Nuances of Technique and Complication Avoidance in Cerebrovascular Neurosurgery, July 24-26, 2009 Practical Anatomy (St. Louis, Mo.)  American Association of Neurological Surgeons


Nuances of Technique and Complication Avoidance in Cerebrovascular Neurosurgery for Senior Residents

July 24-26, 2009

Practical Anatomy Workshop, St Louis, MO

Faculty Agenda

Saturday, July 25, 2009

7:15 – 7:25 amOverview of Patient Positioning, Skull Base Approaches and Clip Application– A. Cohen-Gadol

7:25 – 7:45General Principles of Aneurysm Surgery - G. Thompson

7:45 - 8:05 amSylvian Fissure Dissection Techniques: How Much is Enough?  – T. Payner

8:05 - 8:25 am Paraclinoid Carotid and Carotid Bifurcation Aneurysms-Nuances of Technique – W. Couldwell

8:40 - 9:00 am P-Comm and A-Comm Artery Aneurysms-Nuances of Technique – B. Bendok

9:00 – 9:10 amIntraoperative Florescence Angiography (Zeiss 800) – A. Cohen-Gadol

9:20-12:20 pmLABORATORY I:

Supraorbital/Orbitozygomatic Osteotomy, Clinoidectomy (Intra and Extradural), Sylvian Fissure Dissection and Anterior Circulation Exposure – All faculty 

12:3o - 1:00 pmLunch & Lecture/Discussion: Clip vs. Coil and Bypass – Faculty Panel Discussion – E. Veznedaroglu (moderator) 

1:00 – 1:20 pmMiddle Cerebral Artery Aneurysms-Nuances of Technique/Management of Intraop Aneurysm (all aneurysms) 

Rupture – G. Thompson

1:20 - 1:40 pmBasilar Caput and PICA Aneurysms-Nuances of Technique-

W. Selman

2:00 – 2:15 pmTranstemporal Approaches for Vascular Pathology– A. Fishman 

2:15 - 6:15 pmLABORATORY II: 

Trans-Sylvian/Subtemporal/Modified Transtemporal Approach to Basilar Artery

Sunday, July 26, 2009

9:00 – 9:20 am Flexible CO2 laser scalpel: Enhancing precision microsurgery- B. Bendok  & A. Fishman

9:30 - 11:15 amLABORATORY III:

Cadaveric Dissection – Open Question and Answer Session

CO2 laser scalpel- microsurgery

Learning Objectives:  

Upon completion of this educational activity, participants should be able to:

1.Describe and perform strategies for skull base approaches used in aneurysm surgery and aneurysm clip applications. 

2.Recognize nuances of technique and apply strategies to avoid complications in clipping anterior circulation cerebral aneurysms.

3.Recognize nuances of technique and demonstrate methods to avoid complications in clipping posterior circulation cerebral aneurysms.

4.Demonstrate the details of STA-MCA anastamosis technique.

5.Identify neurosurgical procedures in which the CO2 laser fiber can provide clinical value and perform CO2 laser neurosurgery on intra-cranial and spinal indications.


Course Director:

Aaron A. Cohen-Gadol, MD, MSc (Indiana University Dept of Neurosurgery and Indianapolis Neurosurgical Group)  

Course Co-Directors:

Bernard R. Bendok, MD (Northwestern Univ. Dept of Neurosurgery) and Erol Veznedaroglu, MD (Stroke & Cerebrovascular Center, Capital Health)

Invited faculty members:

William T. Couldwell, MD, PhD (Univ. of Utah Dept of Neurosurgery) 

Troy D. Payner, MD (Indianapolis Neurosurgical Group)

Warren R. Selman, MD (University Hospitals of Cleveland)

B. Gregory Thompson, Jr., MD (Univ. of Michigan Dept of Neurosurgery)

Andrew J. Fishman, MD (Northwestern Univ. Dept of Otolaryngology and Neurological Surgery)

Judy Rosman, RosmanSearch, Inc.


24 residents  - Chief and Senior Level Residents -  Cadaveric and Didactic Sessions

© Andrew Fishman MD 2019