Vascular Challenges In Skull Base Surgery
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Vascular Challenges In Skull Base Surgery
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Author : Paul Gardner
language : en
Publisher: Thieme
Release Date : 2021-11-17
Vascular Challenges In Skull Base Surgery written by Paul Gardner and has been published by Thieme this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-11-17 with Medical categories.
The essential multidisciplinary guide for the prevention and management of vascular injury from master skull base surgeons Vascular injury is the most significant source of morbidity or mortality during skull base surgery, regardless of the surgical approach. While skull base approaches always placed arteries and veins at risk, newer endoscopic endonasal approaches have introduced new challenges for the prevention and management of vascular injury. Greater anatomic knowledge, additional surgical options, improved instrumentation, advances in interventional neuroradiology, and enhanced training all contribute to successful outcomes. Vascular Challenges in Skull Base Surgery by renowned skull base experts Paul Gardner, Carl Snyderman, Brian Jankowitz, and distinguished contributors, fills a gap in the literature, with invaluable guidance on managing rare but potentially catastrophic surgical complications. The full range of surgical approaches to the anterior, middle, and posterior cranial fossae are covered in 22 chapters. Diverse topics encompass open and endoscopic endonasal surgical approaches, endovascular techniques including balloon test occlusion and embolization, and standard and alternative bypass procedures. The last three chapters discuss venous considerations, neurophysiologic monitoring, and the role of training and simulation in vascular injury prevention. Key learning points, illustrated discussion of relevant anatomy, and tips and tricks are targeted at helping skull base surgeons leverage practical strategies to improve patient outcomes. Key Highlights An impressive group of expert, highly-experienced surgeons share firsthand knowledge Insightful analyses of root causes and clinical pearls provide indispensable prevention tactics High-quality images and videos enhance visual understanding of surgical anatomy and techniques Trainees and practicing skull base surgeons will greatly benefit from the collective knowledge and evidence-based injury avoidance strategies shared by authors who have learned to master the art of skull base surgery.
Unexpected Challenges In Vascular Surgery
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Author : Alain Branchereau
language : en
Publisher: John Wiley & Sons
Release Date : 2008-04-15
Unexpected Challenges In Vascular Surgery written by Alain Branchereau and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-04-15 with Medical categories.
Despite accurate preoperative assessment and adequate preparation, unexpected, and sometimes disastrous, situations can occur during vascular and endovascular procedures. This latest book in the European Vascular Course series provides vascular and endovascular surgeons with the skills and techniques needed to solve these unforeseen intraoperative complications. It includes thirteen chapters on aortic neck problems during open and endovascular repair, ruptured clamp sites, ureteral lesions, unintentional covering of side branches, totally calcified aorta and embolization. Accidental conditions during carotid and lower limb revascularization are also covered in six chapters and additional challenges are described in another seven chapters.
Comprehensive Management Of Skull Base Tumors
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Author : Ehab Y. Hanna
language : en
Publisher: CRC Press
Release Date : 2008-11-24
Comprehensive Management Of Skull Base Tumors written by Ehab Y. Hanna and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-11-24 with Medical categories.
The management of tumors in and adjacent to the skullbase is challenging given the complex and critically important anatomy of the region and the wide diversity of tumor pathologies that may be encountered. To help navigate the complexities of contemporary multidisciplinary management of these patients, Drs. Hanna and DeMonte bring you Comprehensiv
Endoscopic Cranial Base And Pituitary Surgery An Issue Of Otolaryngologic Clinics Of North America
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Author : Raj Sindwani
language : en
Publisher: Elsevier Health Sciences
Release Date : 2016-01-19
Endoscopic Cranial Base And Pituitary Surgery An Issue Of Otolaryngologic Clinics Of North America written by Raj Sindwani and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-01-19 with Medical categories.
This issue on endoscopic cranial base and pituitary surgery is led by experts in the field of Otolaryngology and Neurosurgery. Otolaryngologists/Head and Neck surgeons Dr. Raj Sindwani and Dr. Troy Woodard join with Neurosurgeon Dr. Pablo Recinos to present a comprehensive clinical approach. Topics include: Building an endoscopic skull base program (room setup and key equipment / IGS); Skull Base Anatomy (corridors, intra and extradural); Imaging in skull base surgery – CT, MRI, CT cisternogram, intraop CT; Sellar lesions / pathology; Principles of endoscopic pituitary surgery ; Reconstruction of skull base defects – free graft, pedicle, TPF, alloderm; Lumbar drain utility (role of intrathecal fluorescein); Hemostasis in Skull Base Surgery (control of smaller vessels, maneuvers to minimize bleeding – warm irrigations, HOB up, embolization); Management of ICA Injury (intraop options, late complications); Meningioma; Esthesioneuroblastoma; Cordoma; Sinonasal Malignancies of Skull Base; Craniopharyngioma; Endonasal approaches to the craniocervical junction; Medical complications of Pituitary/skull base surgery – (ie. SIADH, DI, Hypopit); Post-op management of skull base patient (postop Abx, imaging, debridements, topical irrigations, more...). Articles cover surgical procedure, surgical complications, and surgical anatomy as relevant to the clinical discussion.
