By Fernando L. Gonzalez, Felipe C. Albuquerque, Cameron G. McDougall
Neurointerventional suggestions: methods of the Trade is a pragmatic reference that incorporates center methods utilized in the starting to be neurointerventional subspecialty. The step by step, concise presentation of tactics in addition to unique line drawings and top of the range photographs concisely distill a wealth of data, making it effortless for either beginner and specialist neurointerventionists to study how approaches are played. The ebook comprises over 50 particular methods in addition to vital chapters on entry issues, physiological trying out, and pharmacology within the endovascular suite.
Key Features:
- Written by way of best specialists in neurointerventional practice
- Strong emphasis on hassle avoidance through the text
- Covers either simple and extra advanced neuroendovascular procedures
- Appendices are wealthy with info on catheters, provided in an easy-to-access tabular layout, in addition to vital information on intraoperative neurophysiologic tracking because it applies to neurointerventional procedures
Neurosurgeons and neurointerventionists in any respect degrees, from citizens studying tactics to skilled practitioners wanting a short refresher, will locate this ebook to be a useful source that they are going to seek advice usually in medical practice.
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Additional info for Neurointerventional Techniques: Tricks of the Trade
Example text
B) Unsubtracted angiogram demonstrating the source of the hematoma from a wire perforation of the inferior epigastric artery (arrow). c) Identify the medial one third of the femoral head radiographically using a hemostat placed on the skin of the groin in the anticipated puncture location. In general, the CFA is located 1 cm medial to the center of the femoral head. d) Palpate the femoral artery over this radiographically identified spot (this will be the CFA). 14 e) Inject local anesthesia in the skin and subcutaneous tissues overlying the femoral artery.
Embolization of the cavernous sinus with either coils or liquid embolics is then carried out in the usual fashion. 8. After removal of the catheter, the SOV is ligated distal to the puncture site. 5 Cavernous Sinus Access via Direct Transorbital Puncture 1. Transfemoral access is obtained, and a diagnostic catheter is placed in the ICA. 2. A three-dimensional (3D) computed tomography (CT) scan (DynaCT, Siemens AG, Erlangen, Germany) is obtained with 3D reconstructions in the angiography suite. This 3D reconstruction can be rotated to demonstrate the angle that yields the most effective trajectory to the superior orbital fissure.
In some patients with comorbid or confounding medical conditions, such as severe peripheral vascular disease, aortoiliac occlusion, femoral bypass grafts involving the groin, or pelvic trauma, femoral access is contraindicated or too high risk. In these patients, alternative vascular access should be considered. Alternative neuroendovascular access routes include the brachial artery, radial artery (see Chapter 4, Brachial and Radial Artery Access), and direct carotid artery puncture (see Chapter 5, Direct Access Techniques for Endovascular Procedures).