Intracranial Aneurysms - 1st Edition - ISBN: 9780128117408, 9780128118832

Intracranial Aneurysms

1st Edition

Editors: Andrew Ringer
eBook ISBN: 9780128118832
Paperback ISBN: 9780128117408
Imprint: Academic Press
Published Date: 22nd May 2018
Page Count: 736
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Intracranial aneurysm result from complex interactions between cerebrovascular anatomy, vascular injury, and adaptive remodeling of the arterial wall and represent a cerebrovascular disorder with the potential for substantial morbidity and mortality. Most intracranial aneurysms occur in the larger arteries near the skull base, in or around the circle of Willis, but variants may appear virtually anywhere in the cerebral vasculature. The aneurysm can leak or rupture, causing life-threatening bleeding, and is the most common cause of spontaneous subarachnoid hemorrhage, the third most common form of stroke. Intracranial aneurysms affect about 1 in 10,000 people per year in the United States (approximately 27,000).
Intracranial Aneurysms will address the natural history, biology, and basic management principles and treatment of aneurysms. The chapters also explore the unique features of each type or location of aneurysm while considering the medical, surgical, and endovascular options. Contributions are by members of the Endovascular Neurosurgery Research Group, a group of recognized expert neurosurgeons who specialize in cerebrovascular and endovascular management of aneurysms.

Key Features

  • Comprehensively covers the basic mechanisms, history, management and treatment of intracranial aneurysms
  • Written for researchers, residents and clinical practitioners in clinical neuroscience, neurology and neurosurgery
  • Contains contributions by expert neurosurgeons of the Endovascular Neurosurgery Research Group


Researchers, clinical practitioners, and residents in clinical neuroscience, neurology, and neurosurgery

Table of Contents

  1. Background – i.e. biology, development, risk factors?
    a. Vascular Development / Embryology
    b. Biology of Aneurysm formation
    c. Risk factors for aneurysm formation
    d. Experimental Aneurysm Models
    2. Evaluation and Management of Aneurysms and SAH
    a. Imaging for intracranial aneurysms
    b. Indications and benefits of surveillance for intracranial aneurysms
    c. Indications and benefits of screening for intracranial aneurysms
    d. Workup of SAH
    e. Natural history and evaluation of SAH of unknown cause
    f. Medical and ICU management of SAH
    g. Vasospasm: physiology, prevention and management
    3. Surgical techniques
    a. Technical principles of aneurysm clipping
    b. Anesthetic techniques
    c. Indications and technique for bypass
    d. Neurophysiological monitoring
    e. Parent artery sacrifice
    f. Complication avoidance and management
    4. Endovascular techniques
    a. Diagnostic angiography techniques and complication avoidance
    b. Endovascular devices
    c. Anticoagulation and antiplatelets
    d. Endovascular techniques: direct coil, balloon assist, stent assist
    e. Endovascular flow diversion
    f. Balloon test occlusion
    g. Parent artery sacrifice
    h. Complication avoidance and management
    5. Specifics of aneurysm treatment (each chp/section will discuss specifics of endo and surg treatment)
    a. Anterior communicating artery
    b. Internal carotid aneurysms
    i. Carotid cave and paraclinoid
    ii. Communicating segment (PComm/A Chor)
    iii. Carotid terminus
    c. Middle cerebral artery
    d. Vertebral artery/PICA
    e. Basilar artery
    i. Trunk aneurysms / AICA
    ii. Basilar terminus
    iii. PCA / SCA
    f. Pericallosal
    g. Distal aneurysms
    6. Atypical aneurysms –
    a. dissections,
    b. fusiform aneurysms,
    c. mycotic,
    d. traumatic


No. of pages:
© Academic Press 2018
Academic Press
eBook ISBN:
Paperback ISBN:

About the Editor

Andrew Ringer

Andrew Ringer, MD, is a neurosurgeon with the Mayfield Clinic, Director of Neurosurgery at the Good Samaritan Hospital and Chief of Neurosciences at TriHealth Hospital System in Cincinnati, Ohio. . Dr. Ringer is dedicated to treating patients with neurovascular disease and to finding new neurosurgical techniques for the treatment of aneurysms, arteriovenous malformations, carotid artery disease, and stroke.

Affiliations and Expertise

Neurosurgeon with the Mayfield Clinic, Director of Neurosurgery at the Good Samaritan Hospital and Chief of Neurosciences at TriHealth Hospital System in Cincinnati, OH, USA


Although an entire book can be written on any one of the chapters in this book, Intracranial Aneurysms provides a well-structured overview of the subject. It is well written, and the inclusion of both microsurgical and endovascular treatment strategies is of particular relevance to the contemporary management of cerebral aneurysms. This book will serve as a great compendium for neurosurgical trainees and cerebrovascular surgeons.
- Stephan A. Munich MD and L. Nelson Hopkins MD, World Neurosurgery, February 2019, Volume 122, pp 532



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