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Complex Intracranial Aneurysms: Strategies for Surgical Trapping and Cerebral Revascularization

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Management of Cerebrovascular Disorders

Abstract

Intracranial aneurysms that are neither clippable nor coilable often require a deconstructive procedure to eliminate the risk of hemorrhage. In that setting, cerebral revascularization may become necessary to replace blood flow after parent artery sacrifice and, in the case of ruptured aneurysms, to prevent delayed cerebral ischemia. In this chapter, we guide the reader through the process of surgical decision-making in these challenging cases, as we elaborate on the management strategies and some of the technical nuances of microsurgical trapping and bypass.

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Authors and Affiliations

  1. Department of Neurosurgery, Lenox Hill Hospital, Hofstra Northwell School of Medicine, New York, NY, USA

    Ralph Rahme, Marjan Alimi & David J. Langer

  2. Division of Neurosurgery, SBH Health System, Bronx, NY, USA

    Ralph Rahme

Authors
  1. Ralph Rahme
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  2. Marjan Alimi
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  3. David J. Langer
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Correspondence to Ralph Rahme .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA

    Alejandro M. Spiotta

  2. Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA

    Raymond D. Turner

  3. Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA

    M. Imran Chaudry

  4. Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, USA

    Aquilla S. Turk

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Rahme, R., Alimi, M., Langer, D.J. (2019). Complex Intracranial Aneurysms: Strategies for Surgical Trapping and Cerebral Revascularization. In: Spiotta, A., Turner, R., Chaudry, M., Turk, A. (eds) Management of Cerebrovascular Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-99016-3_8

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  • DOI: https://doi.org/10.1007/978-3-319-99016-3_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-99015-6

  • Online ISBN: 978-3-319-99016-3

  • eBook Packages: MedicineMedicine (R0)

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