This book covers all aspects of the prevention, diagnosis, and treatment of stroke, offering an integrated perspective that will be relevant to a range of specialists. Extensive consideration is given to the different methods of stroke prevention and arterial revascularization, with up-to-date information on pharmacological measures and clear presentation of endovascular stent placement procedures and surgical techniques, including those involving the carotid artery, vertebral artery, and aortic arch. Complex procedures, such as simultaneous bilateral carotid revascularization, are discussed in depth, drawing on a large series of cases and setting out practical rules. The diagnosis and treatment of intra- and extracranial aneurysms and the management of cervical trauma are examined fully. In addition, the reader is provided with guidance on characterization of the culprit lesion by means of different imaging modalities and with advice on the importance of a multidisciplinary team and combined approaches (endovascular and surgical), identification of risk factors, anesthesia, neuromonitoring, and hemodynamic monitoring. The book will be of value not only for cardiac and vascular surgeons but also for cardiologists, neurologists, neurosurgeons, anesthesiologists, anatomists, specialists in diagnostic imaging, and interventional radiologists.

About the Author

Dr Muresian is a senior cardiovascular surgeon with a cross-cultural medical and scientific experience. He earned his MD title at the University of Medicine – Bucharest (1985), in the USA (1994) and in Italy (1998). He completed cardiovascular surgery fellowships at “San Donato” and at “Niguarda” Cardiac Centers in Milan, Italy and at “The Advanced Cardiovascular Institute” in Louisville, Kentucky, USA. Dr Muresian is appointed as head of the Cardiovascular Surgery Clinic at the University Hospital of Bucharest. Dr Muresian’s surgical interests comprise the new techniques in coronary surgery, valvular plasty, the use of homo- and autografts, the surgery of aortic aneurysms, the surgical therapy of cerebro-vascular diseases (including revascularization of the vertebro-basilar system) and limb-salvage vascular and hybrid procedures. Since his medical student years, Dr Muresian has been continuously involved in research activity, particularly regarding the anatomy and embryology of the cardiovascular and of the central nervous systems. Dr Muresian has elaborated or co-authored over 100 scientific works and publications being also well-known for his special expertise in medical photography.

Contents

۱: The Cerebral Circulation
۲: Cerebral Vascular Territories and the Major Neurovascular Syndromes
۳: Stroke Subtypes
۴: Surgical Approaches for Cerebrovascular Revascularization
۵: Diagnostic Approach to Cerebrovascular Disease: Ultrasound
۶: Endovascular Approach: From Diagnosis to Therapy
۷: Diagnostic Approach to Cerebrovascular Disease: CT and MRI
۶: Pharmacological Measures for the Treatment and Prevention of Stroke: The Choice of Initial Therapy
۹: Anesthesia for Carotid Surgery and Stenting: Neuromonitoring and Perioperative Care
۱۰: Carotid Angioplasty and Stenting
۱۱: Carotid Endarterectomy
۱۲: Vertebral Artery Revascularization
۱۳: Extensive Cerebrovascular Arterial Revascularization
۱۴: Cervico-cerebraI Arteries Dissection
۱۵: Extracranial Carotid and Vertebral Artery Aneurysm
۱۶: Asymptomatic Carotid and Vertebral Artery Stenosis
۱۷: Lessons from Experimental-Induced Atherosclerosis: Valuable for the Precision Medicine of Tomorrow
۱۸: Choice of the Proper Therapeutic Measure in the Individual Patient and Prevention of Stroke