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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3856_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Preface
- •Contents
- •Contributors
- •Introduction
- •New Problems
- •Acute Ischemic Stroke Paradigm Shift
- •Robotics
- •New Procedures
- •New Practitioners
- •New Impactful Skill Sets
- •The Transradial Wave
- •Conclusions
- •References
- •2: Minimally Invasive Intracerebral Hemorrhage Removal
- •Introduction
- •STICH Trial
- •Craniopuncture
- •Endoport-Mediated Evacuation
- •Endoscope-Assisted Evacuation
- •Adjunctive Aspiration Devices
- •Surgiscope
- •Other Techniques
- •Conclusions
- •References
- •References
- •Augmented Reality
- •Postoperative Monitoring
- •Patient Outcomes
- •Conclusion
- •References
- •Introduction
- •Embolic Protection Devices
- •The Evidence Against Distal Embolic Protection
- •Conclusions
- •References
- •Introduction
- •Specialized Neurologic Emergency Departments
- •Conclusion
- •References
- •Introduction
- •Increased CSF Production
- •Increased Intracranial Blood Volume
- •Diagnosis
- •Management
- •Conservative
- •Surgical Treatment
- •Optic Nerve Sheath Fenestration (ONSF)
- •Cerebrospinal Fluid Diversion
- •Venous Sinus Stenting
- •Background
- •Outcomes
- •Prestenting Evaluation
- •Technique
- •Summary
- •References
- •8: Robotic-Assisted Endovascular Intervention
- •Introduction
- •History
- •Robotic-Assisted Endovascular Work
- •CorPath GRX System
- •Telerobotic Intervention
- •Limitations
- •Conclusions
- •References
- •Introduction
- •Familial Aneurysms
- •Autosomal Dominant Polycystic Kidney Disease
- •Conclusions
- •References
- •Introduction
- •Large Ischemic Core
- •Tandem Occlusions
- •Intra-arterial Neuroprotection
- •References
- •Index

Advanced
Technologies
in Vascular
Neurosurgery
Techniques, Controversies and
New Paradigms
ErolVeznedaroglu
Editor
123

Advanced Technologies in Vascular
Neurosurgery

Erol Veznedaroglu
Editor
Advanced
Technologies in
Vascular
Neurosurgery
Techniques, Controversies
andNew Paradigms

Editor
Erol Veznedaroglu
Department of Neurosurgery
Drexel University School of Medicine
Philadelphia, PA, USA
Global Neurosciences Institute
Pennington, NJ, USA
ISBN 978-3-031-67491-4 ISBN 978-3-031-67492-1 (eBook)
https://doi.org/10.1007/978-3-031-67492-1
© The Editor(s) (if applicable) and The Author(s), under exclusive license to
Springer Nature Switzerland AG 2025
This work is subject to copyright. All rights are solely and exclusively licensed by
the Publisher, whether the whole or part of the material is concerned, specically
the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting,
reproduction on microlms or in any other physical way, and transmission or
information storage and retrieval, electronic adaptation, computer software, or by
similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service
marks, etc. in this publication does not imply, even in the absence of a specic
statement, that such names are exempt from the relevant protective laws and
regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and
information in this book are believed to be true and accurate at the date of
publication. Neither the publisher nor the authors or the editors give a warranty,
expressed or implied, with respect to the material contained herein or for any
errors or omissions that may have been made. The publisher remains neutral with
regard to jurisdictional claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature
Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
If disposing of this product, please recycle the paper.

This text is dedicated rst and
always to my family, the
sacrice of our work rests
solely on our families. My
wife, Elisabeth, who has
supported the crazy life of a
Vascular Neurosurgeon for 30
years, and my amazing
vchildren, Lauren and Alec,
who have been an inspiration
and joy.
This year we lost a true
Pioneer and Legend—Dr L
Nick Hopkins MD.
Dr Hopkins saw what none of
us did 40 years ago. As all
visionaries do, he suffered by
challenging the status quo and
ghting to show a better way
to treat our patients.
Dr Hopkins was the rst to
open the door of endovascular

therapy as “Brain Surgery”
and learn from our partners in
Cardiology and Interventional
Radiology. This book, and
indeed our specialty, would
not be possible if it were not
for him. Nick was a mentor,
friend, and inspiration to all
those who were lucky enough
to know him. The three “Nick
Wisdoms” I remember as a
medical student and live by:
Why Not?, If you’re not
making waves you’re not
doing anything worthwhile,
Expletive em

