Vascular Challenges In Skull Base Surgery

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Vascular Challenges in Skull Base Surgery

Paul A. Gardner,Carl H. Snyderman,Brian T. Jankowitz
Vascular Challenges in Skull Base Surgery Book PDF

Author : Paul A. Gardner,Carl H. Snyderman,Brian T. Jankowitz
Publisher : Thieme
Page : 569 pages
File Size : 52,7 Mb
Release : 2021-11-17
Category : Medical
ISBN : 9781638536468

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Vascular Challenges in Skull Base Surgery by Paul A. Gardner,Carl H. Snyderman,Brian T. Jankowitz Pdf

The essential multidisciplinary guide for the prevention and management of vascular injury from master skull base surgeons Vascular injury is the most significant source of morbidity or mortality during skull base surgery, regardless of the surgical approach. While skull base approaches always placed arteries and veins at risk, newer endoscopic endonasal approaches have introduced new challenges for the prevention and management of vascular injury. Greater anatomic knowledge, additional surgical options, improved instrumentation, advances in interventional neuroradiology, and enhanced training all contribute to successful outcomes. Vascular Challenges in Skull Base Surgery by renowned skull base experts Paul Gardner, Carl Snyderman, Brian Jankowitz, and distinguished contributors, fills a gap in the literature, with invaluable guidance on managing rare but potentially catastrophic surgical complications. The full range of surgical approaches to the anterior, middle, and posterior cranial fossae are covered in 22 chapters. Diverse topics encompass open and endoscopic endonasal surgical approaches, endovascular techniques including balloon test occlusion and embolization, and standard and alternative bypass procedures. The last three chapters discuss venous considerations, neurophysiologic monitoring, and the role of training and simulation in vascular injury prevention. Key learning points, illustrated discussion of relevant anatomy, and tips and tricks are targeted at helping skull base surgeons leverage practical strategies to improve patient outcomes. Key Highlights An impressive group of expert, highly-experienced surgeons share firsthand knowledge Insightful analyses of root causes and clinical pearls provide indispensable prevention tactics High-quality images and videos enhance visual understanding of surgical anatomy and techniques Trainees and practicing skull base surgeons will greatly benefit from the collective knowledge and evidence-based injury avoidance strategies shared by authors who have learned to master the art of skull base surgery.

Skull Base Surgery

Walter C. Jean
Skull Base Surgery Book PDF

Author : Walter C. Jean
Publisher : Thieme
Page : 1071 pages
File Size : 48,8 Mb
Release : 2019-02-22
Category : Medical
ISBN : 9781638536024

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Skull Base Surgery by Walter C. Jean Pdf

Unique skull-base surgical resource features strategic, technical, and philosophical pearls from master surgeons In a sense, surgeons go into battle every time they enter the OR. Like soldiers, they must be prepared to make profound sacrifices to protect innocent people (their patients), while putting egos aside and resisting the call of fame. Skull Base Surgery: Strategies by Walter Jean and distinguished contributors provides eloquent expression to the inner voices that speak to surgeons during each stage of battle. Unlike other textbooks that only emphasize the technical building blocks surgeons need, this resource focuses on state-of-the-art skull-base procedures, important thought processes, and vital strategies required to perform them. Size and shape variations, diverse biological characteristics, different anatomic locations and extensions, and specific relationships and entanglements with nerves and vessels make all skull base tumors unique and highly challenging. In addition to anatomy, two other important factors need to be considered every time a surgeon enters the OR – the particular circumstances of the patient and surgeon. Throughout this remarkable book, master neurosurgeons take readers on an insightful journey exploring the decision-making process of choosing and executing a surgical approach, with firsthand pearls from the battlefield. Key Highlights Nine sections organized by anatomy cover tumors in the anterior, anterolateral, lateral, central, postero-superior, and postero-inferior skull base regions, and clivus, petrous bone, and ventricles Thirty-two systematically organized chapters flow from clinical presentation and radiographic/anatomical findings of specific patients and tumors – to decision-making and execution of the surgical approach Real-life cases enhance understanding of all the elements that go into each operation Perspectives sections at the end of each chapter embrace the concept of diverse surgeon viewpoints on similar ideas, techniques, and approaches This exemplary book is essential reading for neurosurgery and otolaryngology residents, fellows, veteran practitioners, and allied health personnel who care for patients with skull base tumors.

