Chapter 3 presents the aortic arch in a cursory fashion; however, it may have been included for the sake of completeness. Although this is a neurovascular atlas, an expanded section here would assist the neurointerventionalist in preparing for a few of the common anatomic variants and pathologic entities often encountered during the access phase of neuroangiographic procedures. Expansion of this chapter is anticipated to be included in the second edition. Borden does an excellent job in chapter 4 of elegantly detailing normal and abnormal common carotid, carotid bifurcation, cervical internal carotid artery, external carotid artery ECA , ECA ramifications, and vertebral arteries.
He accomplishes this by comparing 3DRAs with multiple 2DSA acquisitions, with which the typical reader has more experience.
His approach is superb, as he presents just enough redundancy for adequate learning with a thorough and sensibly numbered labeling system. He presents stenosis, occlusion, fibromuscular dysplasia, arteriovenous fistula, plaque, ulceration, glomus tumor, and aneurysm, along with other examples. Borden depicts the intracranial anterior circulation in an engaging fashion, enough to interest even a seasoned neurointerventionalist, while also thoroughly educating the budding neuroradiologist.
The anatomic detail is splendid, and the methodical labeling ensures seamless correlation.
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This section presents anatomic variants such as hypoplastic anomalous vessels, A1 segments, early bifurcations of the middle cerebral artery, and infundibula. He also demonstrates a plethora of subtle, obvious, and multiple aneurysms in various anterior intracranial locations, including the carotid siphon, ophthalmic, circle of Willis berry, saccular, giant, and lobulated locations.
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Examples of coiled and clipped aneurysms are also exhibited. Arteriovenous malformations are displayed as well and include arterial conduits, nidus, and draining veins. Chapter 6 begins with a refresher text, followed by excellent case examples that convey the superiority of 3DRA to 2D DSA, while at the same time demonstrating how the studies complement each other. He first shows normal anatomy and then transitions to normal variants, such as dominance, persistent fetal circulation, duplicated arteries, hypoplasia, and fenestrations.
He then transcends into pathology such as anterior inferior cerebellar artery aneurysms, arteriovenous malformations, atherosclerotic disease, arteriosclerotic disease, ulcerated plaques, and stenoses. Chapter 7 proceeds with a brief background on the intracranial venous system and then compares several 3DRA acquisitions to 2D conventional DSAs.
3D Angiographic Atlas of Neurovascular Anatomy and Pathology
Borden emphasizes the regular variance in venous anatomy, particularly of the posterior cranial fossa. He then presents examples of venous pathology, including cavernous malformations and developmental venous anomalies. The circle of Willis is introduced in the eighth chapter with text, though no images are included, leaving the reader for want of closure. One may simply page back to chapter 5, however, to gain a 3DRA appreciation for this portion of the anterior circulation. This section will obviously become extremely valuable for reference to specific examples after one has completed a first read of the book.
After being presented with this multitude of cases illuminating normal neurovascular anatomy, anatomic variants, and examples of pathology, the reader is not only more confident with future interpretation and procedural acumen using 3DRA but is genuinely excited to initiate a scan as soon as possible. This 3D Angiographic Atlas of Neurovascular Anatomy and Pathology is not only an excellent learning tool for the resident and fellow, refresher for general radiologists, and reference for the astute neurovascular imager and neurointerventionalist, it is, more importantly, the only complete dedicated book in its class.
This book will serve you and your colleagues well and is recommended as the best 3DRA neurovascular source available. Close this message to accept cookies or find out how to manage your cookie settings. View all Google Scholar citations for this book. Email your librarian or administrator to recommend adding this book to your organisation's collection.
The 3D Angiographic Atlas of Neurovascular Anatomy and Pathology is the first atlas to present neurovascular information and images based on catheter 3D rotational angiographic studies. The images in this book are the culmination of work done by Neil M. Borden over several years using one of the first 3D neurovascular angiographic suites in the United States.
With the aid of this revolutionary technology, Dr Borden has performed numerous diagnostic neurovascular angiographic studies as well as endovascular neurosurgical procedures. The spectacular 3D images he obtained are extensively labeled and juxtaposed with conventional 2D angiograms for orientation and comparison.
Anatomical color drawings and concise descriptions of the major intracranial vascular territories further enhance understanding of the complex cerebral vasculature. American Journal of Roentgenology. To send content items to your account, please confirm that you agree to abide by our usage policies.
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