Neurovascular Surgery

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Publisher : Thieme
ISBN 13 : 1604067608
Total Pages : 3062 pages
Book Rating : 4.6/5 (4 download)

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Book Synopsis Neurovascular Surgery by : Robert F. Spetzler

Download or read book Neurovascular Surgery written by Robert F. Spetzler and published by Thieme. This book was released on 2015-04-15 with total page 3062 pages. Available in PDF, EPUB and Kindle. Book excerpt: The complex, highly technological field of neurovascular surgery is quickly expanding, encompassing traditional surgical approaches, as well as endovascular and neurointerventional techniques. The last decade has seen increased cross-specialty interest in utilizing minimally invasive techniques to help prevent and treat cerebrovascular disease. Concurrently, there has been important research analyzing the efficacy of surgical methods versus endovascular approaches and the clip versus coil discussion is covered herein. Written by 21st Century pioneers in the field, this second, cutting-edge edition offers the latest science throughout 1,400 pages and a remarkable video library covering anatomy, diagnosis, epidemiology, history, treatment indications, technical nuances, outcomes, and complications. Internationally renowned experts from across the globe share clinical pearls and best practices,from the research lab to the ER to the OR. Medical, surgical, endovascular, cerebral revascularization, bypass surgery, radiation therapy, and other procedures are covered in depth. Evidence-based and transdisciplinary, the second edition covers the full spectrum of neurovascular pathologies,preoperatively and postoperatively,including: Ischemic Stroke and Vascular Insufficiency Cerebral and Spinal Aneurysms Cerebral and Spinal Arteriovenous Fistulae and Malformations Vascular Tumors Carotid Artery Disease Moya-Moya Disease Moya-Moya Disease Revascularization techniques Organized into 11 primary sections, 99 richly illustrated chapters, and more than 140 videos, this volume is an invaluable, one-stop reference tool. It is a must-have for general, vascular and endovascular neurosurgeons; interventional radiologists; neurologists; critical care practitioners; and neuro-rehabilitation specialists.

Neurovascular Surgery

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Author :
Publisher : Springer
ISBN 13 : 9811089507
Total Pages : 288 pages
Book Rating : 4.8/5 (11 download)

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Book Synopsis Neurovascular Surgery by : Julius July

Download or read book Neurovascular Surgery written by Julius July and published by Springer. This book was released on 2018-09-27 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book presents the diagnosis, investigation and treatment of neurovascular diseases, and offers expert opinions and advice on avoiding complications in neurovascular surgery. It also covers complication management and post-operative follow-up care. The book is divided in to three parts; the first part discusses common approaches in neurovascular surgery, describing the steps, indications for and limitations of the approach, as well as the associated complications and how to avoid them. The second part addresses surgical treatment based on pathology, taking the different locations of lesions into consideration. The third part focuses on the technological developments that support neurovascular surgery, which may not be available everywhere, but have been included to help vascular surgeon understand the principles. This book is a guide for young neurosurgeons, neurosurgery residents and neurosurgery fellows, as well as for medical students and nurses who are interested in neurosurgery or are associated with this field in any way. It is also a useful teaching aid for senior neurosurgeons.

Neurovascular Surgical Techniques

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Author :
Publisher : JP Medical Ltd
ISBN 13 : 9350900882
Total Pages : 454 pages
Book Rating : 4.3/5 (59 download)

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Book Synopsis Neurovascular Surgical Techniques by : Pascal M Jabbour

Download or read book Neurovascular Surgical Techniques written by Pascal M Jabbour and published by JP Medical Ltd. This book was released on 2013-03-31 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive guide brings neurosurgeons up to date with the latest techniques in their field. Each chapter is divided into two parts, discussing the open surgical and endovascular aspects of the treatment. Authored by a Philadelphia-based neurosurgeon, each section covers a different neurovascular disease, including brain aneurysms, arteriovenous malformations, stroke and vascular abnormalities of the spinal cord. New techniques such as glue for aneurysms, flow diversion, acute stroke interventions and future innovations in microneurosurgery and endovascular neurosurgery, are discussed in detail. More than 550 colour images and figures illustrate all the techniques. Key points Comprehensive guide to the latest techniques in neurovascular surgery Covers wide range of neurovascular diseases discussing both open surgical and endovascular aspects of treatment Includes more than 550 colour images, illustrations and figures Authored by Philadelphia-based neurosurgeon