Skull Base Surgery

Walter C. Jean
Skull Base Surgery Book PDF

Author : Walter C. Jean
Publisher : Thieme
Page : 1155 pages
File Size : 54,8 Mb
Release : 2019-02-22
Category : Medical
ISBN : 9781626239586

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Skull Base Surgery by Walter C. Jean Pdf

Unique skull-base surgical resource features strategic, technical, and philosophical pearls from master surgeons In a sense, surgeons go into battle every time they enter the OR. Like soldiers, they must be prepared to make profound sacrifices to protect innocent people (their patients), while putting egos aside and resisting the call of fame. Skull Base Surgery: Strategies by Walter Jean and distinguished contributors provides eloquent expression to the inner voices that speak to surgeons during each stage of battle. Unlike other textbooks that only emphasize the technical building blocks surgeons need, this resource focuses on state-of-the-art skull-base procedures, important thought processes, and vital strategies required to perform them. Size and shape variations, diverse biological characteristics, different anatomic locations and extensions, and specific relationships and entanglements with nerves and vessels make all skull base tumors unique and highly challenging. In addition to anatomy, two other important factors need to be considered every time a surgeon enters the OR – the particular circumstances of the patient and surgeon. Throughout this remarkable book, master neurosurgeons take readers on an insightful journey exploring the decision-making process of choosing and executing a surgical approach, with firsthand pearls from the battlefield. Key Highlights Nine sections organized by anatomy cover tumors in the anterior, anterolateral, lateral, central, postero-superior, and postero-inferior skull base regions, and clivus, petrous bone, and ventricles Thirty-two systematically organized chapters flow from clinical presentation and radiographic/anatomical findings of specific patients and tumors – to decision-making and execution of the surgical approach Real-life cases enhance understanding of all the elements that go into each operation Perspectives sections at the end of each chapter embrace the concept of diverse surgeon viewpoints on similar ideas, techniques, and approaches This exemplary book is essential reading for neurosurgery and otolaryngology residents, fellows, veteran practitioners, and allied health personnel who care for patients with skull base tumors.

Controversies in Skull Base Surgery

Andrew S. Little,Michael A. Mooney
Controversies in Skull Base Surgery Book PDF

Author : Andrew S. Little,Michael A. Mooney
Publisher : Thieme
Page : 939 pages
File Size : 42,7 Mb
Release : 2019-07-19
Category : Medical
ISBN : 9781638536017

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Controversies in Skull Base Surgery by Andrew S. Little,Michael A. Mooney Pdf

State-of-the-art approaches and insightful discussions on challenging topics in skull base surgery Advances in endoscopic, microsurgical, radiosurgical, and pharmacotherapeutic strategies have revolutionized the treatment of skull base pathologies. Controversies in Skull Base Surgery, edited by Andrew Little and Michael Mooney and authored by esteemed multidisciplinary contributors, focuses on management strategies and treatment options for a wide range of tumors affecting the skull base, while addressing the most urgent and challenging questions facing skull base surgeons today. Throughout nine sections and 46 chapters, experts describe the treatment of neoplasms such as vestibular schwannoma, meningioma, pituitary adenoma, craniopharyngioma, chordoma, cranial nerve schwannoma, sinonasal malignancies, and others. In many chapters, authors provide instructional case studies and suggestions for future studies to help clarify areas of controversy. This textbook is unique in that it tackles problems typically minimized or ignored by other texts that impact a patient's quality of life and recovery. Key Highlights Reader-friendly tables feature concise summaries, author pearls, and levels of available evidence Pearls and insights on hotly debated issues such as the role of radiosurgery, surgery vs. medical management, radical resection vs. subtotal resection, and proton-beam vs. photon therapy for various pathologic conditions Controversies not frequently discussed in depth, including the use of lumbar drains, postoperative antibiotics, and cerebral revascularization in skull base surgery; multidisciplinary collaboration in endoscopic endonasal surgery; skull base reconstruction techniques; and the future of robotics in skull base surgery This stellar resource will benefit all residents and advanced practice providers who evaluate and treat patients with skull base pathologies, including neurosurgeons, otolaryngologists, and radiation and medical oncologists.