Preface
For the rst time in the history of medicine, technology has outpaced our ability to use it. There is very little that cannot be
achieved due to lack of technology; the paradigm shift now is
what should we be doing with it. The brain remains the last frontier in medicine where we still lack full understanding of its function and vast neural network. This allows for the perfect marriage
of technology and discovery for better outcomes and cures of disorders of the nervous system. The ability to access virtually every
area of the brain via the cerebrovasculature has never been more
important.
This ood of new technology, including articial intelligence,
brings with it challenges of how best to use it in modern practice.
Vascular Neurosurgery has undergone seismic shifts in the last
decade. The ability to access the cerebrovascular through a small
puncture in the groin or wrist has opened up safe, less-invasive,
and better outcomes for previously untreatable conditions. Indeed,
endovascular treatment has now become a new option for brain
tumors, subdural hematomas, and even intracranial hypertension.
The old adage “just because you can do something doesn’t mean
you should” has never been more true. The tried and true also has
a critical role in this new dawn; however, maintaining basic skills
will be more of an issue.
The goal of this text is to expose the new technological
advances in a comprehensive and balanced way. As we have
learned countless times in modern medicine, new is not always
better and in fact may be dangerous. The ability to asses newer
vii

viii
Preface
techniques in a way that is always in the patients’ best interest is
the ultimate goal. In this text, leaders in the eld of Vascular Neurosurgery will discuss this new technology as well as the controversies it raises. The reader will have an unbiased and
comprehensive exposure to the latest innovations and how they
are currently being used.
Philadelphia, PA USA ErolVeznedaroglu

Contents
1 The Future of Neurointervention:
New Procedures, New Practitioners,
and New Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Andre Monteiro, William Metcalf- Doetsch,
Wasiq I. Khawar, Adnan H. Siddiqui, and Elad I. Levy
2 Minimally Invasive Intracerebral
Hemorrhage Removal . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Jack Jestus, Demi Dawkins, Kenneth Moore,
Adam Arthur, and Christopher Nickele
3 Middle Meningeal Artery Embolization
for Chronic Subdural Hematoma . . . . . . . . . . . . . . . . 51
Alina Mohanty and Peter Kan
4 Role of Bypass in the Modern Era:
Technological Advancements in Adjuncts
for EC-IC Bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Sanjana Salwi, Visish Srinivasan,
and Jan- Karl Burkhardt
5 Embolic Protection Devices for Carotid Artery
Stenting: Where Is the Evidence? . . . . . . . . . . . . . . . . 71
Mohanad Sulaiman and Mandy J. Binning
6 Closing the Gap: Addressing the Lag
in Stroke Care Evolution . . . . . . . . . . . . . . . . . . . . . . . 87
Erol Veznedaroglu, Karen Greenberg,
and Haley Fitzgerald
ix

x
Contents
7 Venous Sinus Stenting for Idiopathic
Intracranial Hypertension . . . . . . . . . . . . . . . . . . . . . . 103
Justin M. Cappuzzo, Steven B. Housley,
Muhammad Waqas, Andre Monteiro,
Ryan M. Hess, Elad I. Levy, and Adnan H. Siddiqui
8 Robotic-Assisted Endovascular Intervention . . . . . . . 135
Marcus Wong and Gavin Britz
9 Present Rationale and Future Directions
for Intracranial Aneurysm Screening
and Rupture Risk Prediction: The Road
to Precision Surgery for Intracranial Aneurysms . . . 147
Abhijith R. Bathini, Maged Ghoche,
Seyed Farzad Marou, Brandon A. Nguyen,
Maria José Pachón- Londoño, Ataollah Shahbandi,
Devi P. Patra, and Bernard R. Bendok
10 Endovascular Management and Treatment
of Acute Ischemic Stroke . . . . . . . . . . . . . . . . . . . . . . . 177
Omer Doron, Yafell Serulle, Likowsky L. Desir,
Hamza Khilji, and Rafael Ortiz
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
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