Utility of Indocyanine Green Video Angiography for Sylvian Fissure Dissection in Subarachnoid Hemorrhage Patients - Sylvian ICG Technique
Indocyanine green (ICG) emits fluorescence in the far-red domain under light excitation. ICG video angiography (ICG-VA) has been established as a useful method to evaluate blood flow in the operative field. We report the usefulness of ICG-VA for Sylvian fissure dissection in patients with subarachno...
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| Published in | Neurologia medico-chirurgica Vol. 58; no. 2; pp. 85 - 90 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Japan Neurosurgical Society
2018
Japan Science and Technology Agency |
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| Online Access | Get full text |
| ISSN | 0470-8105 1349-8029 1349-8029 |
| DOI | 10.2176/nmc.tn.2017-0160 |
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| Abstract | Indocyanine green (ICG) emits fluorescence in the far-red domain under light excitation. ICG video angiography (ICG-VA) has been established as a useful method to evaluate blood flow in the operative field. We report the usefulness of ICG-VA for Sylvian fissure dissection in patients with subarachnoid hemorrhage (SAH). Subjects comprised 7 patients who underwent ICG-VA before opening the Sylvian fissure during neck clipping for ruptured cerebral aneurysm. We observed contrasted Sylvian veins before opening the Sylvian fissure using surgical microscopes. This procedure was termed “Sylvian ICG”. We observed ICG fluorescence quickly in all cases. Sylvian veins that appeared unclear in the standard microscopic operative field covered with subarachnoid hemorrhage were extremely clearly depicted. These Sylvian ICG findings were helpful in identifying entry points and the dissecting course of the Sylvian fissure. At the time of clipping, no residual fluorescence from Sylvian ICG was present, and aneurysm clipping was not impeded. Sylvian ICG for SAH patients is a novel technique to facilitate dissection of the Sylvian fissure. We believe that this technique will contribute to improved safety of clipping surgery for ruptured aneurysms. |
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| AbstractList | Indocyanine green (ICG) emits fluorescence in the far-red domain under light excitation. ICG video angiography (ICG-VA) has been established as a useful method to evaluate blood flow in the operative field. We report the usefulness of ICG-VA for Sylvian fissure dissection in patients with subarachnoid hemorrhage (SAH). Subjects comprised 7 patients who underwent ICG-VA before opening the Sylvian fissure during neck clipping for ruptured cerebral aneurysm. We observed contrasted Sylvian veins before opening the Sylvian fissure using surgical microscopes. This procedure was termed “Sylvian ICG”. We observed ICG fluorescence quickly in all cases. Sylvian veins that appeared unclear in the standard microscopic operative field covered with subarachnoid hemorrhage were extremely clearly depicted. These Sylvian ICG findings were helpful in identifying entry points and the dissecting course of the Sylvian fissure. At the time of clipping, no residual fluorescence from Sylvian ICG was present, and aneurysm clipping was not impeded. Sylvian ICG for SAH patients is a novel technique to facilitate dissection of the Sylvian fissure. We believe that this technique will contribute to improved safety of clipping surgery for ruptured aneurysms. |
| Author | MATSUSHITA, Nobuhisa HARA, Keijiro UNO, Masaaki OGAWA, Yukari MATSUBARA, Shunji KINOSHITA, Keita SATOH, Kohei TOI, Hiroyuki TAKAI, Hiroki HIRAI, Satoshi |
