TAILIEUCHUNG - Ebook Decision making in neurovascular disease: Part 2

Part 2 book “Decision making in neurovascular disease” has contents: Superior cerebellar artery aneurysms, posterior inferior cerebellar artery aneurysm, mycotic intracranial aneurysms, pediatric intracranial aneurysms, spinal aneurysms, brainstem arteriovenous malformations, and other contents. | 32 Fusiform Aneurysms of the Anterior Circulation Leonardo . Brasiliense, Pedro Aguilar-Salinas, Douglas Gonsales, Andrey Lima, Eric Sauvageau, and Ricardo A. Hanel Abstract The estimated prevalence of intracranial aneurysms (IA) in the general population ranges between 2 and 4%. Although fusiform aneurysms are more commonly found in the vertebrobasilar circulation, these challenging lesions can occur in the anterior circulation with a prevalence ranging from to . Fusiform aneurysms are complex lesions that involve more than 50% of the arterial circumference and are typically characterized by a lack of discernible neck. In general, this subset of lesions is associated with worse outcomes, higher rates of complications, and death. In this chapter, we discuss their anatomical features and explore pathophysiological mechanisms as well as current evidence in surgical and endovascular options. Microsurgery remains an adequate treatment option and some of the vascular reconstructions include trapping, wrapping, bypass, and excision and induction of aneurysm thrombosis by proximal clipping. Endovascular options for fusiform aneurysms are typically associated with the use of stents or flow diverters with or without the use of adjuvant coiling. Overall, these procedures have demonstrated a safe and effective profile favoring this option over microsurgery. However, in some instances, a combined approach can be done. Although there is no consensus for the optimal management of fusiform aneurysms in the anterior circulation, the decision is made on a case-by-case basis assessing the patient’s hemorrhagic risk over an estimated life span in contrast to neurosurgeon’s perceptions of potential complications, particularly major neurological morbidity and loss of functional independence. Keywords: intracranial aneurysm, fusiform aneurysm, surgery, endovascular Introduction Intracranial aneurysms are estimated to occur in approximately of the general population and

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• Decision making
• Neurovascular disease
• Superior cerebellar artery aneurysms
• Posterior inferior cerebellar artery aneurysm
• Mycotic intracranial aneurysms
• Pediatric intracranial aneurysms
• Spinal aneurysms
• Managerial decision making
• Judgment in managerial decision making
• Ethics in decision making
• Fairness in decision making
• Improving decision making
• Strategies for better decisions
• Operations strategy
• Product design objectives
• Anatomy of decisions
• System 1 thinking
• System 2 thinking
• Making rational decisions
• Claiming value in negotiation
• Game theoretic approaches
• Emotional influences
• Decision mak
• Implicit attitudes
• Lecture Making hard decisions
• Making hard decisions
• Decision tool suite
• Elements of decision problems
• Decision elements
• Decision context
• Social responsibility
• Individual ethics
• Ethical decision making
• Influence of portfolio management in decision making
• Portfolio management in decision making
• The decision making process
• Projects for the company
• Management and decision making
• Corporate decision making
• The increasing importance
• Supply chain in strategic decision making
• Supply chain
• Corporate strategy
• Corporate strategic decision
• Decision Support Systems
• Decision Making Systems
• A preview of the modeling process
• How decision are supported
• Human cognition
• The evidence based surgery
• Surgical decision making beyond
• The anatomy
• The surgeon’s decision making
• Intraoperative endpoints of resuscitation
• Lecture Management
• Managerial environment
• Decision making model
• Administrative model
• Position and Decision making Power of Men and Women
• Position and Decision making Power
• Vietnam’s Political System
• Decision making power
• Men and Women