No detailed description available for "Timing of Aneurysm Surgery".

The projects in this thesis addressed the knowledge gap regarding optimal timing of aneurysm treatment following subarachnoid hemorrhage (SAH) by evaluating whether earlier aneurysm treatment improves clinical outcomes. This was first examined in a meta-analysis synthesizing evidence from observational studies on timing of endovascular coiling of ruptured aneurysms. The results informed a cohort study using Ontario registry and administrative data evaluating timing of surgical or endovascular aneurysm treatment in SAH, where early treatment within one calendar date of SAH was compared to later treatment. The use of administrative data for evaluation of outcomes in SAH was bolstered by external validation of the Nationwide Inpatient Sample Subarachnoid Hemorrhage Severity Score (NIS-SSS), as well as a modified version of the NIS-SSS (m-NIS-SSS). The meta-analysis of observational studies demonstrated a possible but inconsistent benefit of treatment within 1 day of SAH. Treatment.

This book focuses on subarachnoid hemorrhage (SAH), describing in detail the neurophysiology, anatomy, epidemiology, grading, anesthesia management, coiling and interventional treatment of this dangerous disease. Written by leading international experts, it highlights the state-of-the-art techniques for the diagnosis and treatment (non-surgical and surgical) of SAH and the clinical variations. It also examines the reliability of the new techniques versus the standard clinical methods to predict problems related to SAH and its recent diagnosis and management. The book starts with a brief discussion of the epidemiology of SAH, cerebral circulation, anatomy of brain blood vessels and neurophysiology related to this fatal disease. Then, in the following chapters it covers grading of subarachnoid hemorrhage, anesthesia management of SAH, treatment, subarachnoid hemorrhage coiling and radiological intervention. Lastly, it explores surgical treatment of intracranial aneurysms in more detail, and addresses complications, critical care management and headache in SAH, traumatic SAH and prognosis. Featuring numerous images, tables, schema, illustrations and videos, the book is intended for junior and senior anesthesiologists, neuroscientists, intervention radiologists, intensivists and neurosurgeons.

This open access book presents the diagnosis, investigation and treatment of neurovascular diseases, and offers expert opinions and advice on avoiding complications in neurovascular surgery. It also covers complication management and post-operative follow-up care. The book is divided in to three parts; the first part discusses common approaches in neurovascular surgery, describing the steps, indications for and limitations of the approach, as well as the associated complications and how to avoid them. The second part addresses surgical treatment based on pathology, taking the different locations of lesions into consideration. The third part focuses on the technological developments that support neurovascular surgery, which may not be available everywhere, but have been included to help vascular surgeon understand the principles. This book is a guide for young neurosurgeons, neurosurgery residents and neurosurgery fellows, as well as for medical students and nurses who are interested in neurosurgery or are associated with this field in any way. It is also a useful teaching aid for senior neurosurgeons.

During recent years, major advances in surgical techniques, diagnostic methods, anesthesia and adjunctive treatment in the care of patients with subarachnoid hemorrhage have been achieved. Nevertheless, the overall outcome of patients with SAH cannot be regarded as satisfactory. The first part of the book concentrates on the pathogenetic mechanisms underlying vasospasm and edema, the principal causes of poor outcome. Recent progress in the field of membrane lipid metabolism has allowed the problem to be approached from an entirely new perspective. The possible participation of free radicals, membrane lipids and eicosanoids is thoroughly discussed. The second part features the problems of practical management of SAH patients. Timing and indication of surgery of aneurysms and the surgical techniques are described in detail.

Learn from key leaders in the field of neurosurgery with the practical guidance presented in this first-of-its-kind resource. Complications in Neurosurgery uses a case-based format to explore complications across the full range of commonly performed neurosurgical procedures. As you review dozens of up-to-date, real-life cases, you’ll become better equipped to identify pitfalls ahead of time and have the knowledge to handle difficult situations that arise during surgery. Presents commonly encountered cases provided by experienced neurosurgeons in all areas of this challenging specialty. Includes high-quality photographs, images, and dynamic video to ensure complete visual understanding of the procedures. Uses a consistent, easy-to-read format throughout, covering a wide range of surgeries including general neurosurgery and cranial complications, as well as spinal and peripheral complications. Numerous videos depict possible complications for each type of surgery; for example, Complications of Cerebral Bypass Surgery includes videos showing how to obtain venous hemostasis without risking injury to the STA, how to manage atheroma within the donor vessel, and how to manage intraoperative occlusion of the bypass.