Update On Open Vascular Surgery An Issue Of Neurosurgery Clinics Of North America E Book
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Author : Michael T. Lawton
language : en
Publisher: Elsevier Health Sciences
Release Date : 2022-10-14
Update On Open Vascular Surgery An Issue Of Neurosurgery Clinics Of North America E Book written by Michael T. Lawton and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-10-14 with Medical categories.
In this issue of Neurosurgery Clinics, guest editor Dr. Michael T. Lawton brings his considerable expertise to the topic of Update on Open Vascular Surgery. The field of open vascular neurosurgery has undergone significant change as endovascular technologies have advanced and endovascular market share has grown. In this issue, top experts in the field explore various responses to these trends, providing valuable information to neurosurgeons aspiring to stay current with contemporary management of aneurysms, brain arteriovenous malformations, cavernous malformations, and bypass techniques. - Contains 15 practice-oriented topics including wide neck and bifurcation aneurysms: balancing open and endovascular therapies; application of big data in vascular neurosurgery; rethinking cerebral bypass surgery; AI, machine learning and cavernous malformations; the transcavernous approach in vascular neurosurgery; and more. - Provides in-depth clinical reviews on open vascular surgery, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Lessons Learned From Rhinologic Procedure Complications
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Author : Rakesh K. Chandra
language : en
Publisher: Springer Nature
Release Date : 2021-07-27
Lessons Learned From Rhinologic Procedure Complications written by Rakesh K. Chandra and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-07-27 with Medical categories.
Despite meticulous attention to details and expert technique, complications resulting from rhinologic procedures can occur during one's professional career. This book discusses real-life complications and why these unfortunate events occur, as well as how best to manage the consequent issues. The text also provides thoughtful strategies to prevent such situations going forward. The book is organized as a series of case-based chapters, each illustrating a complication involving the orbit, the skull base, unexpected bleeding, poor healing, or those relating to intraoperative decision making, and how each was managed by the authors. Each chapter begins with bullet points highlighting key clinical pearls illustrated by that particular case. Written by leaders in the field with decades of experience in sino-nasal procedures, the analysis complements expert opinions with evidence-based published literature and shares experiences related to the most current techniques, devices, and instrumentation. Every otolaryngologist practicing rhinologic procedures will appreciate the candid nature of the discussion and will find enrichment in this shared wisdom. Lessons Learned from Rhinologic Procedure Complications: A Case-Based Review serves practitioners of general otolaryngology as well as resident trainees in this field, explaining how best to identify, diagnose, and resolve a complication during rhinology procedures.
Endoscopic Approaches To The Skull Base
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Author : Amin B. Kassam
language : en
Publisher: Karger Medical and Scientific Publishers
Release Date : 2012
Endoscopic Approaches To The Skull Base written by Amin B. Kassam and has been published by Karger Medical and Scientific Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with Medical categories.
Reviews the role of endoscopic endonasal techniques During the last decade the endoscopic endonasal approach (EEA) to the skull base has become a very powerful method to add to the array of neurosurgical technologies. This volume provides a broad overview of the role of transnasal approaches in a wide spectrum of skull base diseases. It starts with a historical perspective of the evolution from the microscope to the endoscope in endonasal surgery and then explores in depth the principles and techniques of the various methods. Discussed are topics based on anatomical boundaries: pituitary fossa to the suprasellar space to the cavernous sinus, clivus and the anterior cranial fossa. Access to the infratemporal and posterior fossae via both the endoscopic endonasal and the retrosigmoid approaches are reviewed. In addition, the critical topic of reconstruction following 'minimally invasive' skull base surgery and finally the learning curve and complications associated with the applications of these new and exciting approaches are discussed. This volume will provide the latest knowledge to help neurosurgeons, otolaryngologists, head and neck surgeons as well as craniofacial surgeons understand the applications and practice of this important technique.
