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Format: 1 Online-Ressource (XIII, 181 p. 60 illus., 30 illus. in color).

ISBN: 978-3-319-53853-2

Additional Edition: Erscheint auch als Druck-Ausgabe ISBN 978-3-319-53852-5

Language: English

DOI: 10.1007/978-3-319-53853-2

URL: Volltext  (URL des Erstveröffentlichers)

URL: http://dx.doi.org/10.1007/978-3-319-53853-2

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Format: 1 online resource (340 pages)

Edition: 1. Edition.

ISBN: 1-62623-276-8 , 1-68420-306-6

Content: A case-based guide to the interventional management of stroke from leading international experts! Stroke is the most prevalent cerebrovascular emergency, impacting an estimated 15 million people worldwide every year. Endovascular treatment (EVT) of ischemic stroke has expanded at an unforeseen pace, with EVT the most common neurointerventional procedure performed at most large centers. Endovascular Management of Ischemic Stroke: A Case-Based Approach by renowned stroke pioneer Vitor Mendes Pereira and distinguished co-editors features contributions from a "who's who" of global experts. This practical resource provides straightforward guidance for clinicians who need to learn and master state-of-the-art endovascular interventions reflecting the new, evidenced-based treatment paradigm for acute stroke. This carefully crafted reference takes readers on a journey from the early building blocks that led to modern stroke interventions to meticulous step-by-step descriptions of the latest approaches. Fifty high-yield cases mirror real-life scenarios trainees and professionals are likely to encounter in clinical practice. Seven sections encompass a full spectrum of diverse patient presentations, anatomical variations, advanced techniques, complex pathologies, complications, and stroke mimics. Key Highlights Discussion of emerging techniques likely to stand the test of time such as SAVE, ARTS, transradial access, and transcarotid access Stroke mimics important for differential diagnoses, including hemiplegic migraine, MELAS, RCVS, seizure, and more An appendix that covers fundamental terms, trials, and tools This cutting-edge resource is essential reading for trainee and early-career interventionalists, as well as seasoned practitioners in interventional radiology, neuroradiology, endovascular neurosurgery, and interventional neurology.

Note: Endovascular Management of Ischemic Stroke: A Case-Based Approach -- Title Page -- Copyright -- Dedication -- Contents -- Foreword -- Preface -- Acknowledgments -- Contributors -- I Evolution of Endovascular Management -- 1 Intra-arterial Tissue Plasminogen Activator: The First Step -- 2 Transcatheter MERCI Clot Retrieval: The Early Generation -- 3 Penumbra Clot Aspiration Technique: The Dark Days -- 4 Trevo Stent-Retriever Thrombectomy: Light on the Horizon -- 5 Solitaire Stent-Retriever Thrombectomy: Building the Evidence -- II Case Selection -- 6 Timing in Stroke and the Tissue Clock -- 7 Role of Leptomeningeal Collaterals -- 8 Importance of Clot Burden and Clot Location -- 9 ASPECTS: When Not to Treat -- 10 Microbleeds Are Not a Contraindication to Thrombolysis in Acute Stroke -- 11 Stroke Etiologies: Hemodynamic, Embolic, and Perforator Stroke -- 12 Endovascular Therapy in a Patient with a Proximal MCA Occlusion and No Neurological Deficits -- 13 MRI in Stroke (Core Size, Mismatch, and New Advances) -- III Fundamentals and Standard Approaches -- 14 The Classical Setup: Carotid-T with Balloon -- 15 M1 Anatomy and Role of Perforators in Outcome -- 16 Basilar Artery Occlusion -- 17 ADAPT Technique for Acute Ischemic Stroke Thrombectomy -- 18 General Anesthesia in Thrombectomy -- 19 Conscious Sedation in Thrombectomy -- 20 Endovascular Therapy for Patients with an Isolated M2 Occlusion -- IV Advanced Techniques -- 21 Percutaneous Radial Arterial Access for Thrombectomy -- 22 Percutaneous Transcarotid Endovascular Thrombectomy for Acute Ischemic Stroke -- 23 Distal Access Catheter Technique without Balloon Assistance -- V Complex Cases -- 24 Tandem Lesions -- 25 Pseudo-occlusion -- 26 Underlying Intracranial Stenosis -- 27 Intracranial Dissection -- 28 Hyperacute Extracranial Angioplasty and Stenting: When and How. , 29 Failed Mechanical Thrombectomy: What to Do Next -- 30 Rescue Permanent Stenting -- 31 Acute Dissection with Hemodynamic Infarctions -- 32 The SAVE Technique -- 33 Aspiration-Retriever Technique for Stroke (ARTS) -- VI Complications -- 34 Clot Migration with Emboli to Distal Territories -- 35 Endothelial Damage -- 36 Management of Vessel Perforation during Stroke Intervention -- 37 Arterial Access Complications -- 38 Intraprocedural Vasospasm during Thrombectomy -- 39 Hemorrhagic Transformation after Endovascular Stroke Therapy -- 40 Endovascular Treatment of Cerebral Venous Thrombosis -- 41 Endovascular Thrombectomy for Pediatric AcuteIschemic Stroke -- VII Stroke Mimics and Rare Causes -- 42 Hemiplegic Migraine -- 43 Intra-arterial Contrast Injection during Computed Tomography Angiography -- 44 Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-Like Episodes (MELAS) -- 45 Reversible Cerebral Vasoconstriction Syndrome -- 46 Acute Ischemic Stroke Secondary to Cardiac Myxoma Embolus -- 47 Seizure -- 48 Cerebral Amyloid Angiopathy -- 49 Contrast Staining Masquerading as Hemorrhage -- 50 HaNDL -- 51 Appendix: Essential Terms, Trials, and Tools -- Index.

