Handbook of Neuroendovascular Techniques

Abstract

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. Preface; Acknowledgements; 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 AccessAllen 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 NephrotoxicityRenal 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 CarotidRight 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 ThrombolysisContraindications; 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