Document Detail


Intraoperative indocyanine green angiography in intracranial aneurysm surgery: Microsurgical clipping and revascularization.
MedLine Citation:
PMID:  19747765     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The goal of this report is to illustrate the use of intraoperative indocyanine green (ICG) angiography in the surgical management of intracranial aneurysms, including microsurgical clipping and revascularization. METHODS: This study included a series of 45 patients who were surgically treated between June 2007 and May 2008 for intracranial aneurysms. Fourty-three of the patients had anterior circulation aneurysms, and 2 had posterior circulation aneurysms. Forty-one patients were treated with microsurgical clipping. Four patients underwent revascularization combined with aneurysm dissection or trapping. Intraoperative ICG angiography was used to visualize the aneurysm clipping, patency of parent artery or graft. The ICG angiography technique is described, with particular reference to evaluation of the aneurysm clipping and revascularization. RESULTS: Eighty-nine ICG angiography procedures were performed in 45 patients with intracranial aneurysms. The aneurysms were completely obliterated for all patients, and the grafts were patented for all except 1 patient. Pre-clipping ICG angiography showed the relationship of aneurysm and its parent artery clearly. After aneurysms being clipped, intraoperative ICG angiography found remnant of aneurysms, stenosis or occlusion of parent arteries and grafts in 8 cases, which were revised in the same surgical procedure. The results of ICG angiography correlated well with postoperative DSA in 97% patients. CONCLUSION: ICG angiography can provide real-time information and guide revision in the same surgical procedure for the management of intracranial aneurysms.
Authors:
Chi-Yuan Ma; Ji-Xin Shi; Han-Dong Wang; Chun-Hua Hang; Hui-Lin Cheng; Wei Wu
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-09-10
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  111     ISSN:  1872-6968     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-06     Completed Date:  2010-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  840-6     Citation Subset:  IM    
Affiliation:
Department of Neurosurery, Nanjing Jinling Hospital, Nanjing University, School of Medicine, 305 East Zhongshan Road, Nanjing 210002, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cerebral Angiography / methods*
Cerebral Revascularization / methods*
Coloring Agents
Craniotomy
Excitatory Postsynaptic Potentials
Female
Humans
Indocyanine Green
Intracranial Aneurysm / diagnosis*,  surgery*
Male
Middle Aged
Monitoring, Intraoperative
Postoperative Care
Young Adult
Chemical
Reg. No./Substance:
0/Coloring Agents; 3599-32-4/Indocyanine Green

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