The Neurointerventional Toolkit
Fig. 1.1 6F femoral sheath Wires and Catheters Diagnostic Cerebral Angiography Diagnostic catheters are usually advanced over a hydrophilic wire. The wire acts as a guide to prevent the catheter…
Intensive Care of the Neurointerventional Patient
Condition Synopsis of clinical condition and monitoring Synopsis of management Pre-procedure renal protection Absolute increase by 0.5 mg/dl or 25 % relative increase from baseline seen 2–7 days after contrast…
Endovascular Treatment of Extracranial Atherosclerotic Disease
• Congestive heart failure (class III/IV) and/or known severe left ventricular dysfunction LVEF <30 % • Open heart surgery within 6 weeks • Recent MI (>24 h and <4 weeks) • Unstable angina (CCS…
Neurointervention in Ophthalmologic Disorders
Fig. 15.1 Retinal and subhyaloid hemorrhage in a patient with Terson syndrome as result of a ruptured middle cerebral artery aneurysm. Note typical appearance of triangular-shaped hemorrhage to subhyaloid space…
Endovascular Treatment of Intracranial Atherosclerosis
1.$The diameter of the proximal part of the artery at its widest, non-tortuous, normal segment is chosen (first choice) 2.$If the proximal artery is diseased, the diameter of the distal…
Ruptured Cerebral Aneurysms
NC-ICA, MCA, AC/COM (%) VB, PC/COM (%) Cavernous carotid artery (%) <7 mm group 1 0 2.5 0 <7 mm group 2 1.5 3.4 0 7–12 mm 2.6 14.5…
Intracranial Dural Arteriovenous Fistulae
Location (sinus) Typical feeding arteries Venous outlet Typical symptoms Transverse/sigmoid (50 %) ICA, MMA, APA, PA, OA, VA Transverse/sigmoid sinus Pulsatile tinnitus, bruit, headaches Cavernous sinus (10–16 %) ICA, IMA,…
Neurointervention and the Otolaryngologist: Head and Neck Surgeon
Fig. 16.1 Carotid blowout. (a) Contrast cervical axial CT scan showing recurrent laryngeal cancer encasing the right carotid artery (arrow). (b) Pretreatment angiogram showing a carotid-esophageal fistula with manual compression…
Intra-arterial Thrombolysis in Acute Ischemic Stroke
Fig. 7.1 Right MCA thrombectomy. (a) Right MCA is occluded at its origin (arrow). (b) Super-selective microcatheter injection demonstrates placement of the microcatheter tip (arrow) distal to the clot burden….
Endovascular Treatment of Cerebral Sinus Thrombosis
Pregnancy Puerperium Infection related Direct septic trauma Cerebral abscess Subdural empyema Meningitis Tuberculous meningitis Otitis media Orbital cellulitis Tonsillitis Dental infections Stomatitis Cellulitis Septicemia Pulmonary tuberculosis Endocarditis Measles Hepatitis Herpes…
