By Naci Kocer
This atlas makes a speciality of the imaging and healing procedures to be had for large intracranial aneurysms seeing that Nineties first and foremost of the so-called sleek endovascular period. in this interval, there have been major advances made within the remedy of small intracranial aneurysms even though the remedy of big aneurysms persevered to pose an insurmountable problem. on the flip of this century, this grim state of affairs steadily more desirable with larger figuring out of the pathophysiology of big intracranial aneurysms. This replaced state of affairs in significant intracranial aneurysm treatment has been illustrated as a result of informative scientific case stories. The scientific presentation of huge aneurysms in adults and youngsters is defined as are the benefits of alternative imaging modalities defined and illustrated. wide attention has been given to fashionable fusion imaging that has better our perception into the character of the sickness. Endovascular therapy methods (including illustrative open surgical methods) and reconstructive and deconstructive recommendations are totally documented, with cautious consciousness given to elements that effect administration suggestions, remedy selection and complications.The atlas could be a beneficial reference and functional reduction for neuroradiologists, neurosurgeons, neurologists, fellowship trainees, postgraduate & graduate scholars.
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Additional resources for Giant Intracranial Aneurysms: A Case-Based Atlas of Imaging and Treatment
4. 5. Islak C, Kocer N, Albayram S, Kizilkilic O, Uzma O, Cokyuksel O (2002) Bare stent-graft technique: a new method of endoluminal vascular reconstruction for the treatment of giant and fusiform aneurysms. AJNR Am J Neuroradiol 23(9):1589–1595 Shankar JJ, Vandorpe R, Pickett G, Maloney W (2013) SILK ﬂow diverter for treatment of intracranial aneurysms: initial experience and cost analysis. J Neurointerv Surg 5(Suppl 3):iii11–15. 1136/ neurintsurg-2012-010590 Binning MJ, Natarajan SK, Bulsara KR, Siddiqui AH, Hopkins LN, Levy EI (2011) SILK ﬂow-diverting device for intracranial aneurysms.
There was no proximal endoleak. The patient was re-treated with a single-layer PED® FD that was deployed telescopically within the previous dual-layered FD (FRED®) (Telescopic multiple flow-diverter technique). We used a slightly oversized both FRED® and PED® to enhance the radial force of the stent complex. 7 Case 7 44 e 7 f g . Fig. 1 (continued) (e) Cerebral DSA and MRI, 3 months post second treatment, reveal resolution of the brain stem vasogenic edema and exclusion of the aneurysm from circulation.
During further attempts to open this portion of the FD, the proximal unopened portion of FRED® inadvertently detached within the microcatheter (arrow). 47 Case 8 c . Fig. 1 (continued) (c) At this point of time, it was believed an in-stent balloon angioplasty could open the proximal FRED®. Although the microwire and balloon could be re-navigated through the deployed FRED®, a balloon angioplasty could not open the kink at the anterior ICA bend. At the same time, it was observed that the entire complex had a tendency to move distally.