Retrospective analysis of two diagnostic tests: Carotid Doppler ultrasound and diagnostic cerebral angiography for carotid disease in the Mexican population

Vega-Moreno, Daniel Alejandro; Córdoba-Mosqueda, María Elena; Aguilar-Calderón, José Ramón; López-Zapata, María del Rosario; García-González, Ulises; González-Jiménez, Martha Elena; Ochoa-Cacique, Diego; Sánchez-Calderón, Mauricio Daniel; Santellán-Hernández, José Omar; Sánchez-Mata, Rafael

doi:10.1016/j.inat.2021.101138

Cited by 1 publication

(1 citation statement)

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“…16,17 Adverse effects reported with the use of ICG-VA, whether microscopic or endoscopic, are seen in less than 0.1% of patients while up to 1.2% have been reported for conventional angiography studies because it is considered a completely invasive study. 18,19 On the other hand, one of the main limitations of the use of mICG-VA is that the residual neck cannot be visualized if these is really small, or neither smaller caliber perforating branches due to limited viewing angles of the microscope; however, if we use both devices rigid endoscope and mICG-VA as in our case, on the one hand we can visualize the patency of the flow in the perforating vessels and on the other, with the endoscope, visualize if there were perforating vessels that are not recognized by mICG-VA and also the presence or absence of residual neck. 20,21 Dual use of mICG-VA and endoscopy has been previously reported with good results and virtually no complications.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Dual Microscope Indocyanine Green Video Angiography and Endoscopic Review to Treat Intracranial Aneurysm: A Review of the Literature Regarding a Case

Vega-Moreno,

Janković,

Azouz

et al. 2023

Asian J Neurosurg

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The use of the indocyanine green video angiography (ICG-VA) both endoscope and microscope has become popular in recent decades thanks to the safety, efficacy, and added value that they have provided for cerebrovascular surgery. The dual use of these technologies is considered complementary and has helped cerebrovascular surgeons in decision-making, especially for aneurysm clipping surgery; however, its use has been described for both aneurysm surgery, resection of arteriovenous malformations, or even for bypass surgeries. We conducted a review of the literature with the MeSH terms “microscope indocyanine green video angiography (mICG-VA),” “endoscopic review,” AND/OR “intracranial aneurysm.” A total of 97 articles that included these terms were selected after a primary review to select a total of 26 articles for the final review. We also present a case to exemplify its use, in which we use both technological tools for the description of the aneurysm, as well as for decision-making at the time of clipping and for reclipping. Both tools, both the use of the endoscope and the mICG-VA, have helped decision-making in neurovascular surgery. A considerable clip replacement rate has been described with the use of these technologies, which has helped to reduce the complications associated with poor clipping. One of the main advantages of their usefulness is that they are tools for intraoperative use, which is why they have shown superiority compared to digital subtraction angiography, which takes longer to use and has a higher risk of complications associated with the contrast medium. On the other hand, a very low rate of complications has been described with the use of the endoscope and mICG-VA, which is why they are considered safe tools to use. In some cases, mention has been made of the use of one or the other technology; however, we consider that its dual use provides more information about the status of the clip, its anatomy, its relationship with other vascular structures, and the complete occlusion of the aneurysm. We consider that the use of both technologies is complementary, so in case of having them both should be used, since both the endoscope and the mICG-VA provide additional and useful information.

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