Intuitiveness, quality and utility of intraoperative fluorescence videoangiography: Australian Neurosurgical Experience

British Journal of Neurosurgery
Vini G KhuranaDavid Duke

Abstract

The authors have undertaken a study of their intraoperative experience with indocyanine green fluorescence videoangiography (ICGFV). In particular, the intuitiveness, image quality and clinical utility of this technology have been assessed. The records of forty-six consecutive craniotomies utilising ICGFV have been retrospectively reviewed: There were 27 aneurysms, 2 extracranial-intracranial (EC-IC) bypasses, 5 arteriovenous malformations (AVM), 1 dural arteriovenous fistula (DAVF), 3 cavernomas, 5 meningiomas, and 3 gliomas. ICGFV was used in 5 awake-craniotomy patients. ICGFV was performed using a Leica OH4 surgical microscope with integrated near-infrared camera and ICG-PULSION. All attempts of intraoperative ICGFV were intuitive. Image quality and resolution were excellent. Arterial and venous phases were comparable to digital subtraction angiography (DSA) but field of view was relatively limited. In 12 operations (26%) the surgeon was substantially benefited from ICGFV findings. In 22 operations (48%), ICGFV was useful but did not influence surgical management. ICGFV was of no benefit in 11 operations (24%) and was misleading in 1 (2%). In this series, ICGFV was of benefit to 1 of 11 (9%) patients with an intracranial neo...Continue Reading

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Citations

Oct 5, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Leon Tat Lai, Michael Kerin Morgan
Apr 26, 2011·Neurologia Medico-chirurgica·Yasuo MuraiAkira Teramoto
Jul 19, 2014·Acta neurochirurgica·Alessandro Della PuppaRenato Scienza
Jan 2, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Yew Poh NgIvan Ng
Jul 1, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jumpei OdaY Hirose
Mar 2, 2016·Neurosurgical Focus·Pablo A ValdésAlexandra Golby
May 23, 2015·Journal of Photochemistry and Photobiology. B, Biology·Christian EweltMarkus Holling
Aug 31, 2014·Neurosurgical Review·Juan A Simal-JuliánCarlos Botella-Asunción
Feb 13, 2017·World Neurosurgery·Leon T Lai, Anthea H O'Neill
Dec 7, 2018·Neurosurgical Review·Bianca M DijkstraRob J M Groen
Jun 14, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ramon TornéJoaquim Enseñat

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