Controversies in Skull Base Surgery

Andrew S. Little,Michael A. Mooney
Controversies in Skull Base Surgery Book PDF

Author : Andrew S. Little,Michael A. Mooney
Publisher : Thieme
Page : 1001 pages
File Size : 49,8 Mb
Release : 2019-07-19
Category : Medical
ISBN : 9781626239548

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Controversies in Skull Base Surgery by Andrew S. Little,Michael A. Mooney Pdf

State-of-the-art approaches and insightful discussions on challenging topics in skull base surgery Advances in endoscopic, microsurgical, radiosurgical, and pharmacotherapeutic strategies have revolutionized the treatment of skull base pathologies. Controversies in Skull Base Surgery, edited by Andrew Little and Michael Mooney and authored by esteemed multidisciplinary contributors, focuses on management strategies and treatment options for a wide range of tumors affecting the skull base, while addressing the most urgent and challenging questions facing skull base surgeons today. Throughout nine sections and 46 chapters, experts describe the treatment of neoplasms such as vestibular schwannoma, meningioma, pituitary adenoma, craniopharyngioma, chordoma, cranial nerve schwannoma, sinonasal malignancies, and others. In many chapters, authors provide instructional case studies and suggestions for future studies to help clarify areas of controversy. This textbook is unique in that it tackles problems typically minimized or ignored by other texts that impact a patient's quality of life and recovery. Key Highlights Reader-friendly tables feature concise summaries, author pearls, and levels of available evidence Pearls and insights on hotly debated issues such as the role of radiosurgery, surgery vs. medical management, radical resection vs. subtotal resection, and proton-beam vs. photon therapy for various pathologic conditions Controversies not frequently discussed in depth, including the use of lumbar drains, postoperative antibiotics, and cerebral revascularization in skull base surgery; multidisciplinary collaboration in endoscopic endonasal surgery; skull base reconstruction techniques; and the future of robotics in skull base surgery This stellar resource will benefit all residents and advanced practice providers who evaluate and treat patients with skull base pathologies, including neurosurgeons, otolaryngologists, and radiation and medical oncologists.

Contemporary Skull Base Surgery

A. Samy Youssef
Contemporary Skull Base Surgery Book PDF

Author : A. Samy Youssef
Publisher : Springer Nature
Page : 800 pages
File Size : 47,6 Mb
Release : 2022-07-05
Category : Medical
ISBN : 9783030993214

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Contemporary Skull Base Surgery by A. Samy Youssef Pdf

This text is designed to function as a comprehensive guide/companion that will not only facilitate the decision-making process for the surgeon, but also help young surgeons build a successful career in skull base surgery. It is divided into six main sections: The first section details the general principles that every skull base surgeon needs to be acquainted with - skull base anatomy, developing a multidisciplinary skull base team, operating room equipment, surgical instruments, and modern imaging technologies. These are the key elements that play a major role in optimizing functional outcomes and patients’ quality of life. Following this, the compartmental anatomy chapters set the stage for understanding the technical and surgical nuances of each location. The subsequent five sections are organized as anatomical compartments or regions of the skull base. Every region is organized in the same format for uniformity and ease of use. Each section includes the available treatment choices to each compartment, and describes the relevant pathologies. The contribution of worldwide leaders including neurosurgeons and otolaryngologists provides top-level expertise in how to tackle each pathology. The surgical approaches chapters that lead each anatomical section describe operative techniques in a clear. stepwise fashion with accompanying intra-operative photos and surgical videos. In the individual pathology chapters, different pathological subtypes are described with representative radiographic images of clinical case examples. Accompanying each pathology is a treatment algorithm based on tumor morphology, pre-operative clinical status, and the goal of maximum functional preservation with a brief description of surgical approaches. This will serve as a roadmap that will help the reader to easily reach a decision of how to treat each skull base pathology. The general theme is functional and anatomical preservation of key neurovascular structures. Setting such structures as a target and planning an approach that minimizes iatrogenic damage to these structures will lead the surgeon down the road of either open, endoscopic, or a combination of both approaches. A comprehensive book that is versatile to serve as a handbook as well as a detailed reference for skull base surgery does not currently exist. In addition, combining the two main surgical schools represented by endoscopy and open surgery into one reference enhanced by treatment algorithms is another unique feature.

