Handbook of Neuroendovascular Techniques

 

Description:

This handbook provides step-by-step instructions enabling even a novice in the field of interventional neuroradiology/endovascular neurosurgery to perform a procedure. It covers the breadth of mainstream endovascular techniques. This manual provides lucid, readily accessible and pertinent hands-on information. It focuses on practicalities such as technique, choice of equipment and rationale, contrast agents, medications, precise pre- and post-procedure management and management of complications. It does not elaborate on theoretical aspects of disease e.g., etiology, pathogenesis, statistics, etc. In essence, it provides the necessary information to enable performance of a procedure.  Handbook of Neuroendovascular Techniques will be a great resource for a whole range of physicians from residents, to those just embarking on their own independent practice to established experts reviewing methodology of a technique. The authors have a depth of experience and are highly qualified, ensuring objective, pertinent, authoritative and competent coverage of subject matter.

 

 

Table of Contents:

 

1 Preparing for Angiography

Preparing the Angiography Equipment Table

Instruments

Medications (with Typical Doses)

Guidewires

Shape

Coating

Sheaths

Catheters

Difference Between Sheaths and Catheters

Setting up Flushes for Sheaths and Catheters

Attaching Flush System to the Sheath

Attaching Flush to the Catheter

Preparation of Patient

Suggested Readings

2 Access: Femoral, Radial, Brachial, Carotid

Femoral Access Using Modified Seldinger Technique

Micropuncture Technique

Using Single-Wall 18G Needle

Using Image Guidance in Difficult Access

Radial Access

Allen Test

Reverse Allen Test

Access Technique

Brachial Access

Carotid Access

Choice of Sheath or Access Device

Problems Encountered and Solutions

Suggested Reading

3 Closure Techniques

Manual Compression

Compression Devices

Femostop®

Percutaneous Closure Devices

Cautions

Problems Encountered During Closure and Solutions

Femostop

Angioseal

Suggested Readings

4 Contrast Agents

Choices

Adverse Effects

Management of Adverse Reactions

Special Considerations

Diabetes

Diabetes and Renal Insufficiency

Renal Insufficiency

Contrast Nephrotoxicity

Prevention/Treatment of Contrast Nephrotoxicity

Renal Dialysis Patients

Prep/Pre-medication for Iodine Allergy

Elective Cases

Emergency Cases

Suggested Readings

5 Choice of Sheaths, Wires, and Catheters

Sheaths

Short Sheaths (10–45 cm)

Long Sheaths (90–100 cm)

Special Considerations

Wires

Guide wires

Stiff Wires

Exchange Length Wires

Shaping a Wire

Microguidewires

Catheters

Guide catheters

Diagnostic Catheters

Interventional Catheters/Microcatheters

Aneurysms

AVMs

Stroke

6 Navigation

General Tips

Aortic Arch

Brachiocephalic Trunk

Subclavian Artery

Vertebral Arteries

Carotid

Right Common Carotid

Left Common Carotid

Internal Carotid Artery (ICA)

External Carotid Artetry (ECA)

Selective Cerebral Artery Catheterization

Anterior Cerebral Artery (ACA)

Middle Cerebral Artery (MCA)

