The efficacy of indocyanine green video angiography during carotid endarterectomy: an institutional experience

Bozkurt, Melih; Umit, Eroglu; Bayatli, Eyüp; Zaimoğlu, Murat; Ozden, Mahmut; Ahmadieh, Tarek El; Cohen-gadol, Aaron A; Meço, Başak Ceyda

doi:10.5137/1019-5149.jtn.41368-22.2

Cited by 1 publication

(1 citation statement)

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“…Based on recent publications, the use of fluorescent markers in cerebral microvascular surgery has been gaining prominence for this modality. According to Bozkurt, et al, [13], indocyanine green in bolus at the end of the procedure correctly assessed flow in 38 (86.4%) out of 44 procedures; however, the high cost of indocyanine green may be a barrier to its use in public health.…”

Section: Intraoperative Fluoresceinmentioning

confidence: 99%

Intraoperative Monitoring of Carotid Endarterectomy with Fluorescein Coupled to Surgical Microscope

Dantas Mageste,

Marcos,

Vitor de Deus da Rocha Ribeiro

et al. 2024

Neurosurg Cases Rev

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The article aims to present partial results from an ongoing clinical trial, including fourteen patients undergoing endarterectomy with an innovative technique. The male gender accounted for 71.4% of the sample, with a mean age of 67.93 (± 7.75) years for the patients. Among comorbidities, systemic arterial hypertension was the most prevalent at 85.7%, followed by dyslipidemia at 57.1%. The mean carotid stenosis was 77.6% (± 7.82%). In 93.3% of the 15 procedures, videoangiography with the fluorescence module of the surgical microscope (Zeiss Pentero 800S®) showed arterial flow in the distal part of the internal carotid artery after the completion of endarterectomy, consistent with Doppler findings up to 24 hours. Therefore, videoangiography with fluorescein at the end of endarterectomy is a simple and innovative technique that, so far, demonstrates the safety of the procedure.

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Section: Intraoperative Fluoresceinmentioning

confidence: 99%