The Aneurysm Casebook

1. Anterior Cerebral Artery (A1 Segment) Aneurysm: a Very Small Incidental A1 Aneurysm Treated with p48 Flow Diverter with Good Clinical and Angiographic Outcome

   • Alvaro Valtorta, Ivan Lylyk, Rene Viso, Javier Lundquist, Pedro Lylyk

2. Anterior Cerebral Artery (A1 Segment) Aneurysm: Abandoned Dual Platelet Inhibition Shortly After Endovascular Treatment with a Hydrophilic Polymer-Coated Flow Diverter p48_HPC; Good Clinical Outcome and Early Aneurysm Occlusion

   • Marie-Sophie Schüngel, Karl-Titus Hoffmann, Ulf Quäschling, Stefan Schob

3. Anterior Cerebral Artery (A1 Segment) Aneurysm: Giant Partially Thrombosed A1 Aneurysm with Mass Effect, Treated with a Pipeline Embolization Device, Complete Resolution of the Mass Effect, and Modification of the Shape of the Implant During Long-Term Follow-Up

   • Rene Viso, Ivan Lylyk, Nicolas Perez, Esteban Scrivano, Pedro Lylyk

4. Anterior Cerebral Artery (A1 Segment) Aneurysm: Ruptured Blood Blister-Like Aneurysm of the Proximal Anterior Cerebral Artery Causing Massive Subarachnoid Hemorrhage: Ventriculostomy, Dual Antiplatelet Medication plus Eptifibatide, and Flow Diversion Implant “Compressed” with a Compliant Double Lumen Balloon

   • J. E. Cohen, H. Henkes

5. Anterior Cerebral Artery (A1 Segment) Aneurysm: The eCLIPs Endovascular Clip System, a Novel Flow Diversion Approach to Managing Intracranial Aneurysms Arising from Arterial Bifurcations

   • Ghouth Waggass, Saba Moghimi, Joost De Vries, Thomas R. Marotta

6. Anterior Cerebral Artery Aneurysm: Incidental Saccular Aneurysms of an Azygos Anterior Cerebral Artery and of the Right-Hand Fenestrated A1 Segment; Endovascular Treatment of both Aneurysms with Stent- and pCONUS1 Assisted Coil Occlusion with Complete Occlusion During Long-Term Follow-Up and with a Good Clinical Outcome

   • Georg Gihr, Marta Aguilar Pérez, Alexander Sirakov, Hansjörg Bäzner, Hans Henkes

7. Anterior Cerebral Artery Aneurysm: Incidental, Giant, Partly Thrombosed Proximal Anterior Cerebral Artery Aneurysm with Stenosis of the A1 Segment, Treated with a p48 Flow Diverter with Angiographic Exclusion of the Aneurysm and Good Clinical Outcome

   • Rene Viso, Nicolas Perez, Ivan Lylyk, Jorge Chudyk, Pedro Lylyk

8. Anterior Cerebral Artery Aneurysm: Ruptured Distal Azygos Anterior Cerebral Artery Aneurysm; Interhemispheric Approach,Positioning of Head, Rationale Interhemispheric Approach, Positioning of Head, Rationale for Open Surgery

   • Hannes Rauter, Alexandra Resch, Thomas Kretschmer

9. Anterior Choroidal Artery Aneurysm: Basal Ganglia AVM, Supplied by the Anterior Choroidal Artery, with an Intranidal Aneurysm; Targeted Embolization Prior to Radiosurgery

   • Marta Aguilar Pérez, Muhammad AlMatter, Marcel Alfter, Marc Münter, Hans Henkes

10. Anterior Choroidal Artery Aneurysm: Incidental Anterior Choroidal Artery Aneurysm, Treated by Flow Diversion Using a p64 with Preservation of the Anterior Choroidal Artery

    • Muhammad AlMatter, Marta Aguilar Pérez, Hans Henkes

11. Anterior Communicating Artery Aneurysm: Acute SAH Due to a Small Aneurysm, Coil Occlusion, the Issue of SAH from Small Aneurysms

    • Muhammad AlMatter, Marta Aguilar Pérez, Hans Henkes

12. Anterior Communicating Artery Aneurysm: Aneurysm Recurrence After Initial Coil Occlusion, Treated with a WEB Device

    • Werner Weber, Sebastian Fischer

13. Anterior Communicating Artery Aneurysm: Blister-Like Aneurysm of the Anterior Communicating Artery Treated by Flow Diversion Two Weeks After Subarachnoid Hemorrhage

    • Ivan Lylyk, Rene Viso, Carlos Bleise, Esteban Scrivano, Pedro Lylyk

14. Anterior Communicating Artery Aneurysm: Incidental AcomA Aneurysm, pCONus-assisted Coil Occlusion, Intracerebral Hematoma due to Hyper-response on Aspirin and Clopidogrel

    • Marta Aguilar Pérez, Muhammad AlMatter, Hansjörg Bäzner, Hans Henkes

15. Anterior Communicating Artery Aneurysm: Incidental Anterior Communicating Artery Aneurysm, Treated with X-Configured Stent-Assisted Coil Occlusion

    • Ivan Lylyk, Esteban Scrivano, Rene Viso, Nicolas Perez, Pedro Lylyk

16. Anterior Communicating Artery Aneurysm: Incidental Wide-Necked Aneurysm and Stent-Anssisted Coil Occlusion Using a Barrel Stent with Transient In-Stent Stenosis

    • Christian Loehr, Jan Oliver Kuhnt, Hans Henkes

17. Anterior Communicating Artery Aneurysm: Large Aneurysm, Mass Effect, Deconstructive Techniques and Coiling, Occlusion, Mass Effect Relief and Excellent Evolution

