General Technical Considerations for the Endovascular Management of Cerebral Aneurysms

2014 ◽  
Vol 25 (3) ◽  
pp. 395-404 ◽  
Author(s):  
Paula Eboli ◽  
Robert W. Ryan ◽  
Michael J. Alexander
Author(s):  
Ankur Garg

Chapter 108 focuses on knee MRI, first discussing some general technical considerations of musculoskeletal MRI, and then discussing individual components, including the menisci, cruciate and collateral ligaments and articular cartilage, which often contribute to knee pathology. After initial radiographic assessment, MRI is the most helpful imaging modality to detect internal derangement of the knee, and the knee is the most commonly ordered extremity MRI examination. MRI is an extremely powerful tool for determining the source of the patient’s symptoms and directing future treatment, and it is the most sensitive imaging study to evaluate the menisci, ligaments, tendons, and muscles in the setting of knee pain or instability. Additionally, MRI is also an excellent tool to evaluate the bones and articular cartilage.


2012 ◽  
Vol 71 ◽  
pp. ons204-ons218 ◽  
Author(s):  
R. Webster Crowley ◽  
Felipe C. Albuquerque ◽  
Andrew F. Ducruet ◽  
Richard W. Williamson ◽  
Cameron G. McDougall

2011 ◽  
Vol 17 (4) ◽  
pp. 431-434 ◽  
Author(s):  
D.E.J. Le Feuvre ◽  
A.G. Taylor

Blood blister aneuryms are uncommon lesions that have a poor natural history. Because there is no clear aneurysmal sac to treat they remain challenging lesions to manage whether the approach is endovascular or surgical. Although the management of intracranial cerebral aneurysms has changed subsequent to the results published by the ISAT trial, there still exist groups of aneurysms which do not lend themselves to endovascular management. There are recent reports of successful endovascular management using flow diverting approaches but experience is limited and relying on flow change may be insufficient to prevent re-rupture. Surgery when possible offers the advantage of immediate vessel wall reconstruction.


2015 ◽  
Vol 53 (1) ◽  
pp. 146-165 ◽  
Author(s):  
Matthew R. Fusco ◽  
Christopher S. Ogilvy

2017 ◽  
Vol 42 (6) ◽  
pp. E2 ◽  
Author(s):  
Gary Rajah ◽  
Sandra Narayanan ◽  
Leonardo Rangel-Castilla

Flow diversion has become a well-accepted option for the treatment of cerebral aneurysms. Given the significant treatment effect of flow diverters, numerous options have emerged since the initial Pipeline embolization device studies. In this review, the authors describe the available flow diverters, both endoluminal and intrasaccular, addressing nuances of device design and function and presenting data on complications and outcomes, where available. They also discuss possible future directions of flow diversion.


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