GUILHERME ALVES LEPSKI
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/26 - Laboratório de Pesquisa em Cirurgia Experimental, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/26 - Laboratório de Pesquisa em Cirurgia Experimental, Hospital das Clínicas, Faculdade de Medicina - Líder
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bookPart Tumores do Sistema Nervoso Central(2016) SOUSA JUNIOR, Leonardo de Moura; LEPSKI, Guilherme Alves- Neurosurgery(2022) LEPSKI, G. A.; NEPOMUCENO, T. B.The oncological treatment of intracranial tumors demands an experienced and multidisciplinary team able to manage vascular complications and perform reconstructive procedures when needed. Some brain tumors dislocate, enclose, and sometimes invade major arterial and venous structures of the brain, which if sacrificed may lead to unacceptable neurological deficits. Since the brain tumor treatment is a balance between preserving function and removing the greatest amount of tumor possible, the oncological neurosurgeon must also be trained to perform arterial and venous reconstruction and bypasses. In the present chapter, we address reconstructive strategies in the arterial and venous systems to preserve brain hemodynamics, either in the elective or emergent conditions. Brain tumors increase the risk of venous thromboembolism, which complicates the decision as to when to start anticoagulation (either before or after brain surgery). In addition, postoperative bleeding is a major complication, potentially culminating in death or serious neurological deficits. Nevertheless, many studies have demonstrated that thromboembolism risk overcomes the risk of postoperative bleeding in the neurosurgical oncology cohort, so that most protocols recommend early prophylaxis. This does not preclude the need for multifactorial and individual-based decision-making, paying careful attention to patient- and surgery-related risks. © Springer Nature Switzerland AG 2022.
bookPart Hipertensão intracraniana(2017) JúNIOR, Leonardo de Moura Sousa; LEPSKI, GuilhermebookPart Bases no Tratamento Cirúrgico da Dor(2015) FONOFF, Erich Talamoni; TEIXEIRA, Manoel Jacobsen; DUARTE, Kleber Paiva; LEPSKI, GuilhermebookPart NEUROMODULAÇÃO DO TRATAMENTO DA DOR CRÔNICA(2016) SCHROEDER, Humberto Kluge; LEPSKI, Guilherme AlvesbookPart Hipertensão intracraniana(2023) JúNIOR, Leonardo de Moura Sousa; LEPSKI, GuilhermebookPart Hipertensão intracraniana(2015) SOUSA JUNIOR, Leonardo de Moura; LEPSKI, Guilherme