    • José E. Cohen

18. Anterior Communicating Artery Aneurysm: Multilobulated Aneurysm with SAH, Treatment with a Single WEB SL Device

    • Jan-Hendrik Buhk, Jens Fiehler, Maxim Bester

19. Anterior Communicating Artery Aneurysm: Previously Ruptured and Clipped Anterior Communicating Artery Aneurysm; Incidental Aneurysm Recurrence or Remnant; Endovascular Treatment with a Pipeline Embolization Device and Long-Term Follow-Up

    • Pablo Albiña, Rene Viso, Ivan Lylyk, Jorge Chudyk, Pedro Lylyk

20. Anterior Communicating Artery Aneurysm: Procedural Aneurysmal Re-rupture during pCONus1 Deployment, Device Thrombosis during Coil Occlusion of the Aneurysm, Recanalization of the pCONus1 by Infusion of Eptifibatide

    • Marta Aguilar Pérez, Muhammad AlMatter, Victoria Hellstern, Hans Henkes

This encyclopedic reference book on the treatment of intracranial aneurysms offers a case-based approach to the subject that has the benefit of fully reflecting the highly individual technical and clinical challenges encountered in aneurysm patients. The book is structured by aneurysm location, ensuring ease of use. Readers will find solutions for most clinical situations that they may encounter. Different treatment strategies are described, highlighting their respective pros and cons in particular circumstances. The coverage encompasses both basic techniques, such as coil occlusion and parent vessel occlusion, and the latest developments, including extra- and intrasaccular flow diversion, intrasaccular flow disruption, bifurcation stenting, and hybrid procedures combining microsurgical and endovascular elements. Potential procedural complications are identified, and bail-out strategies to anticipate, avoid, and solve major issues are described. The authors are all respected experts inthe field, and the book will be of value to vascular and endovascular neurosurgeons, interventional neuroradiologists and neurologists, stroke neurologists, and other practitioners at all levels of experience.

• Case Studies in Aneurysm Treatment
• Intracranial Aneurysms
• Subarachnoid hemorrhage
• Coil occlusion
• Parent Vessel Occlusion
• Extra- and Intrasaccular Flow Diversion
• Intrasaccular Flow Disruption
• Bifurcation Stenting
• Liquid Embolic Agents
• Balloon Remodeling
• Antiaggregation
• Anticoagulation
• Surpass, FRED, p64

• Department of Neuroradiology, Klinikum Stuttgart, Stuttgart, Germany

  Hans Henkes

• Dept. Neurosurgery & Intervent. Neurorad, Clinica Sagrada Familia, Buenos Aires, Argentina

  Pedro Lylyk

• Department of Neurosurgery, Klinikum Stuttgart Department of Neurosurgery, Stuttgart, Germany

  Oliver Ganslandt

Hans Henkes is Professor of Neuroradiology and Medical Director of the Neuroradiological Clinic at Klinikum Stuttgart, Stuttgart, Germany. He graduated from the Freie Universität Berlin in 1985. After residencies in Neurophysiology and General Radiology at the University Hospital Berlin-Charlottenburg (1985–1991) and Neuroradiology at the University Hospital Homburg/Saar (1991–2), he received board certification for Radiology and Neuroradiology in 1991 and 1993, respectively. From 1991 through 2006 he worked at the Department of Radiology and Neuroradiology at the Alfried Krupp Krankenhaus Essen, Germany, under Professor Dietmar Kühne. In 1999 he received the venia legendi for Neuroradiology from the Medical Faculty of the University Duisburg-Essen. Dr. Henkes took up his present position in 2007. He is responsible for more than 1200 endovascular treatments annually. He has published over 240 papers in peer-reviewed journals and holds over 60 patents in the neuroendovascular field.

 

Pedro Lylyk is Chairman of the Endovascular Neurosurgery and Interventional Radiology Institute “ENERI” (Equipo de Neurocirugía Endovascular y Radiología Intervencionista), with clinical responsibilities for the Neuroradiology Section in the Radiology Division and the Neurointerventional Division in the Department of Clinical Neurosciences. Dr. Lylyk's academic activity focuses on translational research in the field of image-guided minimally invasive treatment of neurovascular diseases, tumors, and back pain. He holds a variety of professorial positions, including at the University of Buenos Aires, Universidad del Salvador (Buenos Aries), and University of Santiago de Compostela (Spain). Dr. Lylyk is co-founder of the International Intracranial Stent Symposium (ICS), co-founder and past President of the Latin American Society of Diagnostic and Interventional Neuroradiology (SILAN), co-founder and past President of the Argentine Association of Diagnostic andTherapeutic Neuroradiology (AANDiT), and Chairman of the Argentine Stroke Association (AAS). 

 

 Oliver Ganslandt  graduated from medical school at Friedrich-Alexander University Erlangen-Nuremberg, Germany. He completed his doctoral thesis on the subject of magnetoencephalography in 1992 and gained his Habilitation in 2002 for work on functional neuronavigation. His education as a neurosurgeon began in 1991 under Prof. R. Fahlbusch at the Department of Neurosurgery in Erlangen and continued under Prof. M. Buchfelder. He worked as vice chairman of that department until January 2014 and was then elected as chairman of the Department of Neurosurgery in Stuttgart, where he works today. His clinical and scientific interests are vascular neurosurgery, functional imaging, neurooncology, and radiosurgery. He has contributed numerous presentations at national and international meetings and serves as a reviewer for many peer-reviewed journals (including Neurosurgery and Journal of Neurosurgery) as well as various national and international scientific organizations. He is a member of the advisory board of the journal Strahlentherapie und Onkologie. 

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