Intracranial Aneurysms

Intracranial Aneurysms

1st Edition - May 21, 2018

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  • Editor: Andrew Ringer
  • Paperback ISBN: 9780128117408
  • eBook ISBN: 9780128118832

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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

  • Part I. Background
    Chapter 1. Cerebrovascular Embryology and Implications for the Pathogenesis of Cerebral Aneurysms
    Chapter 2. Biology of Cerebral Aneurysm Formation, Growth, and Rupture
    Chapter 3. Experimental Aneurysm Models
    Chapter 4. Training Standards in Neuroendovascular Surgery (NES)

    Part II. Evaluation and Management of Aneurysms and SAH
    Chapter 5. Imaging of Intracranial Aneurysms
    Chapter 6. Surveillance and Screening for Intracranial Aneurysms
    Chapter 7. Severe Headache and Diagnosis of Subarachnoid Hemorrhage in the Emergency Department
    Chapter 8. Evaluation and Initial Management of Subarachnoid Hemorrhage
    Chapter 9. SAH of Unknown Etiology: Natural History and Further Evaluation
    Chapter 10. Critical Care Management of Aneurysmal SAH After the Aneurysm is Secured
    Chapter 11. Radiographic Vasospasm and Clinical (Symptomatic) Vasospasm
    Chapter 12. Delayed Neurological Injury Not From Large-Vessel Vasospasm

    Part III. Surgical Techniques
    Chapter 13. Anesthesia Management of Intracranial Aneurysms
    Chapter 14. Technical Principles of Aneurysm Clipping
    Chapter 15. Management of Complex Intracranial Aneurysms: Principles of Microsurgical Deconstruction and Cerebrovascular Bypass
    Chapter 16. Intraoperative Neurophysiologic Monitoring in Brain Aneurysm Surgery

    Part IV. Endovascular Techniques
    Chapter 17. Diagnostic Angiography Techniques and Complication Avoidance
    Chapter 18. Evolving Technologies in the Treatment of Cerebral Aneurysms
    Chapter 19. Platelet Inhibition and Anticoagulation in Endovascular Neurosurgery
    Chapter 20. Guide Catheter Access: Basics and Solutions to Difficult Anatomy
    Chapter 21. Basic Endovascular Techniques: Direct, Balloon-Assisted, and Stent-Assisted Coil Embolization
    Chapter 22. Endovascular Flow Diversion
    Chapter 23. Intra-Sacular Flow Disruption
    Chapter 24. Balloon Test Occlusion
    Chapter 25. Parent Vessel Sacrifice in Endovascular Surgery
    Chapter 26. Complication Avoidance During Neuroendovascular Procedures
    Chapter 27. Complication Avoidance and Management of Endovascular Treatments

    Part V. Specifics of Aneurysm Treatment
    Chapter 28. Anterior Communicating Artery Aneurysms
    Chapter 29. Internal Carotid Artery Aneurysms Introduction
    Chapter 29A. Specifics of Aneurysm Treatment: Paraclinoid Internal Carotid Artery
    Chapter 29B. Internal Carotid Aneurysms—Communicating Segment
    Chapter 29C. Carotid Terminus Aneurysms
    Chapter 30. Middle Cerebral Artery
    Chapter 31. Vertebral Artery and PICA Aneurysms
    Chapter 32. Introduction: Basilar Artery Aneurysms
    Chapter 32A. Specifics of Treatment for Basilar Trunk Artery Aneurysms
    Chapter 32B. Basilar Terminus
    Chapter 32C. Posterior Cerebral Artery/Superior Cerebellar Artery Aneurysms
    Chapter 33. Pericallosal Aneurysms
    Chapter 34. Specifics of Aneurysm Treatment Distal Aneurysms

    Part VI. Atypical Aneurysms
    Chapter 35. Dissecting Intracranial Aneurysms
    Chapter 36. Fusiform Aneurysms
    Chapter 37. Mycotic Cerebral Aneurysms
    Chapter 38. Traumatic Intracranial Aneurysms
    Chapter 39. Blister Aneurysms

Product details

  • No. of pages: 736
  • Language: English
  • Copyright: © Academic Press 2018
  • Published: May 21, 2018
  • Imprint: Academic Press
  • Paperback ISBN: 9780128117408
  • eBook ISBN: 9780128118832

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

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