Endovascular Surgery of Cerebral Aneurysms Xianli Lv Editor 123 Endovascular Surgery of Cerebral Aneurysms Xianli Lv Editor Endovascular Surgery of Cerebral Aneurysms Editor Xianli Lv Department of Neurosurgery, Beijing Tsinghua Changgung Hospital School of Clinical Medicine, Tsinghua University Beijing, China ISBN 978-981-16-7101-2 ISBN 978-981-16-7102-9 (eBook) https://doi.org/10.1007/978-981-16-7102-9 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore In memory of Academician Zhongcheng Wang. Prof. Zhongcheng Wang (December 20, 1925, to September 30, 2012), Academician of Chinese Academy of Engineering In memory of Prof. Luc Picard Professor Luc Picard (1937–2021), a pioneer of Interventional Neuroradiology, Professor of Neuroradiology of the Faculty of Medicine in Nancy, France Foreword Neurosurgeons have a long history of treating cerebral aneurysms. Understanding the vascular anatomy and physiology of the nervous system and management of patients with abnormalities of these vascular structures are vitally important aspects of neurosurgery resident training. Over the past few decades, the treatment of cerebral aneurysms has been evolving toward endovascular strategies for many patients. Interventional neuroradiologists play an important role in developing this area of therapy, but the number of neurosurgical trainees in neuroendovascular treatment is increasing. Other specialties, including neurology and vascular surgery, are now entering the field of neuroendovascular treatment, the neurosurgeons are better trained and provide safe treatment options. We have compiled and edited this book to report current neuroendovascular techniques and their impact on the treatment of cerebral aneurysms. Readers will benefit from the perspicacity among some of our most experienced practitioners on the treatment strategies for cerebral aneurysms. Even today, the number of neurosurgeons who had for- mal training in both endovascular and surgical treatment of cerebrospinal vascular diseases remains limited; the complexity of these difficult problems clearly calls for more neurosurgeons who can be efficient and knowledgeable vii viii Foreword in both treatment modalities. This book will be very helpful for both practitio- ners and trainees alike pursuing the practice of excellence in neurovascular surgery. James Wang Department of Neurosurgery Beijing Tsinghua Changgung Hospital School of Clinical Medicine Tsinghua University Beijing, China Department of Neurosurgery University of Washington Seattle, WA, USA March 6, 2020 Preface Endovascular neurosurgery provides effective and minimally invasive treat- ment of a broad spectrum of diseases. This area of expertise has continued to gain both wider application and greater depth as new and better techniques are developed and as landmark clinical studies are performed to guide their use. The treatment of cerebral aneurysms has evolved substantially, increas- ing the number of aneurysms that can be treated successfully with minimally invasive therapy. The book aims to report current neuroendovascular tech- niques and the efficacy and safety of procedures used for cerebral aneurysms and to summarize key aspects of best practice. Attendees, fellows, residents, medical students, or anyone interested in sharpening their diagnostic and therapeutic skill set will benefit from reading this text. Finally, I must thank all the authors who have contributed so much of their time, wisdom, and experience in creating the final product you hold in your hands. On behalf of everyone associated with this work, I sincerely hope you enjoy learning and implementing your new skills as much as I have enjoyed organizing the material. Beijing, China Xianli Lv March 6, 2020 This work was supported by the Beijing Municipal Administration of Hospitals Incubating Program (PX2020039), Beijing, China, and Tsinghua Precision Medicine Foundation (20219990008), Tsinghua University, Beijing, China. ix Acknowledgment Thanks Prof. Zhongxue Wu(left), my great teacher, who is a human being of immense qualities, a man of incredible energy, and an extraordinary individ- ual whom we will always love and admire. xi