Controversies in Neurological Surgery

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Author :
Publisher : Thieme
ISBN 13 : 1604065168
Total Pages : 308 pages
Book Rating : 4.6/5 (4 download)

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Book Synopsis Controversies in Neurological Surgery by : Michael T. Lawton

Download or read book Controversies in Neurological Surgery written by Michael T. Lawton and published by Thieme. This book was released on 2011-01-01 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides insights into current trends and controversial issues regarding state-of-the-art techniques in neurosurgery, interventional neuroradiology, and endovascular surgery. The authors confront such questions as: Are unruptured aneurysms managed most effectively by neurosurgical clipping or endovascular coiling? Is surgery or endovascular coiling the best treatment for ruptured cerebral aneurysms of the anterior or posterior cerebral circulation? In managing arteriovenous malformations and fistulas, should clinicians use neurointerventional techniques or surgery, or a combination of both? Highlights: More than 240 excellent illustrations, figures, and radiological images reviewing key concepts Detailed coverage of treatments for ischemic diseases, including extracranial and intracranial atherosclerosis Discussion of the organizational issues of integrating subspecialties and training subspecialists This text also offers you the opportunity to earn valuable CME credits online. Neurosurgeons, neuroradiologists, neurologists, vascular surgeons, and specialists will find the book's balanced coverage of critical current issues in neurosurgery an indispensable aid in making informed decisions.(A co-publication of Thieme and the American Association of Neurological Surgeons)

Trends in Cerebrovascular Surgery

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Author :
Publisher : Springer
ISBN 13 : 3319298879
Total Pages : 191 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Trends in Cerebrovascular Surgery by : Tetsuya Tsukahara

Download or read book Trends in Cerebrovascular Surgery written by Tetsuya Tsukahara and published by Springer. This book was released on 2016-09-08 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides an overview of new concepts in neurovascular interventions based on clinical and scientific knowledge of cerebrovascular disorders. It especially focuses on subarachnoid hemorrhage and cerebrovascular malformations, e.g. aneurysms, arterio-venous malformations, and cavernomas. A separate part addresses cerebral revascularization for both complex aneurysms and ischemia. All contributions were written by recognized experts and cover original papers presented at the 7th European Japanese Stroke Surgery Conference, held in Verona, Italy in June 2014. The authors present new trends and strategies for managing emerging problems, as well as in-depth discussions on controversial issues in the field.

Neurovascular Surgery

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3642674550
Total Pages : 412 pages
Book Rating : 4.6/5 (426 download)

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Book Synopsis Neurovascular Surgery by : F. Marguth

Download or read book Neurovascular Surgery written by F. Marguth and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume of Advances in Neurosurgery 7 presents the papers held at the Joint Meeting of the American Academy of Neurological Surgery and the "Deutsche Gesellschaft fUr Neurochirurgie" in October 1978 in Munich. This exchange of thoughts on scientific methods in neurosurgery on both sides of the globe, i.e., both in the United States and in Germany, covered a number of different topics in the field of neurosurgery, with special emphasis on the following subjects: Intracranial vascular surgery and specialized neurosurgical techniques used for different operative approaches to the skull, brain, pituitary gland, and peripheral nerves. Contributions to the field of computer tomography, traumatology, functional and experimental neurosurgey, as well as chemotherapy rounded off the broad exchange of thoughts. In particular, the variety of the problems discussed, gives insight into the present state of our special field and shows progress and new points of departure. Special gratitude is expressed to the Springer-\Tedag for its help in editing the Ad vances in Neurosurgery, Volume 7. Miinchen, September 1979 EMARGUTH v Opening Oration F. MARGUTH I should like to welcome all of you wholeheartedly to the Joint Meeting of the American Academy of Neurological Surgery and the Deutsche Gesellschaft fUr N eurochirurgie. I welcome especially our collegues from the United States and the ladies.