Additional Edition: ISBN 1-62623-275-X

Language: English

Keywords: Case Reports ; Case Reports ; Electronic books.

DOI: 10.1055/b000000307

URL: Click to View

UID:

Format: 1 Online-Ressource (XIII, 181 p. 60 illus., 30 illus. in color).

ISBN: 978-3-319-53853-2

Additional Edition: Erscheint auch als Druck-Ausgabe ISBN 978-3-319-53852-5

Language: English

DOI: 10.1007/978-3-319-53853-2

URL: Volltext  (URL des Erstveröffentlichers)

UID:

Format: 1 Online-Ressource (XIII, 181 p. 60 illus., 30 illus. in color).

ISBN: 978-3-319-53853-2

Additional Edition: Erscheint auch als Druck-Ausgabe ISBN 978-3-319-53852-5

Language: English

DOI: 10.1007/978-3-319-53853-2

URL: Volltext  (URL des Erstveröffentlichers)

UID:

Format: 1 online resource (xviii, 282 pages) : , illustrations.

Edition: 1st ed.

ISBN: 1-63853-626-0 , 1-68420-382-1 , 1-68420-016-4

Content: "Vertebral compression fractures (VCFs) result from trauma or pathologic weakening of the bone and are associated with conditions such as osteoporosis or malignancy. Worldwide, VCFs impact one in three women and one in eight men aged 50 and older, with more than 8.9 million fractures incurred annually. Copublished by Thieme and the Society of Interventional Radiology, Vertebral Augmentation: The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation provides a practical, clinical discussion of these minimally invasive spine interventions"--