Malignant Tumors of the Skull Base, An Issue of Neurosurgery Clinics

Orin Bloch,Franco DeMonte
Malignant Tumors of the Skull Base An Issue of Neurosurgery Clinics Book PDF

Author : Orin Bloch,Franco DeMonte
Publisher : Elsevier Health Sciences
Page : 356 pages
File Size : 46,6 Mb
Release : 2013-01-28
Category : Medical
ISBN : 9781455772094

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Malignant Tumors of the Skull Base, An Issue of Neurosurgery Clinics by Orin Bloch,Franco DeMonte Pdf

This issue of the Neurosurgery Clinics, Malignant Tumors of the Skull Base, is Guest Edited by Drs. Orin Bloch and Franco DeMonte. Malignant tumors of the skull base pose significant challenges to the clinician, because of their proximity to critical neurovascular structures. This issue will explore various approaches to the removal of malignant tumors of the skull base, including open surgical approaches and minimally invasive approaches. Other articles in this issue include topics such as craniofacial reconstruction following oncologic resection, temporal bone malignancies, sinonasal carcinomas, and radiotherapy for malignant skull base tumors.

Handbook of Skull Base Surgery

Antonio Di Ieva,John Lee,Michael Cusimano
Handbook of Skull Base Surgery Book PDF

Author : Antonio Di Ieva,John Lee,Michael Cusimano
Publisher : Thieme
Page : 1035 pages
File Size : 50,5 Mb
Release : 2016-01-11
Category : Medical
ISBN : 9781638530732

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Handbook of Skull Base Surgery by Antonio Di Ieva,John Lee,Michael Cusimano Pdf

Handbook of Skull Base Surgery is a state-of-the-art surgical guide that provides clinicians and surgeons with step-by-step instructions on how to perform microscopic and endoscopic procedures. Encompassing the entire skull base, this handbook is designed for busy residents and clinicians seeking to hone their surgical skills. It presents a multidisciplinary approach to the pathologies, diagnosis, and management of skull base lesions. Key Features: Bulleted format with step-by-step descriptions of procedures accompanied by high-quality illustrations of key points Succinct summaries of content enable readers to quickly obtain the information they need Includes coverage of relevant basic sciences, advanced imaging, and adjunctive treatments such as radiosurgery and chemotherapy Comprehensive yet conveniently compact, this book is a must-have reference for residents, clinicians, nurses and researchers caring for patients with skull base pathologies.

Microsurgical Anatomy of the Skull Base and Approaches to the Cavernous Sinus

Chandranath Sen,Chun Siang Chen,Kalmon D. Post
Microsurgical Anatomy of the Skull Base and Approaches to the Cavernous Sinus Book PDF

Author : Chandranath Sen,Chun Siang Chen,Kalmon D. Post
Publisher : Univ of California Press
Page : 300 pages
File Size : 47,7 Mb
Release : 1997
Category : Medical
ISBN : 0865775982

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Microsurgical Anatomy of the Skull Base and Approaches to the Cavernous Sinus by Chandranath Sen,Chun Siang Chen,Kalmon D. Post Pdf

Tumors of the skull base continue to challenge surgeons; even in an era of groundbreaking technological advances there is no substitute for an in-depth knowledge of anatomy to achieve surgical success. This important new book serves two functions: it gives an exceptionally clear picture of the microsurgical anatomy of the cavernous sinus & surrounding areas, & it describes actual surgical approaches to the area.