Neurovascular Surgical Diseases

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Author :
Publisher :
ISBN 13 : 9781536181753
Total Pages : pages
Book Rating : 4.1/5 (817 download)

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Book Synopsis Neurovascular Surgical Diseases by : Renato Galzio

Download or read book Neurovascular Surgical Diseases written by Renato Galzio and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Nowadays, neurovascular diseases represent a field of enormous interest in clinical and surgical areas because of their complex management and recent advances about surgical and endovascular techniques. The difficult decision-making process at the base of these pathologies comprehends a wide series of treatment options which ought to be mastered by all the specialists facing the neurovascular pathology. This book addresses every aspect of the most common neurovascular diseases, as intracranial aneurysms, brain and spinal cord AVMs and cavernous angiomas, cranial and spinal dural arteriovenous fistulas, as well as spontaneous cerebral hemorrhages. It also focuses on the newer technologies regarding the intraoperative imaging of the cerebral blood flow. A large part is dedicated to the surgical approaches, but also tips and tricks of the management of these complex pathologies, presented by expert and world-renowned neurosurgeons, neuroradiologists and other specialists. The first section reviews the anatomy of the skull base, cranial and spinal cord vasculature. The second analyzes in detail the diagnosis, decision-making process, preoperative evaluation and surgical planning of the most common surgical neurovascular diseases. The third reports the most common surgical approaches employed for cranial neurovascular diseases, whereas the fourth miscellaneous section is mainly dedicated to the peculiar aspects regarding the management of giant and complex aneurysms, endovascular techniques, and also the role of radiosurgery for specific intra-axial vascular lesions. A further chapter describes the technical aspects regarding the use of indocyanine green and fluorescein videoangiography during neurovascular surgery.The main valuable strengths of this book lie in its case-based conception and wide number of colored figures, tables and treatment algorithms. In its structured organization, this book serves as a practical case-based guide for neurosurgeons, neurologists, neuroradiologists, residents, fellows, physicians and medical students involved in the field of neuroscience. The book enables all these specialists to gain high-value insights into the preoperative evaluation, planning, surgical techniques, pitfalls, prevention and management of complications of the surgical neurovascular pathology. Thanks to the contribution of different world-renowned neurosurgeons, neuroradiologists and experts, this book also promotes an updated overview of the most recent advances in neurovascular and neuroendovascular surgery, at the same time encouraging an interdisciplinary approach.

Introduction to Vascular Neurosurgery

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Author :
Publisher : Springer Nature
ISBN 13 : 3030881962
Total Pages : 550 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Introduction to Vascular Neurosurgery by : Justin R. Mascitelli

Download or read book Introduction to Vascular Neurosurgery written by Justin R. Mascitelli and published by Springer Nature. This book was released on 2022-01-12 with total page 550 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book aims to cover the majority of neurovascular diseases and management. The first section reviews neurovascular anatomy, the basics of angiography, and the basics of craniotomies for neurovascular diseases. Next, an entire section is devoted to intracranial aneurysms, covering the natural history, subarachnoid hemorrhage, endovascular management, microsurgical management, and vasospasm. Following this, a number of chapters are devoted to stroke including natural history, mechanical thrombectomy, intracranial stenosis, Moyamoya disease, bypass surgery, vertebrobasilar insufficiency, intracerebral hemorrhage, sinus thrombosis, and the surgical and endovascular management of extracranial carotid disease. Next, the text covers vascular malformations including arteriovenous malformation, arteriovenous fistulas, carotid cavernous fistulas, vein of Galen malformations, spinal malformations, and cavernous malformations. Finally, the book discusses a few miscellaneous topics including more recent advances in neurovascular care such as venous sinus stenting for idiopathic intracranial hypertension and middle meningeal artery embolization for subdural hematoma. Written by experts in the field, Introduction to Vascular Neurosurgery provides a comprehensive summary of neurovascular disease and management. The book can be used as a daily reference and serves as a trusted resource for medical students, residents, fellows, and young attendings.

