By Dr. James V. Byrne MD, FRCS, FRCR, Guido Guglielmi MD (auth.)
This quantity is a entire assessment of present endovascular suggestions for the remedy of cerebral aneurysms. it's meant to be a pragmatic guide for these working towards, or desiring to perform, this swiftly increasing department of minimally invasive surgical procedure. The authors supply descriptions in line with an in depth mixed event of medical administration, technical difficulties, issues and up to date effects. the constraints and position of mixed extravasular/endovascular options are mentioned to offer a state of the art view of this topic.
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Additional resources for Endovascular Treatment of Intracranial Aneurysms
Acta Neurochir (Wien) 106:132-135 95. Okamoto S, Handa H, Hashimoto N (1984) Location of intracranial aneurysms associated with cerebral arteriovenous malformation: statistical analysis. Surg Neurol 22: 335-340 96. Osler W (1885) Gulstonian lectures on malignant endocarditis. Lancet 1:415-418 References 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. 108. 109. 110. Ill. 112. 113. 114. 115. 116. 117. 118. 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. Pakarinen S (1967) Incidence, aetiology and prognosis of primary subarachnoid haemorrhage.
Although only 5% of patients with bacterial endocarditis suffer intracranial haemorrhages and only a small proportion will be due to aneurysms , diagnosis of the latter requires careful consideration of additional surgical treatment because of the high mortality associated with rupture . Resolution of infectious aneurysms on antibiotic treatment is well recognised, although they have been reported to occur even aftet successful treatment of endocarditis . When diagnosed without rupture, appropriate antibiotic treatment is imperative with frequent interval angiography to assess response if conservative management is pursued.
Pakarinen S (1967) Incidence, aetiology and prognosis of primary subarachnoid haemorrhage. Acta Neurol Scand [Suppl] 29:1-128 Paterson JH, McKissock WA (1956) A clinical survey of intracranial angiomas with special reference to their mode of progression and surgical treatment: a report of 110 cases. Brain 70:233-266 Philips LH, Whisnant JP, O'Fallon WM, Sundt TM Jr (1980) The unchanging pattern of subarachnoid hemorrhage in a community. Neurology 30:1034-1040 Pilz P, Hartjes HJ (1976) Fibromuscular dysplasia and multiple dissecting aneurysms of intracranial arteries.