Endovascular Treatment of Intracranial Aneurysms

1 Introduction to Intracranial Aneurysms.- 1.1 Introduction.- 1.2 History.- 1.3 Aetiology of Intracranial Aneurysms.- 1.4 Morbid Anatomy: Macroscopic and Microscopic Appearances.- 1.5 Natural History.- References.- 2 Symptomatology.- 2.1 Introduction.- 2.2 Aneurysmal Subarachnoid Haemorrhage.- 2.3 Complications of Subarachnoid Haemorrhage.- 2.4 Symptomatology of Unruptured Intracranial Aneurysms.- 2.5 Anterior Cerebral Circulation Aneurysms.- 2.6 Posterior Cerebral Circulation Aneurysms.- References.- 3 Imaging for Intracranial Aneurysms.- 3.1 Introduction.- 3.2 Detection of Bleeding Due to Intracranial Aneurysm Rupture.- 3.3 Detection of Intracranial Aneurysms Acutely After Subarachnoid Haemorrhage.- 3.4 Imaging for Symptomatic Unruptured and Asymptomatic Aneurysms.- 3.5 Imaging for Endovascular Treatment.- References.- 4 Endovascular Treatments.- 4.1 Development of Treatments.- 4.2 Treatment Types.- References.- 5 Treatment by Endosaccular Packing with the Guglielmi Detachable Coil.- 5.1 Introduction.- 5.2 Electrothrombosis and the Electrolytic Process.- 5.3 The Guglielmi Detachable Coil.- 5.4 Techniques of Coil Embolisation.- 5.5 Delayed Complications and Their Management.- References.- 6 Coil Embolisation of Saccular Aneurysms at Specific Sites.- 6.1 Introduction.- 6.2 Internal Carotid Artery Aneurysms.- 6.3 Aneurysms of the Anterior Cerebral Arteries.- 6.4 Aneurysms of the Middle Cerebral Arteries.- 6.5 Aneurysms of the Posterior Circulation.- 6.6 Posterior Cerebral Artery Aneurysms.- 6.7 Basilar Termination Aneurysms.- 6.8 Basilar Trunk Aneurysms.- 6.9 Vertebral Artery/Posterior Inferior Cerebellar Artery Aneurysms.- References.- 7 Results of Endovascular Treatment.- 7.1 Introduction.- 7.2 Results of Endovascular Treatment of Parent Artery Occlusion.- 7.3 Resultsof Endovascular Treatment by Endosaccular Packing.- 7.4 Conclusions.- References.- 8 Future Developments.- 8.1 Current Development of the GDC Technique.- 8.2 Alternative and Combination Methods of Endosaccular Embolisation.- 8.3 Future Developments.- References.

This volume is a comprehensive review of current endovascular techniques for the treatment of cerebral aneurysms. It is intended to be a practical manual for those practicing, or intending to practice, this rapidly expanding branch of minimally invasive surgery. The authors provide descriptions based on an extensive combined experience of clinical management, technical problems, complications and recent results. The limitations and role of combined extravasular/endovascular techniques are discussed to give a state-of-the-art view of this topic.

Details the management of intra-cranial aneurysms by interventional neuroradiological techniques First book to deal exclusively with this subject Written from the perspective of the endovascular therapist Emphasises practical details in clinical management and surgical techniques