Trends in Neurovascular Surgery

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3709106613
Total Pages : 142 pages
Book Rating : 4.7/5 (91 download)

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Book Synopsis Trends in Neurovascular Surgery by : Tetsuya Tsukahara

Download or read book Trends in Neurovascular Surgery written by Tetsuya Tsukahara and published by Springer Science & Business Media. This book was released on 2011-06-21 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: The contributions in this book were presented at the fifth European-Japanese Joint Conference for Stroke Surgery, held in July 2010 in Duesseldorf, Germany. The topics treated are the management of cerebral and ventricular hemorrhage, extra-intracranial bypass surgery, surgical and endovascular treatment of cervical and intracranial arterial occlusive disease, and embolization and microsurgery of AVM and dural AV-fistulas.

Cerebrovascular Neurosurgery

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Author :
Publisher : Oxford University Press
ISBN 13 : 0190887737
Total Pages : 320 pages
Book Rating : 4.1/5 (98 download)

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Book Synopsis Cerebrovascular Neurosurgery by : Dr Peter Nakaji

Download or read book Cerebrovascular Neurosurgery written by Dr Peter Nakaji and published by Oxford University Press. This book was released on 2019-08-15 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the Neurosurgery by Example series, this volume on cerebrovascular neurosurgery presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. The cases explore the spectrum of clinical diversity and complexity within cerebrovascular neurosurgery, including aneurysms, ischemic/occlusive disease, arteriovenous malformation, dural arteriovenous fistula, and more. Each chapter also contains 'pivot points' that illuminate changes required to manage patients in alternate or atypical situations, and pearls for accurate diagnosis, successful treatment, and effective complication management. Containing a focused review of medical evidence and expected outcomes, Cerebrovascular Neurosurgery is appropriate for neurosurgeons who wish to learn more about a subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.

Neurovascular Surgery

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Author :
Publisher :
ISBN 13 : 9781013270727
Total Pages : 284 pages
Book Rating : 4.2/5 (77 download)

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Book Synopsis Neurovascular Surgery by : Eka J Wahjoepramono

Download or read book Neurovascular Surgery written by Eka J Wahjoepramono and published by . This book was released on 2020-10-08 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book presents the diagnosis, investigation and treatment of neurovascular diseases, and offers expert opinions and advice on avoiding complications in neurovascular surgery. It also covers complication management and post-operative follow-up care. The book is divided in to three parts; the first part discusses common approaches in neurovascular surgery, describing the steps, indications for and limitations of the approach, as well as the associated complications and how to avoid them. The second part addresses surgical treatment based on pathology, taking the different locations of lesions into consideration. The third part focuses on the technological developments that support neurovascular surgery, which may not be available everywhere, but have been included to help vascular surgeon understand the principles. This book is a guide for young neurosurgeons, neurosurgery residents and neurosurgery fellows, as well as for medical students and nurses who are interested in neurosurgery or are associated with this field in any way. It is also a useful teaching aid for senior neurosurgeons. This work was published by Saint Philip Street Press pursuant to a Creative Commons license permitting commercial use. All rights not granted by the work's license are retained by the author or authors.

Neurovascular Surgery

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Publisher :
ISBN 13 : 9789811089510
Total Pages : pages
Book Rating : 4.0/5 (895 download)

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Book Synopsis Neurovascular Surgery by : Julius July

Download or read book Neurovascular Surgery written by Julius July and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book presents the diagnosis, investigation and treatment of neurovascular diseases, and offers expert opinions and advice on avoiding complications in neurovascular surgery. It also covers complication management and post-operative follow-up care. The book is divided in to three parts; the first part discusses common approaches in neurovascular surgery, describing the steps, indications for and limitations of the approach, as well as the associated complications and how to avoid them. The second part addresses surgical treatment based on pathology, taking the different locations of lesions into consideration. The third part focuses on the technological developments that support neurovascular surgery, which may not be available everywhere, but have been included to help vascular surgeon understand the principles. This book is a guide for young neurosurgeons, neurosurgery residents and neurosurgery fellows, as well as for medical students and nurses who are interested in neurosurgery or are associated with this field in any way. It is also a useful teaching aid for senior neurosurgeons.