Hemostasis In Head And Neck Surgery An Issue Of Otolaryngologic Clinics Of North America
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Author : Carl H. Snyderman
language : en
Publisher: Elsevier Health Sciences
Release Date : 2016-07-06
Hemostasis In Head And Neck Surgery An Issue Of Otolaryngologic Clinics Of North America written by Carl H. Snyderman and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-07-06 with Medical categories.
Bleeding is a major factor that hinders visualization in head and neck surgery and is a risk factor for intraoperative complications and perioperative morbidity. Endoscopic approaches also pose significant technical challenges to managing expected intraoperative bleeding and vascular injury. The approach for this publication in Otolaryngologic Clinics is to provide clinically relevant information in a problem-based manner that encompasses assessment to identify patients with a high risk for vascular complications, pre-operative, intra-operative and post-operative strategies to manage expected bleeding and major vessel injury during endoscopic sinus and skull base surgery for inflammatory and neoplastic diseases. Clinically relevant anatomy, physiology, pharmacology, and surgical and interventional radiology techniques to manage bleeding are outlined and an algorithm for management of major vessel injury such as internal carotid artery injury is presented. Because skull base surgery is generally undertaken as a team approach, this information is relevant to the subspecialized ENT surgeon from rhinology or head and neck specializations, to neurosurgeons, to interventional radiologists, and to neurophysiologists who monitors intraoperative cerebral and cranial nerve activity for these operations. Carl Snyderman leads this issue with Harshita Pant and has composed topics and assembled an expert group of practitioners to provide information. The reader will find this a novel, focused, and indispensable resource on all issues of hemostatis in head and neck surgery.
New Trends In Management Of Cerebro Vascular Malformations
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Author : Alberto Pasqualin
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
New Trends In Management Of Cerebro Vascular Malformations written by Alberto Pasqualin and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.
Every so often a gathering of minds and experience occurs that results in an all encompassing overview in depth of such a vast subject as Cerebro-Vascular Malformations, as occurred in Verona in June 1992 and which warrants publication. Professors Da Pian and Pasqualin deserve high compliment and it is a measure of the respect in which they are held that virtually all those most knowledgeable around the world attended, presented their work and thoughts and contributed to intense discussion. Ljunggren's opening historical survey set the stage and must be the most comprehensive yet published. Subarachnoid hemorrhage from aneurysm rupture still constitutes, I dare say, the most difficult problem for neurosurgeons, in relief of the brain injury and arterial reaction and the technical perfection of aneurysm obliteration, even for small, as well as large and giant sacs. Very large high flow A VMs can be as demanding too. The bulk of the conference was devoted to subarachnoid hemorrhage, aneurysms and A VMs which were discussed under about 14 headings each. But vein of Galen malformations, dural A VMs, cavernous angiomas and venous angiomas (renamed developmental venous anomalies) came under scrutiny, not always with consensus. Trends are perceptible such as fibrinolysis of subarachnoid clot, non surgery for Galenic and dural malforma tions, the benignity of venous angioma, but there is still much variation in approach, pharmacologically, technically and with such as the evolving endovascular and radiosurgical stories, used alone or in conjunction.
Skull Base Reconstruction
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Author : Edward C. Kuan
language : en
Publisher: Springer Nature
Release Date : 2023-05-25
Skull Base Reconstruction written by Edward C. Kuan and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-05-25 with Medical categories.
This text, edited by two fellowship-trained rhinologists and two fellowship-trained neurotologists, represents an up-to-date comprehensive resource for any clinician or scientist involved in skull base reconstruction. Each chapter is written by a “super specialist” who has a clinical and/or academic focus in skull base pathologies and reconstruction. The first section is dedicated to basic principles, anatomy, physiology, imaging and anesthetic considerations. The second and third sections discuss pathological processes that lead to cerebrospinal fluid leaks and the need for skull base reconstruction within the anterior and lateral skull base, respectively. The fourth and fifth sections focus on anterior and lateral skull base reconstruction, respectively, with attention to reconstruction techniques and strategies for managing each defect type. The sixth section comprehensively reviews postoperative care and management strategies, where there is high variability and limited evidence, and is intended to present multiple perspectives that each carry merit. The final section highlights developments, research and emerging ideas regarding this ever-growing topic. Previous to this, there had been no book dedicated to this highly important and emerging topic that really challenges even the best of surgeons to this day. The intended audience of Skull Base Reconstruction includes skull base surgeons, otolaryngologists, neurosurgeons, neurologists, ophthalmologists, radiologists, emergency medicine physicians, trauma surgeons, and trainees and students in all of those areas.