Vertebrobasilar System

Techniques in Case of Difficult Navigation

Postoperative Management and Follow-Up

Venography

Access

Navigation

Vessel Selection

Techniques in Case of Difficult Navigation

Sigmoid Sinus

Spinal Angiography

Suggested Reading

7 Venography and Intervention

Equipment

Access

Navigation

Vessel Selection

Intervention

Cranial Sinus Thrombosis

Chemical Thrombolysis

Contraindications

Mechanical Thrombectomy

Dural Arteriovenous Malformations/Fistulae

Closure

Techniques in Case of Difficult Navigation

Sigmoid Sinus

Suggested Reading

8 Spinal Angiography and Intervention

Spinal Angiography

Indications and Case Selection

Contraindications

Preoperative Management

Technique

Planning

Procedure

Postoperative Management and Follow-up

Spinal Interventional Procedures

Indications and Case Selection

Contraindications

Preoperative Management

Technique

Postoperative Management and Follow-up

Spinal Fistulae

Indications and Case Selection

Contraindications

Preoperative Management

Technique

Embolic Agents

PVA

Onyx

Procedure

NBCA

Additional Equipment/Devices

Procedure

Postoperative Management and Follow-up

Spinal Tumors

Indications and Case Selection

Contraindications

Preoperative Management

Technique

Embolic Agents

PVA

Procedure

Onyx

Alcohol

Procedure

Postoperative Management and Follow-up

Location Specific Considerations Including Difficult Access

Cervical

Thoracic

Lumbar

Suggested Readings

9 Embolization for Epistaxis and Cranial Tumors

Epistaxis

Indications and Case Selection

Preoperative Management

Equipment

Vascular Access

Procedure

Particle Embolization

Location-Specific Considerations

Postoperative Management and Follow-up

Onyx

Tumors

Indications and Case Selection

Contraindications

Preoperative Management and Procedure

Postoperative Management and Follow-up

10 Extracranial Angioplasty and Stenting

Subclavian Artery Angioplasty and Stenting

Indications and Case Selection

Contraindications

Preoperative Management

Drugs

Devices

Vascular Access

Intervention

Vessel Perforation or Arteriovenous Fistula

Indications and Case Selection

Preoperative Management

Drugs

Devices

Vascular Access

Intervention

Ex Vivo Preparation of Balloon

Stent Delivery

In Vivo Balloon Preparation

Stent Deployment

Problems Encountered and Solutions

Carotid Artery Angioplasty and Stenting

Indications and Case Selection

Contraindications

Preoperative Management

Carotid Stenosis

Drugs

Devices

Vascular Access

Intervention

Placement of Embolic Protection Device

Preparation of Embolic Protection Device

Delivery of Embolic Protection Device

Deployment of Filter Basket

Pre-stent Angioplasty

Preparation

Deployment

Angioplasty

Selection of Stent

Preparation of Stent

Stent Delivery

Selection of Recovery Catheter

Recovery of the Filter Basket

Postoperative Management and Follow-up

Alternative Balloon Dilation Catheters

Carotid Dissection/Pseudoaneurysm

Suggested Readings

11 Intracranial Angioplasty and Stenting

Indications and Case Selection

Contraindications

Preoperative Management

Angioplasty and Stenting

Equipment

Drugs

Devices

Technique

Preparation of Guide catheter

Insertion of Guide catheter

Preparation of PTA Balloon Catheter for Angioplasty

Preparation of Inflation Device with Manometer

Deployment of PTA Balloon Catheter for Angioplasty

Removal of PTA Balloon Catheter

Selection of Appropriate Gateway™ Stent

Preparation of Gateway™ Stent

Deployment of Gateway™ Stent

Problems Encountered During Angioplasty and Solutions

Problems Encountered During Stenting and Solutions

Indication and Choice of Balloons and Stents

Postoperative Management and Follow-up

Suggested Reading

12 Treatment of Aneurysms

Location-Specific Considerations

Anterior Communicating Aneurysm

Posterior Communicating Aneurysm

Some Current Choices of Coils and Indications

Coil Embolization

Indications and Case Selection

Preoperative Management

Equipment

Technique

Coiling

Retrieving and Storing a Deployed Bare Platinum Coil

Problems Encountered During Coiling and Solutions

Stent-Assisted Coiling

Indications

Contraindications

Additional Equipment

Technique

Fusiform Aneurysms

Other Stents

Postoperative Management and Follow-up

Problems Encountered During Enterprise Stent Deployment and Solutions

Balloon-Assisted Coiling

Additional Equipment Needed

Indications

Technique

Problems Encountered During Balloon-Assisted Coiling and Solutions

Pipeline® Embolization Device (PED)

Indications and Case Selection

Contraindications

Preoperative Management

Equipment

Technique

Caution

Caution

Postoperative Management and Follow-up

Problems Encountered During PED Deployment and Solutions

Location-Specific Considerations

Suggested Readings

13 Vasospasm

Indications for Treatment and Case Selection

Preoperative Management

Technique

Selective Intra-arterial Pharmacological Intervention

Verapamil

Contraindications

Nicardipine

Contraindications

Papavarine

Contraindications

Nitroglycerine

Contraindications

Angioplasty

Devices

Deployment

Angioplasty

Postoperative Management and Follow Up

Suggested Reading

14 Vascular Malformations

Arteriovenous Malformations (AVM)

Indications and Case Selection

Contraindications

Preoperative Management

Technique

Embolic Agents

Coils

Onyx

Additional Equipment/Devices

Procedure

Double-Injection Technique

NBCA

Additional Equipment/Devices

Procedure

PVA

Additional Equipment/Devices

Procedure

Location-Specific Considerations

Postoperative Management and Follow-up

Dural Arteriovenous Fistulae (DAVF)

Indications and Case Selection

Contraindications

Preoperative Management

Technique

Embolic Agents

Coils

Onyx

NBCA

PVA

Postoperative Management and Follow-up

Carotid Cavernous Fistulae (CCF)

