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This book is an up-to-date, well-referenced practical resource that offers detailed guidance on the avoidance and management of complications in patients treated for cerebrovascular and spinal vascular disease. All complication avoidance and management techniques currently available to the endovascular/cerebrovascular surgeon are reviewed by pioneers and leaders in the field to provide the clinician with an advanced single point of reference on the subject.
The book is divided into four sections. It opens by discussing general issues, such as definition of complications, medicolegal aspects, the role of resident training, and checklists. The subsequent three sections address the avoidance and management of complications when performing surgical, endovascular, and radiosurgical procedures, covering the full ran
ge of indications and potential adverse events. All chapters have a standardized format, simplifying the search for information on a specific disease process. Numerous intraoperative images are included, and, when appropriate, algorithms for the avoidance, early recognition, and management of complications are presented. Each chapter concludes with a checklist of preparatory steps and "emergency procedures" that each member of the team must perform in order to ensure the best possible outcomes.
List of contents
General Aspects: What is a Complication?- Philosophical/ Psychological Aspects of Complications.- Medicolegal Aspects of Complications.- Residency/Fellowship Training and the Complication.- Analyzing Complications.- Quality Assurance.- Quality Improvement.- Training and Standards.- Research.- The Checklist.- Alternatives to Checklist.- Prepping the Environment. Surgical Procedures: Carotid Endarterectomy.- Aneurysms of the Anterior Circulation.- Aneurysms of the Posterior Circulation.- Arteriovenous Malformations of the Anterior Fossa.- Arteriovenous Malformations of the Posterior Fossa.- Cavernous Malformations.- Direct and Indirect Bypass Surgery.- Spinal Vascular Malformation Surgery. Endovascular Procedures: Stenting of the Great Vessels.- Aneurysm Treatment with Coils.- Aneurysm Treatment with Adjuvant Devices.- Aneurysm Treatment with Flow Diverters and Liquid Embolics.- Arteriovenous Malformation Treatment with cyanoacrylate.- Arteriovenous Malformations Treatment with poly vinyl alcohol.- Thrombolysis.- Tumor Embolization.- Epistaxis. Radiosurgical Procedures: Radiation Physics.- Radiation Biology.- Arteriovenous Malformations.
About the author
Charles J. Prestigiacomo
Department of Neuroglogical Surgery
University of Cincinnati College of Medicine
Cincinnati, OH
USA
Chirag D. Gandhi
Department of Neurosurgery
Westchester Medical Center/NY Medical College
Valhalla, NY
USA
Summary
Provides detailed guidance on avoidance and management of complications when performing surgical, endovascular, and radiosurgical procedures
Covers the full range of surgical indications and potential adverse events
Features helpful algorithms and checklists of preparatory steps and emergency procedures
Written by pioneers and leaders in the field
Additional text
“This book is a welcome addition to the literature on cerebrovascular problems. The authors have done an excellent job by consistently presenting a large variety of procedures and adverse events with a concise narrative that permits a rapid use of the book as a reference. … For more experienced readers, the book offers perspectives from several experts in the field who have contributed with their knowledge and personal strategies, which can easily be incorporated in mature, developed styles of practice.” (Nestor R. Gonzalez, Operative Neurosurgery, Vol. 17 (3), September, 2019)
Report
"This book is a welcome addition to the literature on cerebrovascular problems. The authors have done an excellent job by consistently presenting a large variety of procedures and adverse events with a concise narrative that permits a rapid use of the book as a reference. ... For more experienced readers, the book offers perspectives from several experts in the field who have contributed with their knowledge and personal strategies, which can easily be incorporated in mature, developed styles of practice." (Nestor R. Gonzalez, Operative Neurosurgery, Vol. 17 (3), September, 2019)
