Building upon the success of prior editions, Practical Neuroangiography, Third Edition, provides a detailed and richly illustrated guide to diagnostic and interventional neuroangiography and its role in the management of neurovascular disease.

The Third Edition provides the new fellow with the background knowledge needed to understand these procedures, the unusual variant anatomy that can affect treatment and outcomes, and the field’s current limitations.

Organized for ease of use, the book's four sections address techniques and safety; normal anatomy & pathology correlated with angiographic images; angiographic findings of neurovascular diseases; and an introduction to interventional techniques and emergency procedures. Actual patient cases provide practical stepwise coverage of each procedure, tips for accurate diagnosis, and guidance in clinical decision-making.

NEW to the Third Edition…

• CT and MR perfusion studies address the therapeutic challenges of vessel occlusion and damage to cranial tissue.

• More detailed techniques and concise patient cases combine to create a hands-on guide to successful outcomes.

• Strong emphasis on radiation risk & safety put the patient’s well-being first during therapeutic decision-making.

• Emphasis on the angiographic anatomy of the cerebrovascular system details key pathologic features that affect therapeutic approaches.

• Companion website with text/image search and additional cases is cross-referenced to specific chapters in the text for easy access to critical information.

Preface to the Second Edition vii
Preface to the First Edition ix
Acknowledgments xi
Prelude 1
Prelude 3
Techniques and Safety 27
Introduction 29
Performing a Cerebral or Spinal Arteriogram 36
Complications of Cerebral Angiography 86
Radiation Risks and Safety 100
Anatomy 113
Embryology of the Cranial Circulation 115
Aortic Arch 126
The Circle of Willis 131
The Internal Carotid Artery 149
The Anterior Cerebral Artery 199
The Middle Cerebral Artery 217
The Posterior Cerebral Artery 226
The Extradural Vertebral Arteries 240
The Arteries of the Posterior Fossa 253
The Venous System 271
The External Carotid Artery and Extracranial Circulation 289
Vascular Diseases 309
Aneurysms, Subarachnoid Hemorrhage, Dissections, and Arteritis 311
Vascular Malformations of the Brain and Spine 348
Dural Vascular Disease of the Brain and Spine 381
Other Vascular Diseases 405
Introduction to Interventional Procedures 415
The Compleat Apprentice 417
Endovascular Treatment of Epistaxis 425
Head and Neck Tumor Embolizations 433
Arterial and Venous Thrombolysis 443
Embolization of Pial Arteriovenous Malformations 456
Endovascular Treatment of Aneurysms 467
Endovascular Treatment of Dural Arteriovenous Malformations, Carotid Cavernous Fistulas, and Other Injuries 482
Angioplasty and Stenting 506
Index 525