100 INTERESTING CASE STUDIES IN NEUROINTERVENTION. TIPS AND TRICKS

1. Basilar Top Aneurysm with Extreme Tortuosity: Triaxial Technique
2. Aneurysm Embolization in Patient with Tortuous Aorta
3. Cerebral Aneurysm with Tortuous Access: Distal Access Catheter Placement Using Coaxial Technique
4. Interrupted Aortic Arch: Access—Direct Carotid Puncture
5. Giant Cavernous Aneurysm: Parent Vessel Occlusion After Balloon Occlusion Test
6. Dual Microcatheter Technique
7. Balloon-Assisted and Dual Microcatheter Technique (Geometry Assessment and Catheter Shaping)
8. Embolization of Internal Carotid Artery (ICA) Aneurysm Incorporating Origin of Posterior Communicating Artery
9. Aneurysm with Probable Near the Neck Rupture: Endovascular Management
10. Small Lobulated Aneurysm: Balloon-Assisted Coiling
11. Balloon-Assisted Coiling of Large Internal Carotid Artery (ICA) Bifurcation Aneurysm: Assessment of Neck
12. Aneurysm with a Branch Arising from the Sac: Balloon over Inflation Technique
13. Multilobulated Broad-Neck Aneurysm: End-Hole Technique
14. ICA Bifurcation Aneurysm: Balloon Placement Through Anterior Communicating Artery
15. Double Balloon Technique for Wide-Neck Aneurysms
16. Dissecting Aneurysm of MCA: Stent-Assisted Coiling
17. Stent-Assisted Coiling of Dissecting Aneurysm of Posterior Cerebral Artery
18. Use of Open-Cell Nitinol Stents for Aneurysms with Branch at Base (Ophthalmic and Anterior Choroidal Artery Aneurysms, etc.)
19. Microstent-Assisted Aneurysm Sac Catheterization
20. Microstent-Assisted Coiling of Dissecting Aneurysm of the Left MCA Bifurcation
21. Shelfing Technique for Stent-Assisted Coiling of Bifurcation Aneurysms
22. Y Stenting and Coil Embolisation of Broad-Based Aneurysm Using LVIS Jr. Stents
23. Balloon-Assisted Catheter Access in Large and Giant Aneurysms
24. Stent Retriever-Assisted Access
25. Quadri-axial Technique to Gain Access for Flow Diverter Deployment
26. Multiple Blister Aneurysm of ICA: Management by Pipeline Device
27. Long Flow Diverter (FD) in Partly Thrombosed Basilar Trunk Aneurysms
28. Pipeline Flex Embolization Device for Treatment of Pericallosal Artery Aneurysm
29. Feeding Artery Recurrent Aneurysm Treated with a p64 Flow Diverter
30. “Catheter Push” Technique to Open Flow Diverter
31. “Catheter Pull” Technique to Open Flow Diverter
32. “Balloon-Push” Technique to Open Flow Diverter
33. Endovascular Techniques for Achievement of Better Flow Diverter Wall Apposition: Telescopic Device Placement
34. pCONus Reconstruction for Basilar Top Aneurysm
35. Recurrent Wide-Necked Bifurcation Aneurysm: Treatment Using PulseRider® as an Adjunctive Device
36. Wide-Necked Bifurcation Aneurysm: Treatment with Woven EndoBridge (WEB) Device
37. Glue Occlusion of Dissecting Aneurysm After Induced Cardiac Asystole
38. Anterior Communicating (ACOM) Artery Aneurysm; Acute Angle Between A1 and A2: Microwire Shaping
39. Broad Neck Dysplastic Anterior Communicating Artery Aneurysm: Compartmental Packing
40. Broad Neck Basilar Top Aneurysm: Understanding the Neck
41. Aneurysm Rupture During Coiling: Key Actions
42. Aneurysm Rupture During Coiling: Use of Balloon
43. Coil Rupture During Balloon-Assisted Coiling
44. Aneurysm Rupture After Flow Diversion with a Braided Stent
45. Prolapse of Coil Loop: Balloon-Repositioning Technique
46. Coil Prolapse: Balloon-Repositioning and Coil Fixation Technique
47. Coil Prolapse: Emergency Stent Placement
48. Coil Migration During Coiling: Retrieval by Snare

Neurointervention is a fast-growing subspecialty, and recent trials have demonstrated its role in ischaemic and haemorrhagic stroke. This has generated tremendous interest among interventional neuroradiology, neurology and neurosurgery communities. Nevertheless, formal teaching programmes that provide the required experience are limited, and many early career practitioners are not exposed to the crucial technical details essential to safely performing the procedure before they start practising independently. The book presents 100 characteristic case studies to illustrate the salient technical and clinical issues in decision-making and problem solving during the procedure. This book conveys the “real-world” issues and solutions that are not addressed in detail in most books. As such it is a practical teaching book with useful “tips and tricks” on how to handle specific challenging situations, and is particularly useful for fellows in neurointervention training programmes..

Features:
• Contains practical case-based discussions about the technical issues in performance of neurovascular interventions
• Presents abundant images with depiction of various difficulties in performance of these procedures and the “tips & tricks” in solving these issues
• Includes images of the case, technical issues, solution and final result
• Short write-up with each case of “Tips & Tricks’ in the particular situation Explains correct and appropriate usage of various kind of interventional material
• Written and edited by renowned international authorities as contributors who will give cases concerning their area of expertise

Author
• Dr VIPUL GUPTA is Head of Interventional Neuroradiology/Neurointerventional Surgery, at the Institute of Neurosciences, Medanta the Medicity, Gurgaon, National Capital Region, Haryana, India. His team has performed over 300 therapeutic neurovascular interventions as well as 700–800 diagnostic angiograms and minor interventions. They perform the largest number of aneurysm embolizations and stroke interventions in India.
• Dr Gupta has extensive experience in conducting clinico-radiological meetings, and has taught students pursuing DM (Neuroradiology, Neurology), MCH (Neurosurgery), DNB (Neurosurgery, neurology), MD (Radiodiagnosis) and undergraduate (MBBS) degrees.
• Ajit S. Puri is the director of the Integrated Cerebrovascular Program and Neurointerventional Radiology at the University of Massachusetts Medical School. Dr. Puri received advanced fellowship training in diagnostic neuroradiology and neurointerventional surgery from Harvard Medical School—Brigham and Women’s Hospital, Boston Children’s Hospital, and Beth Israel Deaconess Medical Center. He is highly published, written numerous articles in prestigious journals, authored several book chapters, and is a frequent
• Rajsrinivas Parthasarathy is one of the few neurologists trained in vascular neurology and neurointerventional surgery. He is a “Royal college of Physicians” of “UK” certified neurologist and has completed his training from prestigious institutes in Yorkshire deanery, UK. His fellowship training included cerebrovascular diseases (1 year) and interventional neuroradiology (2 years). He is an avid researcher who has published “original research” in highly commended journals