Indications and Case Selection

Preoperative Management

Technique

Transarterial Embolization of CCF

Embolic Agents

Coils

Onyx

NBCA

Balloons

Coil Occlusion of the Internal Carotid Artery

Technique

Transvenous Embolization of CCF

Hydrocoils

Onyx/NBCA

Embolization via Superior Ophthalmic Vein

Postoperative Management and Follow-up

Problems Encountered During Onyx Administration and Solutions

Problems Encountered During NBCA Administration and Solutions

Problems Encountered During PVA Administration and Solutions

Problems Encountered During Coil Embolization and Solutions

Suggested Readings

15 Stroke

Indications and Case Selection

Contraindications

Preoperative Management

Chemical Recanalization

Abciximab (Reopro®, Eli Lilly and Co., Indianapolis, IN)

TPA

Technique

Abciximab

TPA

Mechanical Recanalization

Indications and Case Selection

Contraindications

Equipment

Drugs

Devices

For Using Trevo Stentriever

For Using Merci® Retrieval System

For Penumbra System™ (Alternative to Merci® Retrieval System)

Technique

Diagnostic Angiography

Preparation of Guide catheter

Insertion of Guide catheter

Preparation of Microcatheter and Microwire

Insertion of Microcatheter

Thrombolysis

Thrombectomy

Sec28

Thrombectomy with Stentriever

Problems Encountered During Stentriever Usage and Solutions

Indications and Case Selection

Contraindications

Preparation of Balloon Guide catheter

Insertion of Guide catheter

Preparation of Microwire, Merci® Microcatheter and Retriever Device

Insertion of Merci microcatheter

Problems Encountered During Merci Device Usage and Solutions

Problems Encountered During Using of Penumbra System and Solutions

Aspiration Pump Setup

Reperfusion Catheter and Separator Size Selection

Reperfusion Catheter and Separator Placement

Preparation for Aspiration

Thrombus Removal

Reperfusion Catheter Does not Clear After Several Separator Movements

Reperfusion Catheter Is Unable to Maintain Stable Position at Proximal Face of Clot

Combining Stentriever and Penumbra Systems for Clot Extraction

Postoperative Management and Follow-up

Problems Encountered During Angioplasty and Stenting and Solutions

Pronto Device (for Cranial Sinus Thrombosis)

Indications

Contraindications

Femoral Venous Access

Pronto™ Aspiration Catheter Preparation

Deployment

Postoperative Management and Follow-up

Problems Encountered During Pronto Device Usage and Solutions

Suggested Readings

16 Kyphoplasty

Indications and Case Selection

Contraindications

Preoperative Management

Equipment

Technique

Lumbar

Point of Entry

Thoracic

Point of Entry

Entry into Vertebral Body

Postoperative Orders

Suggested Reading

17 Neurophysiological Tests

WADA Test

Indications

Preoperative Orders

Equipment

Micropuncture Kit

Angiopack that Includes

Drugs

Sodium Amytal

Procedure

Postoperative Orders

Suggested Reading

18 Pharmacological Agents

Heparin

Mechanism

Indications and Case Selection

Side Effects

Dose

Use for Flush System

During Endovascular Intervention

Heparin Dosing for Post-Coiling Neurosurgery Patients

Major Complications

Contraindications

Reversal

Abciximab (ReoPro®)

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Reversal

Aspirin (ASA)

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Reversal

Clopidogrel (Plavix™)

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Reversal

Ticlopidine

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Reversal

Tissue Plasminogen Activator (TPA)

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Reversal

Coumadin

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Reversal

Verapamil

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Papaverine

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Nicardipine

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Nitroglycerine

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Fresh Frozen Plasma (FFP)

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Platelets

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Sodium Amytal

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Xylocaine

Mechanism

Indications and Case Selection

Dose

Side Effects

Major Complications

Contraindications

Reversal

Suggested Readings

19 Complications, Avoidance and Management

Cerebral Artery Rupture During Procedure

Prevention

What to Do Once It Has Occurred

Displacement/Embolization of Detached Coil from Aneurysm

Prevention

What to Do Once It Has Occurred

Technique

Aneurysm Rupture

Prevention

What to Do Once Rupture Has Occurred

Femoral Pseudoaneurysm

Prevention

What to Do Once It Has Occurred

Thromboembolic Complications

Prevention

What to Do Once It Has Occurred

Dissection

Prevention

What to Do Once It Has Occurred

ICH

Prevention

What to Do Once It Has Occurred

Retroperitoneal Hematoma

Prevention

What to Do Once it Has Occurred

Radial Artery Thrombosis

Prevention

What to Do Once It Has Occurred

Device Failure

Stretched Coil

Stent Deployment Failure

Errant Placement of Stent

Merci Device Fracture

What to Do Once It Has Occurred

Index

 

An aparitie	2017
Autor	Khan
Dimensiuni	15.49 x 2.16 x 23.5 cm
Editura	Springer
Format	Softcover
ISBN	9783319529349
Limba	Engleza
Nr pag	374