By Horia Muresian
This ebook covers all points of the prevention, analysis, and remedy of stroke, delivering an built-in viewpoint that might be appropriate to a variety of experts. wide attention is given to different equipment of stroke prevention and arterial revascularization, with up to date info on pharmacological measures and transparent presentation of endovascular stent placement methods and surgical thoughts, together with these concerning the carotid artery, vertebral artery, and aortic arch. advanced tactics, equivalent to simultaneous bilateral carotid revascularization, are mentioned intensive, drawing on a wide sequence of situations and taking off sensible principles. The prognosis and remedy of intra- and extracranial aneurysms and the administration of cervical trauma are tested totally. furthermore, the reader is supplied with tips on characterization of the perpetrator lesion via assorted imaging modalities and with suggestion at the significance of a multidisciplinary crew and mixed techniques (endovascular and surgical), id of threat components, anesthesia, neuromonitoring, and hemodynamic tracking. The ebook could be of worth not just for cardiac and vascular surgeons but additionally for cardiologists, neurologists, neurosurgeons, anesthesiologists, anatomists, experts in diagnostic imaging, and interventional radiologists.
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Additional info for Arterial Revascularization of the Head and Neck: Text Atlas for Prevention and Management of Stroke
Vascular surgery. Philadelphia: WB Saunders; 1983. 21. Wind GG, Valentine RJ, editors. Anatomic Exposures in Vascular Surgery. Wolters Kluver / Lippincott Williams & Wilkins. Philadelphia, Baltimore, New York, London, Buenos Aires, Hong Kong, Sydney, Tokyo. 2013. pp 23–49. ISBN 978-1-4511-8472.. 22. Hertzer NR, Feldman BJ, Beven EG, Tucker HM. A prospective study of the incidence of injury to the cranial nerves during carotid endarterectomy. Surg Gynecol Obstet. 1980;151:781–4. H. Muresian 23. Rosenbloom M, Friedman SG, Lamparello PJ, et al.
At times, the superior IJV can be of small caliber, but after receiving larger tributaries in the upper neck (retromandibular vein, thyro-linguo-facial trunk), it becomes conspicuous. The tract of the IJV can also depict variations of surgical relevance (see Fig. 8) 28 Fig. 8 Further anatomical variations of the internal jugular veins. The IJV crosses the carotid bifurcation from lateral to medial. The IJV becomes anterior and medial in position relative to the CCA. This variation has clinical relevance for two reasons: First, the IJV must be protected during surgical exposure of the CCA, as the vein crosses the artery.
AJNR Am J Neuroradiol. 2004;25(5):781–3. 33. Woodcock RJ, Cloft HJ, Dion JE. Bilateral type 1 proatlantal arteries with absence of vertebral arteries. AJNR Am J Neuroradiol. 2001;22(2):418–20. 34. Fischer E. Die Lageabweichungen der vorderen Hirnarterie im Gafässbild. Zentralbl Neurochir. 1938;3:300–13. 35. Gibo H, Lenkey C, Rhoton AL. Microsurgical anatomy of the supraclinoid portion of the internal carotid artery. J Neurosurg. 1981;55:560–74. 36. Bouthillier A, Van Loveren HR, Keller JT. Segments of the internal carotid artery: a new classification.