Pediatric Vascular Neurosurgery

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Author :
Publisher : Springer
ISBN 13 : 3319436368
Total Pages : 325 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Pediatric Vascular Neurosurgery by : Abhishek Agrawal

Download or read book Pediatric Vascular Neurosurgery written by Abhishek Agrawal and published by Springer. This book was released on 2017-05-06 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book answers frequently asked questions about common pediatric neurosurgical conditions related to vascular malformations of the brain and spinal cord, in an attempt to fill in the gap and answer numerous questions that arises after a diagnosis is made. Pediatric patients with neurosurgical conditions are almost always referred from either primary care physicians, neurologists internists or a specialist in family medicine. Recently, neurosurgeons treating adult population also refer a pediatric patient to their colleague specialized in this field. There are over 1500 academic and private hospitals in the US who have dedicated tertiary Neurosurgery services and cater thousands of small children every year, in addition to numerous centers that have level 1 and 2 trauma care. However, there are few tertiary level Pediatric centers which can provide quality care for neurosurgical conditions. This book is specially written and illustrated for residents, fellows and consultants/attendings in all pediatric related specialties, including but not limited to Neurosurgery, Neurology, Pediatrics, Radiology, Anesthesia.

Neurovascular Surgery

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Author :
Publisher : Thieme
ISBN 13 : 163853201X
Total Pages : 2916 pages
Book Rating : 4.6/5 (385 download)

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Book Synopsis Neurovascular Surgery by : Robert F. Spetzler

Download or read book Neurovascular Surgery written by Robert F. Spetzler and published by Thieme. This book was released on 2015-06-10 with total page 2916 pages. Available in PDF, EPUB and Kindle. Book excerpt: The complex, highly technological field of neurovascular surgery is quickly expanding, encompassing traditional surgical approaches, as well as endovascular and neurointerventional techniques. The last decade has seen increased cross-specialty interest in utilizing minimally invasive techniques to help prevent and treat cerebrovascular disease. Concurrently, there has been important research analyzing the efficacy of surgical methods versus endovascular approaches – and the clip versus coil discussion is covered herein. Written by 21st Century pioneers in the field, this second, cutting-edge edition offers the latest science throughout 1,400 pages – and a remarkable video library – covering anatomy, diagnosis, epidemiology, history, treatment indications, technical nuances, outcomes, and complications. Internationally renowned experts from across the globe share clinical pearls and best practices, from the research lab to the ER to the OR. Medical, surgical, endovascular, cerebral revascularization, bypass surgery, radiation therapy, and other procedures are covered in depth. Evidence-based and transdisciplinary, the second edition covers the full spectrum of neurovascular pathologies, preoperatively and postoperatively, including: Ischemic Stroke and Vascular Insufficiency Cerebral and Spinal Aneurysms Cerebral and Spinal Arteriovenous Fistulae and Malformations Vascular Tumors Carotid Artery Disease Moya-Moya Disease Revascularization techniques Organized into 11 primary sections, 99 richly illustrated chapters, and more than 140 videos, this volume is an invaluable, one-stop reference tool. It is a must-have for general, vascular and endovascular neurosurgeons; interventional radiologists; neurologists; critical care practitioners; and neuro-rehabilitation specialists.

Educational Media and Technology Yearbook

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 0387096752
Total Pages : 564 pages
Book Rating : 4.3/5 (87 download)

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Book Synopsis Educational Media and Technology Yearbook by : Michael Orey

Download or read book Educational Media and Technology Yearbook written by Michael Orey and published by Springer Science & Business Media. This book was released on 2009-05-28 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Educational Media and Technology Yearbook has become a standard reference in many libraries and professional collections. Examined in relation to its comp- ion volumes of the past, it provides a valuable historical record of current ideas and developments in the ?eld. Part I, “Trends and Issues,” presents an array of chapters that develop some of the current themes listed above, in addition to others. Part II, “Library and Information Science,” concentrates upon chapters of special relevance to K-12 education, library science education, school learning resources, and various types of library and media centers—school, public, and academic among others. In Part III, “Leadership Pro?les,” authors provide biographical sketches of the careers of instructional technology leaders. Part IV, “Organizations and Associations in North America,” and Part V, “Graduate Programs in North America,” are, resp- tively, directories of instructional technology-related organizations and institutions of higher learning offering degrees in related ?elds. Finally, Part VI, the “Medi- raphy,” presents an annotated listing of selected current publications related to the ?eld. For a number of years we have worked together as editors and the sixth with Dr. Michael Orey as the senior editor. Last year as the senior editor, Orey decided to try and come up with a list of the top programs rather than just the list of all the programs. This has proven to be problematic. First of all, bias exists when we are rating a ?eld in which our program is within those to be rated.