Skull Base Surgery of the Posterior Fossa

William T. Couldwell
Skull Base Surgery of the Posterior Fossa Book PDF

Author : William T. Couldwell
Publisher : Springer
Page : 228 pages
File Size : 52,9 Mb
Release : 2017-11-10
Category : Medical
ISBN : 9783319670386

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Skull Base Surgery of the Posterior Fossa by William T. Couldwell Pdf

This text provides a comprehensive and contemporary overview of surgical approaches to lesions of the posterior fossa. It will serve as a resource for neurosurgeons and otologists who treat patients with tumors and vascular diseases of the posterior fossa. It provides a concise review of surgical strategies that address the most important pathologies affecting the posterior fossa. It is richly illustrated with photographs and illustrations of the surgical strategies covered. All chapters are written by experts with world-wide recognition for their contributions in their respective subspecialty. Skull Base Surgery of the Posterior Fossa will be of great utility to Neurosurgeons, Otolaryngologists, and Radiation Therapists with an interest in diseases that affect the posterior fossa, as well as Senior Residents in Neurosurgery and Otolaryngology, and Fellows of Skull Base Surgery and Otology.

Anterior Skull Base Tumors

P. Nicolai,P.J. Bradley
Anterior Skull Base Tumors Book PDF

Author : P. Nicolai,P.J. Bradley
Publisher : Karger Medical and Scientific Publishers
Page : 266 pages
File Size : 40,5 Mb
Release : 2020-07-30
Category : Medical
ISBN : 9783318066708

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Anterior Skull Base Tumors by P. Nicolai,P.J. Bradley Pdf

In recent years, interest in the management of anterior skull base tumors has been fostered by the introduction and subsequent rapid expansion of indications of transnasal endoscopic techniques. In parallel, extraordinary progress has been made in all the other disciplines which are involved in the complex process of managing anterior skull base tumors, leading to substantial improvements in diagnosis and treatment. The anterior skull base can be involved in a large variety of tumors of a varying nature and histology, which in the majority of cases originate from adjacent anatomic sites. In fact, primary lesions of the anterior skull base mainly include osteoma and other tumors originating from bone and cartilage. Tumors involving the anterior skull base have their origin prevalently in the sinonasal tract, but lesions developing on the intracranial site, such as meningiomas, may also extend caudally to encroach upon this area. All these lesions are rare, which means that the pertinent literature does not include prospective studies or treatment guidelines based on a high level of evidence. In view of the extreme histological variability of lesions involving the anterior skull base, much emphasis has been placed on addressing the different nuances of treatment in relation to histology, especially for malignant tumors. The chapters focusing on surgery provide divergent views on selection criteria for a specific surgical technique, which is the aim of this publication.

Fundamentals of Neuroanesthesia

Keith J. Ruskin,Stanley H. Rosenbaum,Ira J. Rampil
Fundamentals of Neuroanesthesia Book PDF

Author : Keith J. Ruskin,Stanley H. Rosenbaum,Ira J. Rampil
Publisher : Oxford University Press
Page : 385 pages
File Size : 40,8 Mb
Release : 2013-10
Category : Medical
ISBN : 9780199755981

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Fundamentals of Neuroanesthesia by Keith J. Ruskin,Stanley H. Rosenbaum,Ira J. Rampil Pdf

Fundamentals of Neuroanesthesia is a comprehensive guide to neuroanesthesia which focuses neurophysiology, neuroanatomy, and neurosurgical procedures, and then offers practical approaches to the practice of neurosurgical anesthesia.

Lessons Learned from Rhinologic Procedure Complications

Rakesh K. Chandra,Kevin C. Welch
Lessons Learned from Rhinologic Procedure Complications Book PDF

Author : Rakesh K. Chandra,Kevin C. Welch
Publisher : Springer Nature
Page : 197 pages
File Size : 55,5 Mb
Release : 2021-07-27
Category : Medical
ISBN : 9783030753238

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Lessons Learned from Rhinologic Procedure Complications by Rakesh K. Chandra,Kevin C. Welch Pdf

Despite meticulous attention to details and expert technique, complications resulting from rhinologic procedures can occur during one's professional career. This book discusses real-life complications and why these unfortunate events occur, as well as how best to manage the consequent issues. The text also provides thoughtful strategies to prevent such situations going forward. The book is organized as a series of case-based chapters, each illustrating a complication involving the orbit, the skull base, unexpected bleeding, poor healing, or those relating to intraoperative decision making, and how each was managed by the authors. Each chapter begins with bullet points highlighting key clinical pearls illustrated by that particular case. Written by leaders in the field with decades of experience in sino-nasal procedures, the analysis complements expert opinions with evidence-based published literature and shares experiences related to the most current techniques, devices, and instrumentation. Every otolaryngologist practicing rhinologic procedures will appreciate the candid nature of the discussion and will find enrichment in this shared wisdom. Lessons Learned from Rhinologic Procedure Complications: A Case-Based Review serves practitioners of general otolaryngology as well as resident trainees in this field, explaining how best to identify, diagnose, and resolve a complication during rhinology procedures.

