Schmidek and Sweet: Operative Neurosurgical Techniques

Endovascular Management of Dural Arteriovenous Fistulas

Introduction Dural arteriovenous fistulas (DAVFs), also sometimes referred to as dural arteriovenous malformations, represent approximately 10% to 15% of all intracranial arteriovenous malformations. These lesions are characterized by abnormal arteriovenous shunts located within dural leaflets. Cranial DAVFs are most commonly…

Embolization of Tumors: Brain, Head, Neck, and Spine

Acknowledgments The authors thank the staff of Neuroscience Publications at Barrow Neurological Institute for assistance with manuscript preparation. Hypervascular neoplasms of the central nervous system can be formidable surgical challenges associated with significant morbidity and mortality, with excessive intraoperative blood…

Endovascular Treatment of Intracranial Occlusive Disease

Introduction Atherosclerosis and moyamoya disease (MMD) are the two most common forms of intracranial occlusive disease. In this chapter, we discuss endovascular options for the treatment of intracranial atherosclerotic disease (ICAD) and MMD. Approximately 8% to 10% of ischemic strokes…

Endovascular Treatment of Cerebral Arteriovenous Malformations

Significant advancements in the management and treatment of cerebral arteriovenous malformations (AVMs) have been made over the last few years. Although surgical resection remains the most definitive treatment option in selected patients, both endovascular and radiosurgical techniques have been added…

Endovascular Treatment of Stroke

Background According to estimates by the World Health Organization (WHO), stroke is the second leading cause of death worldwide and is the third greatest contributor to lost disability-adjusted life years (DALYs) globally. There are approximately 17 million strokes worldwide each…

Endovascular Management of Intracranial Aneurysms

Microsurgical clipping has been the historical definitive standard for treatment of intracranial aneurysms, though several factors may put a patient at increased risk for morbidity and mortality. These factors include the aneurysm’s size, location, and morphology; the patient’s age; and…

Surgical Management of Cerebral Arteriovenous Malformations

Introduction Intracranial vascular malformations represent approximately 6% of all diseases that affect the central nervous system. They are classified according to their hemodynamic patterns in terms of arterial malformations (aneurysms), arteriovenous shunts (cerebral arteriovenous malformations), dural and pial fistulae, venous…