Optimal Cutoff Value of Maximum Nidus Depth for Surgical Morbidity -- References -- Brain Arteriovenous Malformations Classifications: A Surgical Point of View -- Introduction -- Classification Schemes on AVM Operability -- Pre-Spetzler-Martin (S-M) Classifications -- Spetzler-Martin Classification and Following Edits -- Other Operative AVM Classification Schemes -- Topographic AVM Classifications -- Conclusions -- References -- The Preoperative Functional Downgrading of Brain AVMs -- Introduction -- Material and Methods -- Results -- Prevalence of Grade III Types -- Technical Caveats of the Preoperative Functional Downgrading of AVMs -- Effectiveness of the Staged Embolization -- Safety of the Staged Embolization -- Neurological and Angiographic Overall Outcome -- Illustrative Case -- Discussion -- References -- Intracranial Dural Arteriovenous Fistulas: The Sinus and Non-Sinus Concept -- Introduction -- Our Experience -- Illustrative Cases.

Surgical Results -- Discussion -- Conclusions -- References -- Complications of Endovascular Treatment of Intracranial Dural Arteriovenous Fistulas -- Complication of Transarterial Embolization (TAE) -- Migration Via the Arterial Anastomosis -- Migration to the Venous Side -- Ischemia of the Vasa Nervosum -- Complication of Transvenous Embolization (TVE) -- Mass Effect to the Cranial Nerves -- Venous Infarction and Bleeding -- References -- Spinal Dural AVFs: Classifications and Advanced Imaging -- Introduction -- Materials and Methods -- MR Imaging and Contrast-Enhanced MR-DSA -- 3D-CT -- DSA and High-Resolution CBCT -- Results -- Discussion -- Classification of SDAVFs Based on the Advanced Images in Terms of the Embryological Origin of the Dura Mater -- Conclusions -- References -- Part IV: Miscellaneous -- Intraoperative BOLD-fMRI Cerebrovascular Reactivity Assessment -- Introduction -- Materials and Methods -- Results -- Discussion -- References -- The Hybrid Neurosurgeon: The Japanese Experience -- Introduction -- Materials and Methods -- Results -- Illustrative Cases -- Discussion -- Conclusions -- References.