Neurosurgery

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Citações na Scopus
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Tipo de produção
bookPart
Data de publicação
2022
DOI
Scopus
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Título do Volume
Editora
SPRINGER INTERNATIONAL PUBLISHING
Autores
Citação
Lepski, G. A.; Nepomuceno, T. B.. Neurosurgery. In: . Vascular Surgery in Oncology: SPRINGER INTERNATIONAL PUBLISHING, 2022. p.311-329.
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Resumo
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.
Palavras-chave
Anticoagulation after brain surgery, Brain tumors, Carotid injury, Glioma, Intracranial bypass surgery, Meningioma, Transsphenoidal approach, Venous sinus reconstruction
URI
https://observatorio.fm.usp.br/handle/OPI/57273
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Livros e Capítulos de Livros - HC/ICHC
Livros e Capítulos de Livros - LIM/26