Document Detail

Indocyanine green video-angiography as an aid to surgical treatment of spinal dural arteriovenous fistulae.
MedLine Citation:
PMID:  19588070     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To illustrate the use of indocyanine green (ICG) video-angiography to confirm abolition of spinal dural arteriovenous fistula (SDAVF) and preserve the normal vascular anatomy intraoperatively. METHODS: A 73-year-old woman presenting with progressive myelopathy was diagnosed with an SDAVF, where the origin of the fistula was in close proximity to the origin of the posterior spinal artery. ICG was injected intravenously. Using a filter on the microscope, dynamic filling of the abnormal vasculature was visualised. RESULTS: After applying a clip to the fistulous connection, we were able to see the successful interruption of the dural fistula, on-table in real time. CONCLUSION: ICG video angiography confirmed interruption of the fistula and preservation of the associated posterior spinal artery. We find the application of this relatively new technology has the potential to shorten operating times, gives additional reassurance of completeness of surgical treatment and preservation of normal spinal vasculature.
Samantha Hettige; Daniel Walsh
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-09
Journal Detail:
Title:  Acta neurochirurgica     Volume:  152     ISSN:  0942-0940     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-26     Completed Date:  2010-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  533-6     Citation Subset:  IM    
Department of Neurosurgery, King's College Hospital, Denmark Hill, London SE5 9RS, UK.
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MeSH Terms
Angiography / methods*
Arteries / pathology,  surgery
Central Nervous System Vascular Malformations / pathology,  radiography*,  surgery
Coloring Agents / diagnostic use
Indocyanine Green / diagnostic use*
Intraoperative Complications / prevention & control
Laminectomy / methods
Neurosurgical Procedures / instrumentation
Preoperative Care
Spinal Cord Compression / pathology,  radiography*,  surgery
Surgical Instruments
Treatment Outcome
Vascular Surgical Procedures / instrumentation,  methods
Video Recording / methods*
Reg. No./Substance:
0/Coloring Agents; 3599-32-4/Indocyanine Green

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