Abstract
Cerebral cavernous malformations (CCMs) are known to be vascular anomalies with low perfusion because of being angiographically occult. We attempted direct visualization of blood flow within CCMs and orbital cavernous angiomas (CAs), and analyzed flow dynamics using indocyanine green videoangiography (ICG-VAG). This series included seven CCMs and two orbital CAs. ICG-VAG was performed to visualize blood flow of the lesions before resection. Time to peak of staining was evaluated by reviewing recorded ICG-VAG. In five of seven CCMs, stain was identified. CCMs were seen as avascular areas in both arterial and venous phases, and were stained gradually. Stain was maximized late after venous phase. The orbital CAs were also stained lately, but more intensely than CCMs. The present study directly demonstrated slow and low perfusion within CCM and orbital CA using ICG-VAG. On the basis of characteristic flow dynamics of CCMs, intraoperative ICG-VAG provides useful information in microsurgical resection.
References
May 1, 1994·Neurosurgery·F H TomlinsonJ E Parisi
Oct 1, 1993·Neurosurgery·J R RobinsonM L Estes
Dec 21, 2002·Neurosurgery·Andreas RaabeVolker Seifert
Mar 8, 2003·Der Anaesthesist·P J KulkaM Gehling
May 6, 2005·Journal of Neurosurgery·Johannes WoitzikPeter Schmiedek
Jan 28, 2006·European Radiology·R ThiexW Küker
Jun 1, 2006·Magnetic Resonance Imaging·Katja PinkerSiegfried Trattnig
Jul 25, 2006·Neurosurgical Focus·L Fernando GonzalezRobert F Spetzler
Dec 11, 2007·AJNR. American Journal of Neuroradiology·Y JinhuZ Yuanli
May 10, 2008·Journal of Neurosurgery·Yasushi TakagiNobuo Hashimoto
Mar 31, 2009·Surgical Neurology·Reza DashtiJuha Hernesniemi
Jul 10, 2009·Acta neurochirurgica·Samantha Hettige, Daniel Walsh
Apr 21, 2010·Neurosurgery·Ricardo A HanelRobert F Spetzler
Jul 22, 2010·Neurosurgery·Albert J SchuetteDaniel L Barrow
Oct 1, 2010·Neurosurgery·Daniel HänggiHans-Jakob Steiger
Dec 7, 2010·Journal of Neurosurgery·Katsuhiro KurodaToru Horikoshi
Feb 12, 2011·Neurosurgery·Brendan D KilloryRobert F Spetzler
Apr 26, 2011·Neurologia Medico-chirurgica·Yasuo MuraiAkira Teramoto
May 19, 2011·Acta neurochirurgica·Eui Hyun KimKyu Sung Lee
Jun 15, 2011·Neurological Research·U Jensen-KonderingO Jansen
Citations
Aug 21, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Shunsuke TsuzukiYoshikazu Okada
Jan 28, 2014·Acta neurochirurgica·Alessandro Della PuppaGiorgio Gioffrè
Dec 10, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Junkichi YokoyamaKatsuhisa Ikeda
Jul 18, 2014·Clinical Neurology and Neurosurgery·A ScerratiG Esposito
May 4, 2012·Acta neurochirurgica·Mika NiemeläJuha Hernesniemi
Aug 16, 2015·Clinical Neurology and Neurosurgery·Giuseppe M V BarbagalloMassimiliano Visocchi
Sep 15, 2012·Oral Oncology·Shinichi OhbaKatsuhisa Ikeda
Aug 31, 2014·Neurosurgical Review·Juan A Simal-JuliánCarlos Botella-Asunción
Feb 15, 2019·Acta neurochirurgica·Kosaku AmanoTakakazu Kawamata
Jul 25, 2019·Journal of Neurosurgical Sciences·Enrico MarcheseGiovanni Sabatino