Neurosurgical Operative Atlas: Vascular Neurosurgery

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Author :
Publisher : Thieme
ISBN 13 : 1604069309
Total Pages : 902 pages
Book Rating : 4.6/5 (4 download)

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Book Synopsis Neurosurgical Operative Atlas: Vascular Neurosurgery by : R. Loch Macdonald

Download or read book Neurosurgical Operative Atlas: Vascular Neurosurgery written by R. Loch Macdonald and published by Thieme. This book was released on 2018-11-14 with total page 902 pages. Available in PDF, EPUB and Kindle. Book excerpt: A state-of-the-art neurovascular surgery atlas from internationally renowned neurosurgeon R. Loch Macdonald Neurosurgical Operative Atlas: Vascular Neurosurgery, Third Edition, by R. Loch Macdonald and expert contributors, reflects the latest advances in endoscopic, endovascular, microsurgical, and bypass techniques used in the treatment of cerebrovascular disease. The entire atlas has been streamlined and updated with new content, including 38 videos that complement the concise step-by-step guidance in the text. The book begins with five chapters on vascular and microsurgical instrumentation and equipment, clipping versus coiling, aneurysm surgery techniques, the pterional approach, and minimally invasive approaches. Disease and procedure-specific chapters are organized by three sections: aneurysms and subarachnoid hemorrhage, vascular malformations, and ischemic and other cerebrovascular disease. Every chapter includes salient tips on patient selection and procedural indications, preoperative information and tests, patient positioning, operative nuances, and postoperative complications. Key Highlights Nearly 300 high-quality color illustrations detail impacted anatomy and procedures The latest techniques for treating a full spectrum of aneurysms, such as ophthalmic segment, supraclinoid internal carotid artery, middle and anterior cerebral artery, basilar and posterior cerebral artery, and others Treatment of vascular abnormalities including arteriovenous malformations, superficial and brainstem cavernous malformations, arteriovenous fistulae, Moyamoya disease, and more Neurosurgical residents will benefit from the firsthand knowledge shared by international masters, while veteran neurosurgeons will glean invaluable insights on cutting-edge endovascular techniques to enhance clinical practice.

Audible Bleeding

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Author :
Publisher : FriesenPress
ISBN 13 : 1525594893
Total Pages : 261 pages
Book Rating : 4.5/5 (255 download)

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Book Synopsis Audible Bleeding by : York N. Hsiang

Download or read book Audible Bleeding written by York N. Hsiang and published by FriesenPress. This book was released on 2021-08-30 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Audible Bleeding, The Origin and Development of the VGH Vascular Surgery Division describes the development of vascular surgery in Vancouver from its inception in 1978 to 2020. The book examines how and why vascular surgery developed into its own specialty, the personalities who established the division and those who continue to practice the craft, outlining the unique opportunities and challenges they have encountered along the way. The evolution of vascular surgery in Vancouver is explored, with explanations given as to why it differs from other centres. Dr. Hsiang shares his personal insights into medical and surgical education, not found in textbooks, including discussions on the need for changes to the medical system, and the obligation to continue the pursuit of excellence in the art and science of vascular surgery. Undoubtedly of interest to other physicians and surgeons, this book will also appeal to anyone seeking an insider’s perspective on surgery, medical issues, and how political pressures impact the practice of medicine. Medical students and residents seeking a career in vascular surgery will find the additional sections of practical information not taught in medical school or residency to be invaluable, as an important guide on how to succeed in medicine. For the general public, the book will shed light on why it is difficult to find a family physician, why there are long wait times for medical services, and why surgeons face a multitude of pressures with each case.