Neurointervention

Abstract

This handbook provides an accessible, modern, and comprehensive guide to the practice of neurointervention, covering the full range of diagnostic and therapeutic procedures relevant to cerebrovascular and spinal pathology. Beginning with foundational topics such as neurovascular anatomy, pharmacology, and equipment, the book progresses from vascular access, and diagnostic cerebral and spinal angiography, to complex endovascular treatments such as endovascular treatment of cerebral aneurysms (including coiling, stent-assisted techniques, intrasaccular devices, flow diversion, and parent vessel occlusion), mechanical thrombectomy, angioplasty and stenting for atherosclerotic disease, and embolisation of dural arteriovenous fistulas and brain and spinal arteriovenous malformations. Venous interventions such as inferior petrosal sinus sampling, dural venous sinus stenting, venous thrombectomy for cerebral venous sinus thrombosis, and cerebrospinal fluid–venous fistula embolisation are comprehensively reviewed. Tumour embolisation is described for paragangliomas, meningiomas, juvenile nasopharyngeal angiofibromas, haemangioblastomas, and spinal tumours. Additional chapters cover embolisation for epistaxis and middle meningeal artery embolisation for chronic subdural haematoma. Non-vascular procedures such as lumbar puncture, static and dynamic myelography, nerve root and medial branch injections, spinal biopsy, vertebroplasty, and sclerotherapy for venolymphatic malformations are also described in detail. Throughout, procedural planning, imaging, anatomical variants, access strategies, embolic materials, and complication avoidance are addressed with practical emphasis. The content reflects contemporary practice and integrates current evidence, anatomical principles, and technical guidance relevant to both routine and complex cases.