This book is an up-to-date, well-referenced practical resource that offers detailed guidance on the avoidance and
management of complications in patients treated for cerebrovascular and spinal vascular disease.
All complication avoidance and management techniques currently available to the endovascular/cerebrovascular surgeon
are reviewed by pioneers and leaders in the field to provide the clinician with an advanced single point of reference
on the subject.
The book is divided into four sections. It opens by discussing general issues, such as definition of complications,
medicolegal aspects, the role of resident training, and checklists. The subsequent three sections address the
avoidance and management of complications when performing surgical, endovascular, and radiosurgical procedures,
covering the full range of indications and potential adverse events. All chapters have a standardized format,
simplifying the search for information on a specific disease process. Numerous intraoperative images are included, and,
when appropriate, algorithms for the avoidance, early recognition, and management of complications are presented. Each
chapter concludes with a checklist of preparatory steps and “emergency procedures” that each member of the team must
perform in order to ensure the best possible outcomes.
Part Ⅰ General Aspects
1. What Is a Complication? The Philosophical and Psychological Aspects
2. Medicolegal Aspects of Complications
3. Residency/Fellowship Training and the Complication
4. Analyzing Complications
5. Quality Assurance
6. Quality Improvement
7. Training and Standards
8. Complication Avoidance and Management Research
9. The Checklist
10. Alternatives to the Checklist
11. Prepping the Environment
Part Ⅱ Surgical Procedures
12. Carotid Endarterectomy
13. Aneurysms of the Anterior Circulation
14. Aneurysms of the Posterior Circulation
15. Arteriovenous Malformations of the Anterior Fossa
16. Arteriovenous Malformations of the Posterior Fossa
17. Cavernous Malformations
18. Direct Bypass Surgery: Principles, Nuances, and Complication Avoidance
19. Indirect Bypass Surgery
20. Spinal Vascular Malformation Surgery
Part Ⅲ Endovascular Procedures
21. Access and Closure
22. Iatrogenic Large Vessel Injury
23. Stenting of the Great Vessels
24. Complications in the Coiling of Cerebral Aneurysms
25. Balloon- and Stent-Assisted Endovascular Occlusion of Intracranial Aneurysms
26. Aneurysm Treatment with Flow Diverters
27. Aneurysm Treatment with Liquid Embolics
28. Treatment of Arteriovenous Malformations with Cyanoacrylate
29. Endovascular Treatment of Arteriovenous Malformations Using Ethylene Vinyl Alcohol Copolymer
30. Principles for Complication Avoidance and Management in Thrombectomy for Ischemic Stroke
31. Endovascular Embolization of Head and Neck Tumors
32. Management of Complications Following Embolization for Intractable Epistaxis
33. Sclerotherapy of Vascular Malformations
Part Ⅳ Radiosurgical Procedures
34. Radiation Physics: Stereotactic Radiosurgery for Arteriovenous Malformations
35. Radiobiology of Stereotactic Radiosurgery in the Treatment of Arteriovenous Malformations
36. Radiosurgery for Arteriovenous Malformations