Document Detail


Intraoperative indocyanine green video-angiography: spinal dural arteriovenous fistula.
MedLine Citation:
PMID:  21336238     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Technical note.
OBJECTIVE: To describe the use of intraoperative indocyanine green (ICG) video-angiography for obliteration of a spinal dural arteriovenous fistula (DAVF) and to show a video clip.
SUMMARY OF BACKGROUND DATA: ICG video-angiography is an emerging tool for delineating intraoperative vascular anatomy, and it has a significant potential in the treatment of vascular diseases in the spine.
METHODS: The authors presented a case of a 73-year-old man with progressive and debilitating bilateral lower extremity weakness. The patient was diagnosed with a spinal DAVF of 10th thoracic spine based on the results of conventional spinal angiography.
RESULTS: The patient underwent T9-10 laminotomy for microsurgical clip occlusion. Intraoperative ICG video-angiography was used before clip placement to identify the arterialized veins of the fistula and after clip placement to confirm obliteration of the fistulous connection and restoration of normal blood flow.
CONCLUSION: Intraoperative ICG video-angiography serves an important role in the microsurgical treatment of DAVF. It is simple and provides real-time information about the precise location of spinal DAVF and result after obliteration of spinal DAVF.
Authors:
Jae Keun Oh; Hyun Chul Shin; Tae Yup Kim; Gwi Hyun Choi; Gyu Yeul Ji; Seong Yi; Yoon Ha; Keung Nyun Kim; Do Heum Yoon
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Spine     Volume:  36     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-04     Completed Date:  2012-03-16     Revised Date:  2014-02-18    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E1578-80     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiography / instrumentation,  methods*
Central Nervous System Vascular Malformations / diagnosis,  surgery*
Humans
Indocyanine Green / diagnostic use*
Laminectomy / methods
Male
Monitoring, Intraoperative / instrumentation,  methods
Reproducibility of Results
Sensitivity and Specificity
Thoracic Vertebrae / pathology,  surgery*
Video Recording / methods*
Chemical
Reg. No./Substance:
IX6J1063HV/Indocyanine Green

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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