Evaluation of Serial Intraoperative Surgical Microscope-Integrated Intraoperative Near-Infrared Indocyanine Green Videoangiography in Patients With Cerebral Arteriovenous Malformations

Takagi, Yasushi; Sawamura, Keiko; Hashimoto, Nobuo; Miyamoto, Susumu

doi:10.1227/neu.0b013e31822d9749

Cited by 42 publications

(44 citation statements)

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“…Thanks to its quickness and noninvasiveness and providing real-time information it has become an invaluable tool to intraoperative surgical decision-making and it has been widely proved that its accuracy can be totally compared to intraoperative DSA or microdoppler [25,28]. Potential applications in vascular neurosurgery have significantly broadened over time; in addition, recent experiences have shown ICG-VA potential use in a very different set neurosurgical branches, including oncological surgery, endocscopy, pituitary, cerebral hemodynamic studies.…”

Section: Discussionmentioning

confidence: 99%

“…7 articles have been published about ICG and AVMs [23][24][25][26][27][28][29], the first one was by Takagi et al [28] …”

Section: Vascular -Avmsmentioning

confidence: 99%

“…On the other hand it has a limited view to the operating field [12,19]and in presence of blood clots, intramural thrombi, or calcifications [25], it can give a limited ability to visualize the part of the base behind the aneurysm dome in deeply located aneurysms [13,30].A percentage of unexpected neck residuals and close vessels occlusion has been reported (6% in the theDashtiHernesniemi study) [13]. Similarly the recent large aneurysm series by Ozgiray [16] et al and Washingtonet al [5]display a persistent residual flow in the aneurysm respectively in 5% and 4%.…”

Section: Aneurysmsmentioning

confidence: 99%

See 2 more Smart Citations

Indocyanine green video-angiography in neurosurgery: A glance beyond vascular applications

Scerrati¹,

Pepa²,

Conforti³

et al. 2014

Clinical Neurology and Neurosurgery

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OBJECTIVE: Indocyanine green video angiography (ICG-VA) is a non invasive, easy to use and a very useful tool for various neurosurgical procedures. Initially introduced in vascular neurosurgery since 2003, it's applications have broadened over time, both in vascular applications and in other neurosurgical fields. The objective of our study is to review all published literature about ICG-VA, cataloguing its different applications. METHODS: A systematic review of all pertinent literature articles published from January 2003 to May 2014 using Pubmed access was performed using pertinent keywords; cross check of references of selected articles was performed in order to complete bibliographical research. Results of research were grouped by pathology. RESULTS AND CONCLUSIONS: The paper systematically analyses ICG-VA different applications in neurosurgery, from vascular neurosurgery to tumor resection and endoscopic applications, focusing on reported advantages and disadvantages, and discussing future perspectives. Disclosure statement: the authors declare no interest to disclose, they have any personal or institutional financial interest in drugs, materials, or devices described in this submission and that they did not receive any specific funding. The paper and any of its contents have been presented DOI Methods:A systematic review of all pertinent literature articles published from January 2003 to May 2014 using Pubmed access was performed using pertinent keywords; cross check of references of selected articles was performed in order to complete bibliographical research. Results of research were grouped by pathology. Results and ConclusionsThe paper systematically analyses ICG-VA different applications in neurosurgery, from vascular neurosurgery to tumour resection and endoscopic applications, focusing on reported advantages and disadvantages, and discussing future perspectives.

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Section: Discussionmentioning

confidence: 99%

“…7 articles have been published about ICG and AVMs [23][24][25][26][27][28][29], the first one was by Takagi et al [28] …”

Section: Vascular -Avmsmentioning

confidence: 99%

Section: Aneurysmsmentioning

confidence: 99%

See 1 more Smart Citation

Indocyanine green video-angiography in neurosurgery: A glance beyond vascular applications

Scerrati¹,

Pepa²,

Conforti³

et al. 2014

Clinical Neurology and Neurosurgery

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“…Reports have suggested that ICG-VAG is a useful guiding tool during the surgical treatment of AVM (48). However, to the best of our knowledge, there are no reports on intraoperative ICG-VAG performed to confirm SRAVMs.…”

Section: Indocyanine Green Videoangiographymentioning

confidence: 96%

Spontaneous angiographic regression of cerebral arteriovenous malformations.-angiographical disappearance is not the real cure-

