Quantitative Comparison of the Intraoperative Utility of Indocyanine Green and Fluorescein Videoangiographies in Cerebrovascular Surgery

Operative Neurosurgery
Fumihiro MatanoAkio Morita

Abstract

A quantitative analysis comparing indocyanine green videoangiography (ICG-VAG) and fluorescein videoangiography (FL-VAG) in cerebrovascular surgery has not been reported so far. To clear the differences of characteristics of ICG-VAG and FL-VAG by quantitative assessment. We prospectively analyzed results from 23 patients (3 males; mean age at surgery: 60.9 years, range: 14-75 years) at our hospital from August 2014 to July 2015. Eighteen patients had cerebral aneurysms for clipping, and 5 had intracranial arterial stenosis for superficial temporal artery (STA)-middle cerebral artery bypass. We imported data from the operative image data, converted by Audio Video Interleave to Aquacosmos as picture fluorescence intensity-analyzing software. Regions of interest were set at the parent artery, dome of aneurysms, and perforating artery in cases of clipping of aneurysms, and setting at 3 points in STA, in case of bypass. The transition of fluorescence intensity at each region of interest was calculated and plotted using Aquacosmos. Thick-walled artery, such as parent artery ( P = .0017) and STA ( P = .0182), was more significantly visualized by ICG-VAG than FL-VAG, whereas the perforating artery, especially in deep surgical fields, s...Continue Reading

References

Feb 5, 2008·Journal of Neurosurgery·Andreas Raabe, Robert F Spetzler
Nov 14, 2012·Neurosurgery·Katsuhiro KurodaToru Horikoshi

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Citations

Jan 8, 2018·Acta neurochirurgica·Alessandro NarducciPeter Vajkoczy
Jan 13, 2018·Acta neurochirurgica·Giuseppe Esposito, Luca Regli
Jan 25, 2019·Acta neurochirurgica·Alessandro NarducciPeter Vajkoczy
Oct 18, 2019·Frontiers in Surgery·Xiaochun ZhaoPeter Nakaji
Dec 30, 2020·World Neurosurgery·Barış KüçükyürükGalip Zihni Sanus
Apr 6, 2019·Journal of Neurosurgery·Samuel Romano-FeinholzJuan Luis Gómez-Amador

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