By Michael S. Horowitz, Elad I. Levy
During the last a long time many surgical subspecialties have moved from often open techniques in the direction of minimally invasive ways. With the appearance of more desirable expertise and smaller extra maneuverable units extra gentle approaches were constructed. during this quantity, the commonest neuroendovascular systems at present practiced are mentioned. themes comprise administration of intracranial aneurysms, arteriovenous malformations, tumors, intracranial and extracranial arterial stenoses, and arterial fistulas. This e-book presents neurosurgeons, radiologists, neurologists, and trial attorneys with a concise reference that explains the history, in addition to symptoms, and strategies for appearing the commonest neuroendovascular tactics.
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Extra info for Neuroendovascular Surgery (Progress in Neurological Surgery)
Example text
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3%) [75]. In addition to antiplatelet medications, fibrinolytics still retain favor with some investigators while others consider them dangerous in the setting of angioplasty and stenting. Urokinase (UK) is a protein that promotes the dissolution of thrombi by stimulating the activation of endogenous plasminogen to plasmin, which in turn hydrolyzes fibrin [53]. Prior to cervical internal carotid angioplasty Lanzino et al. [34] suggest a 150,000-unit UK infusion at 50,000 units/min. The aim of this infusion is to both dissolve any debris from the plaque face which might have a propensity to break free when the wire and the balloon/stent system are advanced across the stenosis and to possibly increase the available working vessel lumen.
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