By Pierre Lasjaunias M. D., Ph. D., Alejandro Berenstein M. D., Karel G. ter Brugge M. D. (auth.)
Recent medical event and super technical advances make it extra primary than ever that operators appearing embolization have a legitimate historical past in sensible neuroanatomy and medical overview as well as technical education. This e-book offers an outline of vascular anatomy that may enable the actual evaluate of diversifications and practical territories and should make the prediction of the hazards and administration of cerebral vascular disorder attainable. via this kind of anatomical research each power association in cerebral vascular improvement will be expected. therefore, endovascular techniques within the spinal twine and mind may be most sensible deliberate and played. Pierre Lasjaunias, Alejandro Berenstein, and Karel ter Brugge are hugely dedicated to either learn and instructing within the medical box of neurovascular illnesses. the 1st quantity of the second one version of Surgical Neuroangiography combines the former volumes 1 and three in a single book.
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Extra resources for Clinical Vascular Anatomy and Variations
Thereafter, the anomaly becomes "abnormal" and symptomatic. This phenomenon is particularly well illustrated in the venous system, where anatomical anomalies are still considered abnormalities, and are reported or even treated as such (the developmental venous anomalies and the so-called venous angiomas). In the arterial system, the anomalous intratympanic course of the internal carotid artery (Fig. 18) has been misinterpreted as being abnormal, and has even been reported in the literature to require surgical ligation.
Previous proximal ligation of the maxillary artery. Visualization of the same anastomoses (curved arrows) as in Fig. 25 • The occurrence of a hemodynamic disequilibrium is not dependent on the constraint itself but on the preexisting anatomical disposition. Given two different situations, the same constraint will result in tissue damage in one and have no effect in the other. • Some vascular constraints, even different ones, will produce the same effect when applied at the same place on a similar anatomical disposition (Figs.
The acquired nonpathologically enlarged vessel corresponds to a situation in which a supplementary need has been created: as blood flow increases due to the territorial demand, the artery becomes wider in acquired occlusions, as the response occurs after fetal life. A similar response is observed when a low-pressure phenomenon develops, such as in traumatic fistulae, the need here being hemodynamic. Obviously, a combination of all these factors may be encountered in the same individual, and the response will take place in healthy areas.