Clipping cerebral aneurysm
Clipping cerebral aneurysm
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夹闭脑动脉瘤
DOI：
10.1007/978-3-030-38092-2_4
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Saito K
中科院分区：
文献类型：
--
作者：
Sato T;Suzuki K;Sakuma J;Saito K
脑动脉瘤外科手术的目标是完全闭塞动脉瘤，同时保留载瘤动脉、分支动脉和穿孔动脉的通畅性。尤其是基于吲哚青绿(ICG)血管造影的近红外荧光成像，由于其方便和准确，近年来越来越受到人们的欢迎。ICG血管造影术是通过显微手术夹闭和穿通梗阻性脑动脉瘤周围动脉来观察梗阻性脑动脉瘤的重要辅助手段。双图像血管造影术是一种同时显示ICG血管造影术中可见光和近红外荧光图像的高分辨率成像系统，将成为显微脑动脉瘤手术的标准显微辅助手段。相反，所有可用的术中辅助物的组合是相辅相成的，因为在ICG血管造影中仍有一些问题需要解决。
The goal of cerebral aneurysm surgery is the complete occlusion of the aneurysm while preserving the patency of the parent, branching, and perforating arteries. In particular, indocyanine green (ICG) angiography-based near-infrared fluorescence imaging has become more popular in the recent years due to its convenience and accuracy. However, its application has various pitfalls that should be considered.ICG angiography is an essential intraoperative adjunct in order to observe obstructive cerebral aneurysm by microsurgical clipping and perforating arteries around the cerebral aneurysm.Dual-image videoangiography , a high-resolution intraoperative imaging system to simultaneously visualize both visible light and near-infrared fluorescence images in ICG angiography, would be a standard microscopic adjunct in microscopic cerebral aneurysm surgeries. In contrast, the combination of all available intraoperative adjuncts complements each other, because of some problems that remain to be solved in ICG angiography.