Evaluation of surgical microscope-integrated intraoperative near-infrared indocyanine green videoangiography during aneurysm surgery
Evaluation of surgical microscope-integrated intraoperative near-infrared indocyanine green videoangiography during aneurysm surgery
复制标题
手术显微镜集成术中近红外吲哚菁绿视频血管造影在动脉瘤手术中的评价
DOI：
10.1007/s10143-010-0305-2
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发表时间：
2011-04-01
影响因子：
2.8
通讯作者：
Zhao, Jizong
中科院分区：
文献类型：
--
作者：
Wang, Shuo;Liu, Ling;Zhao, Jizong
本研究的主要目的是评估术中近红外吲哚菁绿色视频血管造影（ICGA）在颅内动脉瘤手术中的价值。在2007年3月至2008年12月期间，本研究共招募了129名患有152个颅内动脉瘤的患者，并对临床数据进行了回顾性分析。术中行ICGA检查所有病例的动脉瘤夹闭完整性和载瘤动脉的通畅性。将术中所见与术后数字减影血管造影（DSA）结果进行比较。在所有患者中，术中成功进行了276次ICGA检查。图像质量和分辨率非常好，可以实时评估脑循环。吲哚菁绿色（ICG）血管造影结果可分为动脉期、毛细血管期和静脉期，与术后DSA观察结果相当。在所有病例中，术后血管造影结果与术中ICGA结果一致。在3例病例中，术中ICG血管造影提供的信息显著改变了外科手术。术中ICG视频血管造影可能是实时评价动脉瘤夹闭术的有用工具。它的简单性和易重复性都表明它可以在动脉瘤手术中作为常规程序进行。
The primary aim of this study is to assess the value of intraoperative near-infrared indocyanine green videoangiography (ICGA) during intracranial aneurysm surgery. Altogether, 129 patients harboring 152 intracranial aneurysms were recruited in this study between March 2007 and December 2008 and the clinical data were retrospectively analyzed. Intraoperative ICGA was performed to examine the completeness of the aneurysm clipping and the patency of the parent arteries in all cases. The intraoperative findings were compared with that of postoperative digital subtraction angiography (DSA). On all of the patients, 276 successful ICGA investigations were performed intraoperatively. The image quality and resolution were excellent, allowing real-time assessment of the cerebral circulation. Indocyanine green (ICG) angiographic results could be divided into arterial, capillary, and venous phases, comparable to those observed with postoperative DSA. In all cases, the postoperative angiographic results corresponded to the intraoperative ICGA findings. In three cases, the information provided by intraoperative ICG angiography significantly changed the surgical procedure. Intraoperative ICG videoangiography may be a useful tool in real-time evaluation of the aneurysm clipping. Its simplicity and easy reproducibility all suggest it to be carried out as a routine procedure during aneurysm surgery.