Endoscopic Cranial Base and Pituitary Surgery, An Issue of Otolaryngologic Clinics of North America,

Raj Sindwani,Pablo F. Recinos,Troy D. Woodard
Endoscopic Cranial Base and Pituitary Surgery An Issue of Otolaryngologic Clinics of North America Book PDF

Author : Raj Sindwani,Pablo F. Recinos,Troy D. Woodard
Publisher : Elsevier Health Sciences
Page : 128 pages
File Size : 54,6 Mb
Release : 2016-01-19
Category : Medical
ISBN : 9780323417648

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Endoscopic Cranial Base and Pituitary Surgery, An Issue of Otolaryngologic Clinics of North America, by Raj Sindwani,Pablo F. Recinos,Troy D. Woodard Pdf

This issue on endoscopic cranial base and pituitary surgery is led by experts in the field of Otolaryngology and Neurosurgery. Otolaryngologists/Head and Neck surgeons Dr. Raj Sindwani and Dr. Troy Woodard join with Neurosurgeon Dr. Pablo Recinos to present a comprehensive clinical approach. Topics include: Building an endoscopic skull base program (room setup and key equipment / IGS); Skull Base Anatomy (corridors, intra and extradural); Imaging in skull base surgery – CT, MRI, CT cisternogram, intraop CT; Sellar lesions / pathology; Principles of endoscopic pituitary surgery ; Reconstruction of skull base defects – free graft, pedicle, TPF, alloderm; Lumbar drain utility (role of intrathecal fluorescein); Hemostasis in Skull Base Surgery (control of smaller vessels, maneuvers to minimize bleeding – warm irrigations, HOB up, embolization); Management of ICA Injury (intraop options, late complications); Meningioma; Esthesioneuroblastoma; Cordoma; Sinonasal Malignancies of Skull Base; Craniopharyngioma; Endonasal approaches to the craniocervical junction; Medical complications of Pituitary/skull base surgery – (ie. SIADH, DI, Hypopit); Post-op management of skull base patient (postop Abx, imaging, debridements, topical irrigations, more...). Articles cover surgical procedure, surgical complications, and surgical anatomy as relevant to the clinical discussion.

Update on Open Vascular Surgery, An Issue of Neurosurgery Clinics of North America, E-Book

Michael T. Lawton
Update on Open Vascular Surgery An Issue of Neurosurgery Clinics of North America E Book Book PDF

Author : Michael T. Lawton
Publisher : Elsevier Health Sciences
Page : 177 pages
File Size : 53,5 Mb
Release : 2022-10-14
Category : Medical
ISBN : 9780323986663

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Update on Open Vascular Surgery, An Issue of Neurosurgery Clinics of North America, E-Book by Michael T. Lawton Pdf

In this issue of Neurosurgery Clinics, guest editor Dr. Michael T. Lawton brings his considerable expertise to the topic of Update on Open Vascular Surgery. The field of open vascular neurosurgery has undergone significant change as endovascular technologies have advanced and endovascular market share has grown. In this issue, top experts in the field explore various responses to these trends, providing valuable information to neurosurgeons aspiring to stay current with contemporary management of aneurysms, brain arteriovenous malformations, cavernous malformations, and bypass techniques. Contains 15 practice-oriented topics including wide neck and bifurcation aneurysms: balancing open and endovascular therapies; application of big data in vascular neurosurgery; rethinking cerebral bypass surgery; AI, machine learning and cavernous malformations; the transcavernous approach in vascular neurosurgery; and more. Provides in-depth clinical reviews on open vascular surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.