Most cerebrovascular diseases such as intracranial aneurysms (IA), arterio-venous malformations (AVM) or dural fistulas (AVF) can effectively be treated with microsurgical techniques (i.e. clipping) or with endovascular procedures (i.e. coiling). In certain patients, also gamma-knife (radiation) treatment may play a role. Sometimes, the treatment strategy may consist of a staged approach that combines some of the above-mentioned techniques in a serial manner. Likewise, also spinal vascular pathologies (i.e. spinal vascular malformations, spinal dural AV-fistulas or spinal cavernomas) may often be approached with a single treatment modality or, more rare with a staged approach. In selected cases however, simultaneous treatment combining open (micro-)surgical and endovascular procedures in one single hybrid operation may be favorable. So far only few series reported indications, potential benefits, or pitfalls with hybrid approaches in cerebrovascular surgery. This collection aims to summarise reported experiences with hybrid approaches that combine simultaneous endovascular and microsurgical interventions in a setting of vascular diseases in the brain and in the spine. It will put an emphasis on indication, benefits and potential harms of combined diagnostic-therapeutic procedures (i.e. intraoperative control DSA after clipping), advanced endovascular strategies enabled through surgical access (i.e. direct arterial punctuation after previous surgical vessel exposure) or combined therapeutic operations (i.e. proximal control through balloon occlusion during clipping).

This book will discuss and cover standard treatments and advances in some of the most controversial topics in cerebrovascular surgery traversing the whole arena, including open and interventional surgeries. They will be discussed with case scenarios, bail out strategies and complication handling, followed by advances in the subject. Some of the best academic cereberovascular physician will author these chapters with their vast experience. The book will be of particular benefit to neurosurgeons, neurologists, and radiologists. It will be particularly targeting residents, young and experienced faculty in the subject, and will provide first hand up to the mark information and experiences in cerebrovascular surgery.

Focusing on both the patient's perspective and the neurosurgeon's concerns, Intracranial Arteriovenous Malformations: Essentials for Patients and Practitioners, edited by leading experts Drs. Philip E. Stieg, Alexander A. Khalessi, and Michael L. J. Apuzzo, starts with an up-to-date approach to the matter of doctor-patient communication and moves on to the highly technical details of AVM treatment options. The first section covers communication with patients (who may well want to read it themselves); the second section is directed to neurosurgeons and other specialists caring for patients with intracranial AVMs, including those in emergency medicine, obstetrics, anesthesia, and intensive care. It offers a highly sophisticated but readable approach to the contemporary treatment of these challenging lesions. - Provides expert guidance on diagnosis, histopathology, natural history, anatomy, imaging, and treatment options and their risks and benefits—all with the goal of helping patients make informed decisions about the optimal management choices for their own individual cases. - Facilitates articulate, data-driven discussion and regarding the clinical diagnosis and surgical procedures involved in treating AVMs. - Addresses specific, difficult issues that arise during the treatment of AVMs, offering real-world advice to neurosurgeons and other care providers. - Includes key pearls in every chapter, as well as stunning anatomical illustrations throughout.

This important title brings together a distinguished panel of thought-leaders, known for their insights into the development and application of minimally-invasive surgical and endovascular techniques, to provide a comprehensive and discerning compendium of our most current knowledge and state-of-the-art procedures in the management of cerebral vascular diseases. Written in a style that is accessible to students and experienced practitioners alike, the book covers all the important recent advances that have reshaped the field in dramatic ways. Emphasizing how surgical and endovascular techniques are complementary, the volume includes illuminating chapters on the nexus of endovascular and conventional “open” cerebrovascular surgery, including patient assessment and practice in a hybrid operating environment, utilizing the best methods to achieve optimal outcomes. A major addition to the clinical literature, Management of Cerebrovascular Disorders: A Comprehensive, Multidisciplinary Approach will be of significant interest to neurosurgeons, neurologists, neuroradiologists, neurointensivists, students, residents, fellows, and specialized attending physicians.