Note: Vertebral Augmentation: The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation -- Title Page -- Copyright -- Contents -- Videos -- Preface -- Contributors -- 1 History and Introduction to Vertebral Augmentation -- 1.1 Introduction -- 1.2 Mechanisms of Pain Relief -- 1.3 Procedures -- 1.3.1 Vertebroplasty -- 1.3.2 Kyphoplasty -- 1.3.3 Radiofrequency Kyphoplasty -- 1.3.4 Percutaneous Radiofrequency Ablation -- 1.3.5 Vertebral Augmentation with Implants -- 1.4 Indications and Contraindications -- 1.5 Risks and Complications -- 1.6 Clinical Applications and Evidence -- 1.6.1 Osteoporosis -- 1.6.2 Trauma -- 1.6.3 Bone Disease, Cancer, Metastases, and Multiple Myeloma -- 1.6.4 Langerhans Cell Vertebral Histiocytosis -- 1.6.5 Osteogenesis Imperfecta -- 1.7 Conclusion -- 2 Vertebral Compression Fractures -- 2.1 Introduction -- 2.2 Presentation and Diagnosis -- 2.3 Epidemiology -- 2.3.1 Osteoporosis -- 2.3.2 Cancer -- 2.3.3 Trauma -- 2.4 Vertebral Fracture Classification Systems -- 2.5 Treatment -- 2.5.1 Osteoporotic Vertebral Compression Fractures -- 2.5.2 Pathologic Vertebral Fractures due to Neoplasia -- 2.5.3 Traumatic Vertebral Fractures -- 2.6 Public Health and Economic Impact -- 2.6.1 Osteoporosis -- 2.6.2 Cancer -- 2.6.3 Trauma -- 2.6.4 Cost-Effectiveness -- 2.7 Conclusion -- 3 Preprocedure Assessment Prior to Vertebral Augmentation -- 3.1 Introduction -- 3.2 Anatomy, Radiologic Imaging, Identification, and Interpretation of Vertebral Compression Fractures -- 3.3 Preprocedure Assessment -- 3.4 General Indications, Contraindications, and Procedure Complications -- 3.5 Equipment and Room Setup -- 3.6 Procedure -- 3.7 Postprocedure Management -- 4 Physical Examination Findings in Patients with Vertebral Compression Fractures -- 4.1 Introduction -- 4.2 Presentation of Vertebral Compression Fractures -- 4.3 Risk Factors. , 4.4 Red Flags -- 4.5 Observational Findings Suggesting Compression Fracture -- 5 Medical Pain Management in Patients with Vertebral Compression Fractures -- 5.1 Introduction -- 5.2 Nonsteroidal Anti-Inflammatory Drugs -- 5.3 Acetaminophen -- 5.4 Opioid Analgesics -- 5.5 Muscle Relaxants -- 5.6 Calcitonin -- 5.7 Transdermal Lidocaine -- 5.8 Bisphosphonate -- 5.9 Anticonvulsants -- 5.10 Conclusion -- 6 Approaches to the Vertebral Body -- 6.1 Introduction -- 6.2 Indications -- 6.3 Anatomy -- 6.3.1 Planning the Trajectory -- 6.4 Bilateral versus Unilateral Approach -- 6.5 Imaging and Equipment -- 6.6 Procedure -- 6.6.1 Potential Risks and Management of Complications -- 6.6.2 Transpedicular Approach -- 6.6.3 Extrapedicular and Parapedicular Approaches -- 6.6.4 Extrapedicular Modified Inferior End Plate Access -- 6.6.5 Parapedicular Approach -- 6.6.6 Parapedicular Approach to the Vertebral Body -- 6.6.7 Approaches to the Cervical Spine -- 6.7 Vertebral Body Biopsy -- 6.8 Conclusion -- 7 Properties of Bone Cements and Vertebral Fill Materials: Implications for Clinical Use in Image-Guided Therapy and Vertebral Augmentation -- 7.1 Introduction -- 7.2 Bone Cement Types -- 7.2.1 Polymer Chemistry -- 7.2.2 PMMA-Based Bone Cements -- 7.3 Cement Properties -- 7.3.1 Liquid-to-Powder Ratio -- 7.3.2 Initiator-to-Activator Ratio -- 7.3.3 Radiopacifiers -- 7.3.4 Polymethyl Methacrylate Bead Size -- 7.4 Mixing Method -- 7.5 Antibiotics -- 7.6 Pain Relief -- 7.7 Bone Adherence -- 7.8 Bone Formation and Other New Developments -- 7.9 The Future -- 7.10 Conclusion -- 7.11 Pearls -- 8 Vertebroplasty -- 8.1 Introduction -- 8.2 Anatomic Features -- 8.3 The Procedure -- 8.3.1 Procedure Materials -- 8.3.2 Sedation and Anesthetic Preparation -- 8.3.3 Positioning -- 8.3.4 Antibiotic Prophylaxis and Skin Preparation -- 8.3.5 Needle Placement -- 8.3.6 Image Guidance. , 8.3.7 Needle Insertion -- 8.3.8 Fill Materials -- 8.3.9 Cement Injection -- 8.3.10 Volume of Cement Injected -- 8.4 Considerations in Cervical Vertebroplasty -- 8.5 Postprocedure Care -- 8.5.1 Initial Postprocedure Care -- 8.5.2 Discharge and Follow-Up -- 8.6 Conclusion -- 8.7 Key Points -- 9 Sacroplasty: Management of Sacral Insufficiency Fractures -- 9.1 Introduction -- 9.2 Fractures of the Sacrum: Anatomy -- 9.3 Sacral Insufficiency Fractures: Causes and Natural History -- 9.4 History and Examination -- 9.5 Imaging -- 9.6 Treatment -- 9.6.1 Conservative Treatment -- 9.6.2 Osseous Augmentation -- 9.7 Techniques -- 9.7.1 Short-Axis Technique -- 9.7.2 Long-Axis Technique -- 9.7.3 Lateral Approach Technique -- 9.8 Outcomes -- 10 Cervical and Posterior Arch Augmentation -- 10.1 Cervical Augmentation -- 10.1.1 Introduction -- 10.1.2 Historical Perspective -- 10.1.3 Image Guidance -- 10.1.4 Procedural Approaches -- 10.1.5 Prevention of Infection -- 10.1.6 Complications -- 10.1.7 Conclusion -- 10.2 Posterior Arch Augmentation -- 10.2.1 Introduction -- 10.2.2 Pediculoplasty -- 10.2.3 Laminoplasty and Spinoplasty -- 10.2.4 Key Points -- 11 Balloon Kyphoplasty -- 11.1 Introduction -- 11.2 Materials -- 11.2.1 Bone Access Tools -- 11.2.2 Balloons Tamps and Inflation Devices -- 11.2.3 Bone Cement -- 11.3 Diagnosis and Preoperative Preparation -- 11.4 Indications and Contraindications -- 11.5 Procedure -- 11.5.1 Bilateral versus Unilateral Approach -- 11.6 Risks and Benefits -- 11.7 Importance of Sagittal Balance Restoration and Kyphosis Correction -- 11.8 Adjacent Fractures -- 11.9 Postoperative Care -- 11.10 Conclusion -- 12 Vertebral Augmentation with Implants -- 12.1 Introduction -- 12.2 The Implants -- 12.3 The Procedures -- 12.4 Bilateral versus Unilateral Approach -- 12.5 Advantages and Disadvantages of Vertebral Implants -- 12.6 Postprocedure Care. , 13 Radiation Exposure and Protection: A Conversation Beyond the Inverse Square Law, Thermoluminescent Dosimeters, and Lead Aprons -- 13.1 Introduction -- 13.2 Gene Mutation and Radiation Effects on DNA Leading to the Development of Cancer -- 13.3 Radiation Dose to the Operator and Patient During Vertebroplasty/Kyphoplasty -- 14 Appropriateness Criteria for Vertebral Augmentation -- 14.1 Introduction -- 14.2 Indications, Guidelines, and Recommendations -- 14.3 Appropriateness Criteria -- 15 Literature Analysis of Vertebral Augmentation -- 15.1 Introduction -- 15.2 Early Data -- 15.3 Evidence for Efficacy -- 15.3.1 Vertebroplasty -- 15.3.2 Kyphoplasty -- 15.3.3 Vertebroplasty Compared with Kyphoplasty -- 15.3.4 The Kiva System -- 15.4 Evidence for Safety -- 15.4.1 Overall Complications -- 15.4.2 Cement Leakage -- 15.4.3 Subsequent Fractures -- 15.5 Mortality Benefit -- 15.6 Conclusion -- 15.7 Key Points -- 16 Cost-Effectiveness of Vertebral Augmentation -- 16.1 Introduction -- 16.2 Cost-Effectiveness -- 17 Additional and Adjacent Level Fractures after Vertebral Augmentation -- 17.1 Introduction -- 17.2 Risk Factors for Additional or Adjacent-Level Fractures -- 17.3 Possible Influences of Vertebral Augmentation Technique -- 18 Predisposing Factors to Vertebral Fractures -- 18.1 Introduction -- 18.2 Current Information Based on Recent Literature and State-of-the-Art Practice -- 18.2.1 Osteoporosis -- 18.2.2 Pathologic Fractures -- 18.2.3 Fractures Secondary to Infection -- 18.2.4 Traumatic Fractures -- 18.3 Key Points -- 19 Bracing for Spinal Fractures -- 19.1 Introduction -- 19.2 Cervical Fracture Bracing -- 19.3 Lumbar and Thoracic Compression Fracture Bracing -- 19.3.1 Introduction -- 19.3.2 Types of Thoracolumbar Braces -- 19.3.3 Concepts on the Use of the TLSO Braces -- 19.3.4 Bracing for Traumatic Burst Fractures of the Lumbar and Thoracic Spine. , 19.4 Osteoporotic Lumbar and Thoracic Fractures -- 20 Amount of Cement or Vertebral Fill Material for Optimal Treatment and Pain Relief -- 20.1 Introduction -- 20.2 What are the Mechanisms of Pain Relief in Vertebral Augmentation? -- 20.2.1 Mechanical Stability -- 20.2.2 Denervation of the Vertebra and the Role of C Fibers and the Basivertebral Nerve -- 20.3 Treatment of Degenerative End Plate Changes with Osseous Augmentation -- 20.4 Conclusion -- 20.5 Pearls -- 21 Clinical Presentation and the Response to Vertebral Augmentation -- 21.1 Clinical Presentation -- 21.2 Response to Vertebral Augmentation -- 22 Effect of Vertebral Augmentation on Morbidity and Mortality -- 22.1 Introduction -- 22.2 Nonsurgical Management vs. Vertebral Augmentation -- 22.3 Outcome of Patients with Vertebral Fractures Not Treated with Vertebral Augmentation -- 23 Number of Levels Appropriately Treated with Vertebral Augmentation -- 23.1 Introduction -- 23.2 Neoplastic Vertebral Fractures -- 23.3 Risk Factors for Vertebral Compression Fractures -- 23.4 Number of Levels to Treat with Vertebral Augmentation -- 23.5 Diagnosis of Painful Vertebral Compression Fractures -- 23.6 Safety of Treating Multiple Vertebral Compression Fractures -- 23.7 Conclusion -- 24 Pain after Vertebral Augmentation -- 24.1 Introduction -- 24.2 Complications from Procedure -- 24.3 Recurrent Fracture -- 24.4 Facet-Mediated Pain -- 24.5 Sagittal Imbalance -- 25 Postural Fatigue Syndrome -- 25.1 Introduction -- 25.2 Clinical Presentation -- 25.3 Pathophysiology -- 25.4 Treatment -- 25.5 Key Points -- 26 Physical Therapy after Vertebral Augmentation -- 26.1 Introduction -- 26.2 Rehabilitation as Part of Routine Anti-Osteoporosis Care -- 26.3 Rehabilitation after Osteoporotic Vertebral Compression Fractures -- 26.4 Rehabilitation as Part of Postinterventional Care -- 26.5 Conclusion. , 27 Sham vs. Vertebral Augmentation.

Additional Edition: ISBN 1-68420-015-6

Language: English

DOI: 10.1055/b000000226