By Horia Muresian

This ebook covers all elements of the prevention, analysis, and remedy of stroke, delivering an built-in standpoint that might be proper to a number of experts. vast attention is given to different tools of stroke prevention and arterial revascularization, with up to date info on pharmacological measures and transparent presentation of endovascular stent placement methods and surgical concepts, together with these regarding the carotid artery, vertebral artery, and aortic arch. advanced methods, similar to simultaneous bilateral carotid revascularization, are mentioned extensive, drawing on a wide sequence of situations and starting up functional ideas. The analysis and therapy of intra- and extracranial aneurysms and the administration of cervical trauma are tested absolutely. additionally, the reader is supplied with tips on characterization of the wrongdoer lesion by way of diverse imaging modalities and with suggestion at the significance of a multidisciplinary group and mixed methods (endovascular and surgical), identity of probability components, anesthesia, neuromonitoring, and hemodynamic tracking. The booklet may be of price not just for cardiac and vascular surgeons but additionally for cardiologists, neurologists, neurosurgeons, anesthesiologists, anatomists, experts in diagnostic imaging, and interventional radiologists.

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Extra info for Arterial Revascularization of the Head and Neck: Text Atlas for Prevention and Management of Stroke

Sample text

In the area of the triangle, the VA is also covered by the posterior atlanto-occipital membrane. The first two cervical nerves are just posterior to the VA (C1 and C2). MAST mastoid process 1 The Cerebral Circulation 37 b BA V4 C1 V3 C2 V2 C3 Left VA Right VA c BA V4 * C1 V3 Left VA V2 C2 C3 Fig. 15 (continued) H. Muresian 38 d CERVICAL NERVE SULCUS CERVICAL NERVE Left VA Right VA e RCPm ObS MAST. RCPM V3 C1 C1 VA C2 ObI C2 C3 Fig. 15 (continued) 1 The Cerebral Circulation 39 Fig. 16 The segments of the internal carotid artery.

7): 47 • From the facial artery: In the angular artery, the terminal branch of the facial artery (ECA) anastomoses by inosculation with the dorsal nasal branch from the ophthalmic artery (ICA). Hemodynamically important and clinically the most significant, this anastomosis can be readily assessed echographically. , the reversed blood flow from the ECA toward the ICA) represents a valid sign of ipsilateral ICA significant stenosis or occlusion. On the other hand, severe stenosis or occlusion of the ICA may well be compensated through the circle of Willis, and the ophthalmic artery may still appear as “positive” on ultrasound examination.

1218–52. 13. Milhorat TH, Hammock MK, Fenstermacher JD, Levin VA. Cerebrospinal fluid production by the choroid plexus and brain. Science. 1971;173(3994):330–2. 14. Iadecola C, Yang G, Ebner TJ, Chen G. Local and propagated vascular responses evoked by focal synaptic activity in cerebellar cortex. J Neurophysiol. 1997;78:651–9. 15. Kontos HA, Wei EP, Navari RM, Levasseur JE, Rosenblum WI, Patterson Jr JL. Responses of cerebral arteries and arterioles to acute hypotension and hypertension. Am J Physiol.

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