Description
Invaluable for all members of the stroke team, this expertly written book compiles the full range of diagnostic and interventional therapeutic techniques for acute stroke now in use in modern clinical settings throughout the world. From advanced neuroimaging studies to state-of-the art endovascular therapies, it covers the materials, instruments, devices, procedures, and strategies that lead to optimal results, and most benefit the patient, during this time-critical event.
Special Features:
- An interdisciplinary approach
- Provides detailed how-to descriptions of all endovascular stroke treatment techniques, periprocedural monitoring, and instrumentation, with a focus on implementing these methods in everyday practice
- Logically organized in didactically structured chapters on diagnosis and treatment, with sections on acute ischemic stroke, acute venous occlusions, and supra-aortic extra- and intracranial stenoses, including their etiology, pathogenesis, symptoms, imaging studies, and recommended therapies for each condition
- Written by a team of renowned international specialists, who provide advice, recommendations, and practical guidelines in every chapter
- Discusses the stents, retrievers, filters, and balloon systems in use today
- Includes nearly 300 key images taken with the latest generation of imaging equipment
- Shares helpful clinical insights in sidebar notes, cautions, tips and advice, possible complications, sources of error, and useful chapter summaries/conclusions
For all neuroradiologists, radiologists, neurosurgeons, and neurologists who need concise, clinically relevant information on front-line interventional techniques for stroke treatment and prevention, this book is essential. It reviews all current methods, rates their efficacies, and makes progress toward a uniformity of protocols that can be applied in all practices managing stroke patients.
Chapter
Pseudo-occlusion of the Internal Carotid Artery
2 Middle Cerebral Artery Occlusion
Segmental Anatomy of the Middle Cerebral Artery
Etiology and Clinical Manifestations of Middle Cerebral Artery Occlusion
Noncontrast Computed Tomography
CT Angiography and Digital Subtraction Angiography
3 Vertebrobasilar Occlusion
Definition, Etiology, and Incidence
Symptoms of Brainstem and Cerebellar Syndromes
Computed Tomography and CT Angiography
Magnetic Resonance Imaging and MR Angiography
Extracranial and Transcranial Doppler and Color Duplex Sonography
Digital Subtraction Angiography and Patient Selection for Interventional Treatment
Digital Subtraction Angiography
Magnetic Resonance Imaging and MR Angiography
5 Cerebral Venous and Sinus Thrombosis
Clinical Signs and Symptoms
Direct and Indirect Signs of Cerebral Venous and Sinus Thrombosis
Digital Subtraction Angiography
Magnetic Resonance Imaging
Neuroimaging of Stroke: Summary and Recommendations
II Treatment of Acute Ischemic Stroke
Basic Principles of Coagulation Physiology
Experimental Studies of Thrombolysis in Acute Stroke
Clinical Studies of Thrombolysis in Acute Stroke
Everyday Practice of Intravenous Thrombolysis in Acute Stroke
Practical Recommendations
Side Effects and Hemorrhages
Intra-arterial Thrombolysis
Demand for Local Intra-arterial Thrombolysis
7 Mechanical Recanalization Materials
Indications and Contraindications
Recanalization Rate and Neurologic Outcome
Temporary Stenting in Stroke Patients
Crossing and Extracting the Thrombus
Retrievers and Other Thrombectomy Systems
Classification of Systems
8 Treatment Concepts and Results
Occlusion of the Middle Cerebral Artery
Concepts: Intravenous or Intra-arterial Thrombolysis or Mechanical Extraction?
Is General Anesthesia Necessary?
Basilar Artery Thrombosis
Indications for Endovascular Therapy
Treatment Concepts and Results
Cervical Artery Dissections
Study Results and Guidelines
Treatment of Acute Ischemic Stroke: Summary and Recommendations
III Treatment of Acute Cerebral Venous Occlusions
9 Treatment of Acute Cerebral Venous Occlusions
Etiology, Pathogenesis, and Symptoms
Pharmacologic Thrombectomy
Treatment of Acute Cerebral Venous Occlusions: Summary and Recommendations
IV Treatment of Supra-aortic Extra- and Intracranial Stenoses
10 Equipment: Stents, Filters, and Balloon Systems
Materials for the Treatment of Extracranial Stenoses
Materials for the Treatment of Intracranial Stenoses
11 Extracranial Carotid Stenoses
Clear Indications for Stenting
Diagnostic Studies, Informed Consent, and Medication
Patient Preparations and Technique
Special Case of an ICA Pseudo-occlusion
Planning, Preparations, and Techniques
Antiplatelet and Anticoagulant Therapy
Arterial Access and Guide Catheter
Tips on Material Selection
Management of Complications
Postinterventional Management
Causes of Postinterventional Bleeding
Causes of Postinterventional Ischemia
13 Subclavian Steal Syndrome .
Etiology and Clinical Presentation
14 Proximal Vertebral Artery Stenosis
15 Proximal Stenosis of Supra-aortic Vessels . .
Epidemiology and Risk of Stroke
Clinical Presentation and Diagnosis
Interventional Treatment Options
Results of Interventional Therapy
Indications for Interventional Treatment
Treatment of Supra-aortic Extra- and Intracranial Stenoses: Summary and Recommendations
Interventional Stroke Therapy
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