By Horia Muresian
This publication covers all elements of the prevention, prognosis, and therapy of stroke, supplying an built-in standpoint that might be suitable to a variety of experts. broad attention is given to the various tools of stroke prevention and arterial revascularization, with up to date info on pharmacological measures and transparent presentation of endovascular stent placement tactics and surgical thoughts, together with these concerning the carotid artery, vertebral artery, and aortic arch. complicated approaches, akin to simultaneous bilateral carotid revascularization, are mentioned intensive, drawing on a wide sequence of circumstances and commencing functional ideas. The prognosis and therapy of intra- and extracranial aneurysms and the administration of cervical trauma are tested totally. additionally, the reader is supplied with tips on characterization of the perpetrator lesion by way of varied imaging modalities and with recommendation at the value of a multidisciplinary group and mixed ways (endovascular and surgical), id of chance components, anesthesia, neuromonitoring, and hemodynamic tracking. The publication may be of worth not just for cardiac and vascular surgeons but in addition for cardiologists, neurologists, neurosurgeons, anesthesiologists, anatomists, experts in diagnostic imaging, and interventional radiologists.
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Additional info for Arterial Revascularization of the Head and Neck: Text Atlas for Prevention and Management of Stroke
2007;18(8):1051–3. 45. Bernard TJ, Mull BR, Handler MH, Harned RK, Filley CM, Kumpe DA, Tseng BS. An 18 year old man with fenestrated vertebral arteries, recurrent stroke and successful angiographic coiling. J Neurol Sci. 2007;260(1–2):279–82. 46. Burger IM, Siclari F, Gregg L, Gailloud P. Bilateral segmental agenesis of the vertebrobasilar junction: developmental and angiographic anatomy. AJNR. 2007;28(10):2017–22. 47. Netter FH, Caplan LR. Cerebrovascular disease, Section III, Plate 8. In: Netter FH, Jones HR, Dingle RV, editors.
A first classification regards the location of connections: extracranial or intracranial. From a second point of view, the collaterals are primary, secondary, and, respectively, the rare or inconstant channels (for the latter, see the vestigial anastomoses below). The extracranial anastomoses are located at cervical or cephalic level. As the common carotid and internal carotid arteries (CCA and ICA, respectively) normally do not give off any cervical branches, the cervical anastomoses are developed between the external carotid artery (ECA), the vertebral artery (VA), the subclavian artery, and their branches.
5 (continued) 26 H. Muresian a XI VII X IX XII JF CF SMF Styl b D Sym X m. g. M Lin C1 C2 GH C3 TH OH-s OH-i SH ST Fig. 6 Anatomical relationships at the cranial base. Panel (a), a schematic reconstruction and demonstration of the main structures at the cranial base. The ICA is depicted in red, while the IJV in blue. The ICA enters the skull at the level of the carotid foramen (CF) accompanied by the sympathetic fibers (not shown). The IJV exits the skull at the level of the jugular foramen (JF) sharing the same orifice with the glossopharyngeal (IX), vagus (X), and the accessory nerve (XI).
Arterial Revascularization of the Head and Neck: Text Atlas for Prevention and Management of Stroke by Horia Muresian