Img 20160202 wa0001, Thesis of Abnormal Psychology

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Preoperative Planning Tumor with circumferential ICA invalvement x ~ Malignancy w/goal of radical resection | Benign tumor w/recurrence especially post XRT mN, wy N CONSIDER BALLOON N TEST OCCLUSION WA FAIL Perform ECA-ICA bypass] | 88° orreconsider goals of surgery ¥ Treatment | Endoscopic Endonasal Surgery (EES) | ' ICA Injury ye Ss | — | | Perforator Avulsion Ss “N Small Large Bipolar Coagulation or (2-3 mm) 23mm Clip Salvage Atternpt Salvage | Geclusion with Aneurysm Clip (Bipotar/Aneurysm clip) or Muscle Pack = « . Postop/Endovascular Immediate Angiogram a ' = Vessel Intact | [ Pseudoaneurysm | Active Extravasation ' yo wf | Repeat Angiogram (1 week) < Covered Stent(s) | vs. | ICA Coil Occlusion | eo | CT or MR Perfusion | Ze ™ Mild-moderate perfusion deficit without clinical symptoms Severe perfusion deficit or clinical symptoms | Y ¥ Follow-ulp Vascular Study (3-4 weeks) | ECA-ICA Bypass |