By Duke Samson, H. Hunt Batjer, Jonathan White, Talmadge Trammell, Christopher S. Eddleman
Praise for this book:
Intracranial Aneurysm Surgery makes use of a fascinating and conversational writing type to make advanced options effortless to appreciate and comprises attractive illustrations that elucidate aneurysm surgical procedure options. i might suggest this booklet as a necessary addition to any younger neurosurgeons library. -- AANS Newsletter
Intracranial Aneurysm surgical procedure: simple rules and Techniques is a hugely approachable and elementary handbook that takes a step by step method of explaining the concepts of aneurysm surgical procedure. Its common structure makes it beautiful to all degrees, from trainees to professional practitioners by way of placing easy info on the readers fingertips.
- Offers readers a concise, easy-to-follow advisor to aneurysm surgical procedure, so neurosurgeons can quick locate the data they want
- Provides a chance for readers to profit the surgical options utilized by senior vascular neurosurgeons with stellar reputations in either open and endovascular remedy of aneurysms
- Uses a fascinating and conversational writing sort to make complicated recommendations effortless to appreciate
- Introduces the authors key guiding ideas, together with their philosophy of the working room and talent development, which are specifically helpful for trainees
- Includes appealing unique illustrations that elucidate aneurysm surgical procedure techniques
Mastering the techniques offered in Intracranial Aneurysm surgical procedure: easy rules and Techniques won't merely aid younger surgeons research their craft from hugely revered experts, yet also will extend their technical talents and realizing of the breadth of neurosurgical aneurysm pathology.
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Extra resources for Intracranial Aneurysm Surgery: Basic Principles and Techniques
9â•… Dissection of the posterior lateral aspect of ICA. Once this plane has been established, the choroidal artery ceases to be a concern when dealing with nongiant PCOMM aneurysms, because the vessel’s superiorly directed course takes it quickly out of any reasonable clip trajectory. When operating on an anterior choroidal aneurysm, the sequence is slightly different. Proximal control is obtained at the same very proximal location—inferior to the PCOMM—because it is very difficult to place a temporary clip between the origin of the PCOMM and the anterior choroidal aneurysm and still leave room for dissection and definitive clip application.
By working exactly superior to the first 1 to 2 mm of the OPHT, the surgeon will be able to define the medial aspect of the aneurysm’s proximal neck by separating it from the nerve. This is the most critical aspect of the dissection; the neck must be clearly defined not only superficially but also deep to the nerve. During clip application, the deeper of the two clip blades must pass behind the medial aspect of the aneurysm neck and then optimally be brought back up against the neck to parallel the course of the ICA (Fig.
Once this plane has been established, the choroidal artery ceases to be a concern when dealing with nongiant PCOMM aneurysms, because the vessel’s superiorly directed course takes it quickly out of any reasonable clip trajectory. When operating on an anterior choroidal aneurysm, the sequence is slightly different. Proximal control is obtained at the same very proximal location—inferior to the PCOMM—because it is very difficult to place a temporary clip between the origin of the PCOMM and the anterior choroidal aneurysm and still leave room for dissection and definitive clip application.