Pierre Lasjaunias – författare

Surgical Neuroangiography covers a variety of protocols and strategies combining functional vascular anatomy with a complete appreciation of the various disease processes, their pathophysiology, clinical presentation, and natural history, as well as recent technological advances. The newer endovascular techniques that apply to embolization of aneurysms, vascular malformations, and tumors of the spine, spinal cord, brain, and maxillofacial areas are reviewed. Implementing optimally efficient and safe strategies for occlusion or revascularization of arterial or venous structures requires the knowledge of collateral circulation covered in this volume. Berenstein, Lasjaunias, and ter Brugge, pioneers in the field with over 20 years of experience, present the new second volume of Surgical Neuroangiography, combining volumes 2, 4 and 5 of the previous edition.

Surgical Neuroangiography covers a variety of protocols and strategies combining functional vascular anatomy with a complete appreciation of the various disease processes, their pathophysiology, clinical presentation, and natural history, as well as recent technological advances. The newer endovascular techniques that apply to embolization of aneurysms, vascular malformations, and tumors of the spine, spinal cord, brain, and maxillofacial areas are reviewed. Implementing optimally efficient and safe strategies for occlusion or revascularization of arterial or venous structures requires the knowledge of collateral circulation covered in this volume. Berenstein, Lasjaunias, and ter Brugge, pioneers in the field with over 20 years of experience, present the new second volume of Surgical Neuroangiography, combining volumes 2, 4 and 5 of the previous edition.

Surgical Neuroangiography covers a variety of protocols and strategies combining functional vascular anatomy with a complete appreciation of the various disease processes, their pathophysiology, clinical presentation, and natural history, as well as recent technological advances. The newer endovascular techniques that apply to embolization of aneurysms, vascular malformations, and tumors of the spine, spinal cord, brain, and maxillofacial areas are reviewed. Implementing optimally efficient and safe strategies for occlusion or revascularization of arterial or venous structures requires the knowledge of collateral circulation covered in this volume. Berenstein, Lasjaunias, and ter Brugge, pioneers in the field with over 20 years of experience, present the new second volume of Surgical Neuroangiography, combining volumes 2, 4 and 5 of the previous edition.

Embolization has been performed in many European countries and in North America for over 20 years and is now beginning to gain accep­ tance in other countries. At first, experience with these techniques was shared in the form of individual case reports; today some centers have treated enough patients to be able to transform this anecdotal material into more concrete data. For the last 10 of these 20 years, the two of us have been deeply involved, encouraged, and stimulated by the interest created by the few pioneers in endovascular techniques. In 1978, when we first met, our discussion on embolization could have been summarized as disagreement. It soon became obvious that these differences were primarily related to our different individual back­ grounds. One of us having a strong orientation toward anatomy, and the other toward technique. We realized that these apparently opposing approaches complement each other and decided to combine them to our mutual benefit. This collaboration has matured into the search for improvements in patient care and for the safest, most reliable, and most responsible manner of treatment.

Gives an account of clinical procedure. Based on the des- cription of the functional anatomy of the craniofacial arte- ries given in Volume 1. Treats technical aspects such as pa- tient preparation, technical equipment, embolic agent, and flow control as well as a description of the therapy for different kinds of tumors, fistulas, aneurysms, and vascular malformation.

Based on the principles of functional vascular anatomy and endovascular treatment described in the first three volumes of Surgical Neuroangiography, Volumes 4 and 5 complete the series that takes a revolutionary approach in endovascular neurosurgery. The authors are world leaders, recipients of numerous prizes in medicine, and can offer the unique fruit of their combined anatomical, clinical and therapeutic experience to investigate and understand the disease process, its anatomical features and its relationship to patients'' symptoms and treatment planning. Volume 4 is geared to track the vascular abnormalities of the brain; Volume 5 the vascular abnormalities of the spine and spinal cord. Both volumes identify the specifics of vascular lesions and set the interventional neuroradiological techniques before a background of proper clinical analysis and expertise. Each volume emphasizes the strategy and management objectives from an endovascular perspective taking into consideration a multidisciplinary approach where neurologists, neurosurgeons and neuroradiologists examine the clinical presentation, the diagnostic study and the therapeutic options in a joint decision-making process.

Based on the principles of functional vascular anatomy and endovascular treatment described in the first three volumes of Surgical Neuroangiography, Volumes 4 and 5 complete the series that takes a revolutionary approach in endovascular neurosurgery. The authors are world leaders, recipients of numerous prizes in medicine, and can offer the unique fruit of their combined anatomical, clinical and therapeutic experience to investigate and understand the disease process, its anatomical features and its relationship to patients' symptoms and treatment planning. Volume 4 is geared to track the vascular abnormalities of the brain; Volume 5 the vascular abnormalities of the spine and spinal cord. Both volumes identify the specifics of vascular lesions and set the interventional neuroradiological techniques before a background of proper clinical analysis and expertise. Each volume emphasizes the strategy and management objectives from an endovascular perspective taking into consideration a multidisciplinary approach where neurologists, neurosurgeons and neuroradiologists examine the clinical presentation, the diagnostic study and the therapeutic options in a joint decision-making process.

In Volume 5 of Surgical Neuroangiography we will discuss indications and approaches for endovascular treatment of disorders affecting the spine and spinal cord circulations. Our approach is similar to those discussed in volume 2 and 4, it requires integration of knowledge concerning functional vascular anatomy, lesion angioarchitecture, and the relationship between normal and pathological circulations. In AVMs these features are considered as they relate to the clinical presen­ tation, progression, and natural history of the lesion. All these factors must then be combined with an understanding of technical capabilities to for­ mulate a pretherapeutic plan designed to favorably affect the long term out­ come in the individual patient. Endovascular surgery of spinal cord AVMs has become the treatment of choice, while microsurgery is reserved for those cases where embolization fails. Endovascular surgery may be the sole form of treatment, or may be combined with other therapeutic modalities including surgery, chemothera­ py, or radiation in cases of neoplasms, or may be palliative, to decrease pain or spinal cord compression. As in all other areas a multidisciplinary ap­ proach is essential for decision making to best accomplish the desired ob­ jectives.