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Arterial Aneurysms

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Book cover Tutorials in Endovascular Neurosurgery and Interventional Neuroradiology

Abstract

The endovascular treatment of intracranial aneurysms has become the commonest procedure performed by endovascular neurosurgeons and interventional neuroradiologists, since it replaced open neurosurgical clipping. This tutorial covers the causes, histopathology and epidemiology of aneurysms. Their clinical consequences are described in detail with comprehensive descriptions of patient management after subarachnoid haemorrhage, including potential complications of aneurysms rupture, the optimum timing of interventions and natural history. The background research is reviewed, and controversies over screening for, and the management of, asymptomatic aneurysms discussed. Endovascular treatment techniques for all types of intracranial aneurysms, including infectious, blister and giant lesions, are covered as well as the role of recently introduced devices and their indications alongside classical endosaccular coiling. The chapter thus provides an up-to-date review of treatments in this rapidly changing field.

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Notes

  1. 1.

    Galen of Pergamon (AD 129–199) was a Roman physician, surgeon and philosopher.

  2. 2.

    Giovanni Battista Morgagni, 1682–1771, was an Italian anatomist (Padua).

  3. 3.

    John Blackall (1771–1860) was an English physician who consulted at the Devon and Exeter Hospital.

  4. 4.

    António Caetano de Abreu Freire Egas Moniz (or Egas Moniz), 1874–1955, was a Portuguese neurologist who first described cerebral angiography.

  5. 5.

    The subarachnoid space is lined by arachnoid and pia mater and contains approximately 150 ml of CSF, arteries and veins, cranial nerves and fibrous bands between the meningeal layers. The space extends for a variable distance into cerebral sulci and around cerebral arteries and veins as they penetrate the cerebral substance. Cerebrospinal fluid percolates through the space; the prevailing extra ventricular flow is from posterior fossa through the basal cisterns to parasagittal arachnoid villi.

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    James Vincent Byrne

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Byrne, J.V. (2017). Arterial Aneurysms. In: Tutorials in Endovascular Neurosurgery and Interventional Neuroradiology. Springer, Cham. https://doi.org/10.1007/978-3-319-54835-7_8

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