Matano

Murai²,

Nakagawa³

et al. 2014

Turkish Neurosurgery

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Angiographically occult arteriovenous malformations (AOAVMs) are poorly understood. AOAVMs include spontaneous regression of cerebral AVMs. Here we discuss spontaneous angiographical regression of cerebral arteriovenous malformations (SRAVM). We present the case of a 34-year-old male patient with SRAVM in whom an arteriovenous (AV) shunt remnant was revealed by intraoperative indocyanine green videoangiography (ICG-VAG). Preoperative angiography indicated spontaneous regression of AVM. We reviewed the literature for articles having specific citations or case histories of SRAVMs. On the basis of our ICG-VAG findings, we confirmed the possibility of an AV shunt remnant being present in patients with SRAVMs. In addition to our own case, we reviewed previously reported cases and analyzed the data from 132 patients with SRAVMs. Ninety-five (72%) such patients received conservative therapy without surgical removal, and 37 (28%) were treated surgically. Only three patients in whom an SRAVM recanalized after 39, 31, and 16 months have been reported. The rate of recanalization in SRAVM including 3 previously reported cases and the present case, is 3.0% (4/132). Intraoperative ICG-VAG can reveal more SRAVMs that recanalize within a short period even if AV shunts are not depicted by angiography. Therefore, surgical removal of the AOAVM should be considered in cases with low surgical risk. KEywOrds: Arteriovenous malformation, Angiographically occult, Indocyanine green videoangiography, Spontaneous regression ÖZAnjiyografik olarak gizli arteriyovenöz malformasyonlar (AOAVM'ler) iyi bilinmeyen bir durumdur. AOAVM'ler arasında serebral AVM'lerin spontan gerilemesi vardır. Burada serebral arteriyovenöz malformasyonlarda spontan anjiyografik gerilemeyi (SRAVM) tartışacağız. Bir arteriyovenöz (AV) şant kalıntısının intraoperatif indosiyanin yeşili video anjiyografisi (ICG-VAG) ile ortaya çıktığı 34 yaşında bir erkek SRAVM hastası sunuyoruz. Preoperatif anjiyografi AVM'nin spontan gerilemesine işaret etti. Literatürde spesifik SRAVM atıfları veya olgu öyküleri olan makaleleri aradık. ICG-VAG bulgularımız temelinde SRAVM hastalarında bir AV şantı kalıntısı bulunması olasılığını doğruladık. Kendi olgumuz dışında önceden bildirilen olguları gözden geçirip 132 SRAVM hastasının verilerini analiz ettik. Bu hastaların doksan beşinde (%72) cerrahi eksizyon yapılmaksızın konservatif tedavi görürken, 37'si (%28) cerrahi olarak tedavi edilmişti. Bir SRAVM'nin tekrar kanalize olduğu (39, 31 ve 16 ay sonra) sadece üç hasta bildirilmiştir. SRAVM'de tekrar kanalizasyon oranı daha önce bildirilen 3 olgu ve mevcut olgu dahil olmak üzere %3,0'dır (4/132). Anjiyografi AV şantlarını göstermese bile intraoperatif ICG-VAG kısa bir süre içinde tekrar kanalize olan daha fazla SRAVM'yi ortaya koyabilir. Bu nedenle cerrahi riski düşük hastalarda AOAVM'nin cerrahi eksizyonu düşünülmelidir.

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“…3). Следует подчеркнуть, что данная технология позво-ляет достаточно надежно идентифицировать оста-точные узлы мальформации [8,13]. По нашему мне-нию, это становится особенно актуально при удале-нии мальформаций после их эмболизации клеевы-ми и не клеевыми материалами (рис.…”

Section: возможности и ограничения ицз ваunclassified

Intraoperative indocyanine green video angiography in cerebrovascular surgery

et al. 2015

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Область примененияВмешательства на сосудах головного мозга от-носятся к одному из наиболее технически сложных разделов современной нейрохирургии. При опера-циях клипирования церебральных аневризм чрез-вычайно важно полностью перекрыть шейку анев-ризмы, сохранив при этом проходимость несущего сосуда и отходящие от него перфоранты и ветви. Именно строгое соблюдение этих технических дета-лей позволяет достичь хороших результатов лече-ния. При хирургии артериовенозных мальформаций (АВМ) головного мозга большое значение имеет определение резидуальных углов (при диффузном типе строения), оценка афферентов и эфферентов мальформации. При наложении экстра-, интракра-ниального анастомоза получение информации о функционировании байпаса необходимо для преду-преждения его раннего закрытия. При эндартерэк-томии сонных артерий ключевое значение имеют получение интраоперационных данных о ликвида-ции стеноза и отсутствие раннего тромбирования сосуда.Для повышения качества микрохирургических манипуляций широко используются нейронавига-ционные технологии, микроваскулярный допплер и интраоперационная дигитальная субтракционная ангиография. Однако все перечисленные методы имеют существенные ограничения и недостатки. В последние годы широкое применение в церебро-

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Evaluation of Serial Intraoperative Surgical Microscope-Integrated Intraoperative Near-Infrared Indocyanine Green Videoangiography in Patients With Cerebral Arteriovenous Malformations

Abstract: We found that ICG videoangiography is helpful for resecting cerebral arteriovenous malformation. It is especially effective in visualizing the nidus and superficial drainers, as well as changes in flow after clipping or coagulating of feeders.

Cited by 42 publications

References 10 publications

Indocyanine green video-angiography in neurosurgery: A glance beyond vascular applications

Indocyanine green video-angiography in neurosurgery: A glance beyond vascular applications

Spontaneous angiographic regression of cerebral arteriovenous malformations.-angiographical disappearance is not the real cure-

Intraoperative indocyanine green video angiography in cerebrovascular surgery

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