| Description |
1 online resource (208 pages) |
| Contents |
Surgical Techniques in Moyamoya Vasculopathy: Tricks of the Trade; Title Page; Copyright; Contents; Foreword; Preface; Contributors; Part 1 General Concepts; 1 Perioperative Management and Considerations; 1.1 Physiology; 1.1.1 Basic Physiology of Cerebral Blood Flow; 1.1.2 What Is Different in Patients with Moyamoya Disease?; 1.2 Anesthesia; 1.2.1 Choice of Anesthesia Technique; 1.2.2 Preoperative Evaluation and Premedication; 1.2.3 Monitoring; 1.2.4 Targets of Anesthesia; 1.2.5 Induction and Maintenance; 1.2.6 Emergence; 1.3 Postoperative Care for Moyamoya Disease Patients; 1.3.1 Where? |
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1.3.2 Pain Control1.4 Threats of Anesthesia for Moyamoya Disease Surgery; 1.4.1 Ischemic Stroke and Transient Ischemic Attacks; 1.4.2 Cerebral Hyperperfusion Syndrome; References; Suggested Readings; 2 General Principles of Direct Bypass Surgery; 2.1 History and Initial Description; 2.2 Analysis of Hemodynamic Compromise for Direct Bypass Surgery; 2.3 Key Principles of Direct Revascularization Surgery; 2.3.1 Graft Choice; 2.3.2 Recipient Artery; 2.3.3 Standardized Strategies versus Targeted Bypass Procedures; 2.3.4 Peri- and Intraoperative Management and Neuroprotection |
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2.3.5 Intraoperative Flow Assessment2.4 General Complications and Risk Stratification; References; 3 General Principles of Indirect Bypass Surgery; 3.1 Introduction; 3.2 History and Initial Description; 3.3 Pathophysiology; 3.4 Concept of Indirect Bypass Surgery; References; Part 2 Indirect Revascularization; 4 Multiple Burr Holes; 4.1 History and Initial Description; 4.2 Indications; 4.3 Key Principles; 4.4 SWOT Analysis; 4.4.1 Strengths; 4.4.2 Weakness; 4.4.3 Opportunities; 4.4.4 Threats; 4.5 Contraindications; 4.6 Special Considerations; 4.6.1 Imaging; 4.6.2 Patient |
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4.7 Pitfalls, Risk Assessment, and Complications4.8 Special Instructions, Position, and Anesthesia; 4.8.1 Anesthesia; 4.8.2 Position; 4.9 Skin Incision and Key Surgical Steps; 4.10 Difficulties Encountered; 4.11 Bailout, Rescue, and Salvage Maneuvers; 4.12 Tips, Pearls, and Lessons Learned; References; 5 Encephalo-myo-synangiosis; 5.1 History and Initial Description; 5.2 Indications; 5.3 Key Principles; 5.4 SWOT Analysis; 5.4.1 Strengths; 5.4.2 Weaknesses; 5.4.3 Opportunities; 5.4.4 Threats; 5.5 Contraindications; 5.6 Special Considerations; 5.7 Pitfalls, Risk Assessment, and Complications |
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5.8 Special Instructions, Position, and Anesthesia5.9 Key Surgical Steps; 5.9.1 Patient Position and Skin Incision; 5.9.2 Pterional Skin Incision; 5.9.3 Separate Skin and Muscle Flaps; 5.9.4 Mobilization of the Temporalis Muscle; 5.9.5 Elevation of the Muscle Flap; 5.9.6 Craniotomy and Drilling of the Sphenoid Wing; 5.9.7 Opening of the Dura and Encephaloduro-synangiosis; 5.9.8 Suturing of the Muscle Fascia to the Edge of the Dural Opening; 5.9.9 Bone Flap Reimplantation; 5.10 Difficulties Encountered; 5.11 Bailout, Rescue, and Salvage Maneuvers; 5.12 Tips, Pearls, and Lessons Learned |
| Summary |
A luminary in the field of cerebrovascular surgery brings his pace-setting work on the surgical management of moyamoya disease to the neurosurgical community When the rare stroke strikes in children and youth, a likely cause is the idiopathic disease moyamoya, characterized by the slow and progressive stenosis and occlusion of the internal carotid artery and the arteries of the circle of Willis. A result of these stenoses is the formation of collaterals that are typically small and fragile, and liable to rupture. While there is no cure for moyamoya, a variety of surgical procedures can be perf |
| Bibliography |
References |
| Notes |
Print version record |
| Subject |
Cerebrovascular disease -- Surgery.
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Cerebrovascular disease -- Surgery
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| Form |
Electronic book
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| ISBN |
9783131470812 |
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313147081X |
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