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논문 기본 정보

자료유형
학술저널
저자정보
Moon, Hyung-Sik (Department of Neurosurgery, Chonnam National University Hospital & Medical School) Joo, Sung-Pil (Department of Neurosurgery, Chonnam National University Hospital & Medical School) Seo, Bo-Ra (Department of Neurosurgery, Chonnam National University Hospital & Medical School) Jang, Jae-Won (Department of Neurosurgery, Chonnam National University Hospital & Medical School) Kim, Jae-Hyoo (Department of Neurosurgery, Chonnam National University Hospital & Medical School) Kim, Tae-Sun (Department of Neurosurgery, Chonnam National University Hospital & Medical School)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제53권 제6호
발행연도
2013.1
수록면
349 - 355 (7page)

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Objective : Recently, microscope-integrated near infrared indocyanine green videoangiography (ICG-VA) has been widely used in cerebrovascular surgery because it provides real-time high resolution images. In our study, we evaluate the efficacy of intraoperative ICG-VA during cerebrovascular surgery. Methods : Between August 2011 and April 2012, 188 patients with cerebrovascular disease were surgically treated in our institution. We used ICG-VA in that operations with half of recommended dose (0.2 to 0.3 mg/kg). Postoperative digital subtraction angiography and computed tomography angiography was used to confirm anatomical results. Results : Intraoperative ICG-VA demonstrated fully occluded aneurysm sack, no neck remnant, and without vessel compromise in 119 cases (93.7%) of 127 aneurysms. Eight clipping (6.3%) of 127 operations were identified as an incomplete aneurysm occlusion or compromising vessel after ICG-VA. In 41 (97.6%) of 42 patients after carotid endarterectomy, the results were the same as that of postoperative angiography with good patency. One case (5.9%) of 17 bypass surgeries was identified as a nonfunctioning anastomosis after ICG-VA, which could be revised successfully. In the two patients of arteriovenous malformation, ICG-VA was useful for find the superficial nature of the feeding arteries and draining veins. Conclusion : ICG-VA is simple and provides real-time information of the patency of vessels including very small perforators within the field of the microscope and has a lower rate of adverse reactions. However, ICG-VA is not a perfect method, and so a combination of monitoring tools assures the quality of cerebrovascular surgery.
#Cerebrovascular surgery #Indocyanine green videoangiography #Intraoperative angiography #Patency of graft #Complete obliteration of aneurysm

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참고문헌 (23)

참고문헌 신청
Alexander TD / 1996 / Intraoperative angiography in cerebral aneurysm surgery : a prospective study of 100 craniotomies / Neurosurgery 39:10~17 google schola Chiang VL / 2002 / Routine intraoperative angiography during aneurysm surgery / J Neurosurg 96:988~992 google schola Dashti R / 2009 / Microscope-integrated near-infrared indocyanine green videoangiography during surgery of intracranial aneurysms : the Helsinki experience / Surg Neurol 71:543~550 google schola de Oliveira JG / 2007 / Assessment of flow in perforating arteries during intracranial aneurysm surgery using intraoperative near-infrared indocyanine green videoangiography / Neurosurgery 61(3 Suppl):63~72 google schola Dehdashti AR / 2009 / Intraoperative biplanar rotational angiography dur- ing neurovascular surgery. Technical note / J Neurosurg 111:188~192 google schola

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