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Article
November 1980

Cerebral Aneurysms: Advances in Diagnosis and Therapy

Author Affiliations

Pittsburgh

 

edited by H. W. Pia, C. Langmaid, J. Zierski, 465 pp, 268 illus, $99.50, New York, Springer-Verlag, 1979.

Arch Surg. 1980;115(11):1404. doi:10.1001/archsurg.1980.01380110136027

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Abstract

During the past 50 years, the surgical management of intracranial aneurysms has undergone a number of technical and conceptual changes that have allowed a reduction in operative mortality to less than 5%. This scholarly volume, a compilation of the proceedings of the 1977 International Workshop on Aneurysms, documents these many developments and presents the views and clinical practices of the world's experts in this particular field.

The papers presented not only highlight those approaches to aneurysm surgery that we currently accept as "standard best care," but they discuss in depth as well those principles and practices which for the present are speculative and acknowledged as probably beneficial but without either clinical or experimental proof. Equally well documented and presented are papers dealing with the experimental pathophysiology involved in aneurysm growth, fibrin matrices, and spasmproducing substances in the spinal fluid of patients after subarachnoid hemorrhage.

It seems obvious that the use

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