Microsurgical Brain Aneurysms

1. Front Matter

   Pages i-xv

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2. The Current State of Aneurysm Microsurgery

   • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

   Pages 1-5

3. Pathophysiology and Anatomy

   • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

   Pages 7-25

4. Perioperative Management of Patients with Subarachnoid Hemorrhage

   • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

   Pages 27-34

5. Surgical Approaches

   • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

   Pages 35-56

6. Dissection of the Aneurysm and Principles of Clipping

   • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

   Pages 57-66

7. Aneurysms of the Anterior Cerebral Artery

   • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

   Pages 67-79

8. Aneurysms of the Middle Cerebral Artery

   • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

   Pages 81-89

9. Aneurysms of the Internal Carotid Artery

   • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

   Pages 91-103

10. Aneurysms of the Vertebral Artery and Branches

    • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

    Pages 105-113

11. Some Complex Aneurysms and Solutions

    • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

    Pages 115-119

12. Peripheral and Mycotic Aneurysms

    • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

    Pages 121-126

13. Quality Management

    • Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

    Pages 127-131

14. Back Matter

    Pages 133-137

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This compact book provides step-by-step guidance in the approaches and techniques developed and currently used at the authors’ center in Düsseldorf for the treatment of a variety of aneurysms. All of the described procedures are minimally invasive and of proven efficacy. In order to assist the reader in fully comprehending all aspects of the techniques, they are illustrated through clear graphics instead of complex photos and radiologic imaging. While the rapid development of endovascular treatment means that it is no longer necessary to employ microsurgery for difficult and hidden aneurysms, proficiency in microsurgery remains essential. For example, full mastery of microsurgical techniques is vital in order to treat middle cerebral and peripheral aneurysms efficiently and with minimal trauma. Minimal invasiveness and optimal cosmetic results have become critically important in enabling the microsurgical method to compete with the endovascular method.  In documenting “tried and tested” procedures, this book will be invaluable for both established neurosurgeons and residents in neurosurgery.

• ICA
• MCA
• Ophthalmic Aneurysm
• Pathophysiology
• Peripheral Cerebellar Arteries
• Subarachnoid hemorrhage

“This is the most current ‘up-to-date’ atlas and text of cerebral aneurysms from an angiographic, anatomical, treatment perspective, and surgical approaches. … I highly recommend this book for neurosurgeons, both general and cerebrovascular subspecialty. Residents, vascular neurologists, fellows, and students with an interest in aneurysms will find this book very helpful.” (Joseph J. Grenier, Amazon.com, May, 2015)

• Neurochirurgische Klinik, Universitätsklinikum Düsseldorf, Düsseldorf, Germany

  Hans-Jakob Steiger, Nima Etminan, Daniel Hänggi

Hans Jakob Steiger graduated from Medical School at the Universities of Zurich and Geneva and subsequently completed his doctoral thesis in Zurich. He then trained in neurosurgery, completing a clinical fellowship at the University of London, Ontario. In 1985 he was appointed Oberarzt (senior physician) at University Hospital, Berne and he completed his Habilitation on the pathophysiology of cerebral aneurysms in 1992. In the same year he became Vice Director of the Neurosurgical University Clinic, Berne and in 1994 was appointed C3 professor at the Ludwig-Maximilians University, Munich, a position associated with the directorship of neurovascular surgery. In 2002 Dr. Steiger was appointed C4 Professor for Neurosurgery of the Heinrich-Heine University, Düsseldorf, and Director and Chairman of the Neurosurgical Department. Since 1994 he has been co-editor of Acta Neurochirurgica/Supplementa and since 2002, assistant chief editor of Acta Neurochirurgica (European Journal of Neurosurgery). Dr. Steiger has published 192 original articles in indexed journals and is the author of various books on neurovascular topics, resident training, and management. Nima Etminan trained at the Schools of Medicine of Heinrich Heine University, Düsseldorf and the Technical University, Munich and successfully submitted his doctoral thesis (magna cum laude) in 2004. He performed his residency at the Department of Neurosurgery, Heinrich Heine University, Düsseldorf and his fellowship in cerebrovascular surgery at the Division of Neurosurgery, St. Michael’s Hospital, Toronto, Canada. He is currently Attending Neurosurgeon at the Department of Neurosurgery, Heinrich Heine University. Dr. Eminan has received several research grants and his research interests include intracranial aneurysms, cerebral vasospasm after subarachnoid hemorrhage, and photodynamic immunotherapy of glioblastomas. He is a regular publisher in peer-reviewed journals. Text for Professor Hänggi will follow.

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