Indocyanine green video angiography (ICG-VA) is a non-invasive, easy to use and very useful tool for various neurosurgical procedures. The first application was in neurovascular surgery, because it was born as an intravascular tracer for vessels visualization; this has been really useful in aneurysms, atero-venous malformations (AVMs) and dural fistulas surgery where identification, obliteration or patency of vessels is essential. introduced in vascular neurosurgery since 2003, icg-Va applications have broadened over time, both in vascular and in other neurosurgical fields. In 2003 Raabe et al. have been the first to describe the use of ICG-VA for intraoperative assessment of cerebral vascular flow, enabling visualization of vessel patency and aneurysm occlusion during aneurysm surgery. ICG-VA applications in vascular neurosurgery have significantly increased over time including complex aneurysms, bypass, atero-venous malformations (AVM) artero-venous fistulas (AVF), evaluation of cortical perfusion. The procedure can be easily repeated after 5-10 minutes. adverse reactions are comparable to those of other types of contrast media, with frequencies of 0.05% (hypotension, arrhythmia, or, more rarely, anaphylactic shock) to 0.2% (nausea, pruritus, syncope, or skin eruptions. The aim of the present study was to systematically analyze ICG-VA applications in vascular neurosurgery, highlighting the reported advantages and disadvantages, and discussing future perspectives.

Marchese, E., Della Pepa, G. M., La Rocca, G., Albanese, A., Ius, T., Simboli, G. A., Sabatino, G., Application of indocyanine green video angiography in vascular neurosurgery, <<JOURNAL OF NEUROSURGICAL SCIENCES>>, 2019; 63 (6): 656-660. [doi:10.23736/S0390-5616.19.04753-2] [http://hdl.handle.net/10807/150982]

Application of indocyanine green video angiography in vascular neurosurgery

Marchese, E.
Primo
;
della Pepa, G. M.;la Rocca, G.;Albanese, A.;Sabatino, G.
Ultimo
2019

Abstract

Indocyanine green video angiography (ICG-VA) is a non-invasive, easy to use and very useful tool for various neurosurgical procedures. The first application was in neurovascular surgery, because it was born as an intravascular tracer for vessels visualization; this has been really useful in aneurysms, atero-venous malformations (AVMs) and dural fistulas surgery where identification, obliteration or patency of vessels is essential. introduced in vascular neurosurgery since 2003, icg-Va applications have broadened over time, both in vascular and in other neurosurgical fields. In 2003 Raabe et al. have been the first to describe the use of ICG-VA for intraoperative assessment of cerebral vascular flow, enabling visualization of vessel patency and aneurysm occlusion during aneurysm surgery. ICG-VA applications in vascular neurosurgery have significantly increased over time including complex aneurysms, bypass, atero-venous malformations (AVM) artero-venous fistulas (AVF), evaluation of cortical perfusion. The procedure can be easily repeated after 5-10 minutes. adverse reactions are comparable to those of other types of contrast media, with frequencies of 0.05% (hypotension, arrhythmia, or, more rarely, anaphylactic shock) to 0.2% (nausea, pruritus, syncope, or skin eruptions. The aim of the present study was to systematically analyze ICG-VA applications in vascular neurosurgery, highlighting the reported advantages and disadvantages, and discussing future perspectives.
Inglese
Marchese, E., Della Pepa, G. M., La Rocca, G., Albanese, A., Ius, T., Simboli, G. A., Sabatino, G., Application of indocyanine green video angiography in vascular neurosurgery, <<JOURNAL OF NEUROSURGICAL SCIENCES>>, 2019; 63 (6): 656-660. [doi:10.23736/S0390-5616.19.04753-2] [http://hdl.handle.net/10807/150982]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/150982
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