| Author_xml | – sequence: 1 fullname: MATSUBARA, Shunji organization: Department of Neurosurgery, Kawasaki Medical School – sequence: 1 fullname: OGAWA, Yukari organization: Department of Neurosurgery, Kawasaki Medical School – sequence: 1 fullname: SATOH, Kohei organization: Department of Neurosurgery, Kawasaki Medical School – sequence: 1 fullname: HIRAI, Satoshi organization: Department of Neurosurgery, Kawasaki Medical School – sequence: 1 fullname: MATSUSHITA, Nobuhisa organization: Department of Neurosurgery, Kawasaki Medical School – sequence: 1 fullname: HARA, Keijiro organization: Department of Neurosurgery, Kawasaki Medical School – sequence: 1 fullname: UNO, Masaaki organization: Department of Neurosurgery, Kawasaki Medical School – sequence: 1 fullname: TAKAI, Hiroki organization: Department of Neurosurgery, Kawasaki Medical School – sequence: 1 fullname: TOI, Hiroyuki organization: Department of Neurosurgery, Kawasaki Medical School – sequence: 1 fullname: KINOSHITA, Keita organization: Department of Neurosurgery, Kawasaki Medical School |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29199247$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.17925/ENR.2008.03.01.66 10.2335/scs.37.233 10.1227/01.NEU.0000346649.48114.3A 10.3171/jns.1968.28.1.0014 10.1097/00006123-200301000-00017 10.3109/02688690903518247 10.1227/00006123-198001000-00001 10.1161/01.STR.19.5.604 10.2335/scs.39.413 10.1016/j.wneu.2015.11.069 10.3171/jns.2005.103.6.0982 10.1016/j.jocn.2009.03.034 10.1227/01.NEU.0000374721.84406.7F 10.1007/s00701-012-1617-5 10.3171/jns.2005.102.4.0692 |
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| Keywords | Sylvian fissure indocyanine green video angiography subarachnoid hemorrhage Sylvian veins |
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| References | 18) Motoyama Y, Gurung P, Takeshima Y, Nakagawa I, Park YS, Nakase H: Indocyanine green (ICG) videoangiography-guided dissection of the sylvian fissure on the transsylvian approach: technical note. World Neurosurg 87: 45–47, 2016 12) Horie N, So G, Debata A, et al.: Intra-arterial indocyanine green angiography in the management of spinal arteriovenous fistulae: technical case reports. Spine 37: 264–267, 2012 6) Khurana VG, Seow K, Duke D: Intuitiveness, quality and utility of intraoperative fluorescence videoangiography: Australian neurosurgical experience. Br J Neurosurg 24: 163–172, 2010 1) Raabe A, Beck J, Gerlach R, Zimmermann M, Seifert V: Near-infrared indocyanine green video angiography: a new method for intraoperative assessment of vascular flow. Neurosurgery 52: 132–139; discussion 139, 2003 7) Killory BD, Nakaji P, Gonzales LF, Ponce FA, Wait SD, Spetzler RF. Prospective evaluation of surgical microscope-integrated intraoperative near-infrared indocyanine green angiography during cerebral arteriovenous malformation surgery. Neurosurgery 65: 456–462, 2009 9) Kodama Y, Ohnishi H, Taomoto K, et al.: Evaluation for perfusion areas of bypass flow by intraoperative near-infrared indocyanine green videoangiography in superficial temporal artery-middle cerebral artery bypass surgery. Surgery for Cerebral Stroke 37: 233–239, 2009 (Japanese 3) Jing Z, Ou S, Ban Y, Tong Z, Wang Y: Intraoperative assessment of anterior circulation aneurysms using the indocyanine green video angiography technique. J Clin Neurosci 17: 26–28, 2010 5) Takagi Y, Sawamura K, Hashimoto N. Intraoperative near-infrared indocyanine green videoangiography performed with a surgical microscope – applications in cerebrovascular surgery. European Neurological Review 3: 66–68, 2008 8) Okawa M, Abe H, Hirata Y, et al.: [Visualization of the distal edge of carotid plaque using indocyanine green videoangiography during carotid endarterectomy and the pitfall involved]. No Shinkei Geka 39: 563–568, 2011 (Japanese 11) Hunt WE, Hess RM: Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28: 14–20, 1968 14) Schuette AJ, Cawley CM, Barrow DL: Indocyanine green videoangiography in the management of dural arteriovenous fistulae. Neurosurgery 67: 658–662; discussion 662, 2010 17) Fisher CM, Kistler JP, Davis JM: Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6: 1–9, 1980 10) Woitzik J, Horn P, Vajkoczy P, Schmiedek P: Intraoperative control of extracranial-intracranial bypass patency by near-infrared indocyanine green videoangiography. J Neurosurg 102: 692–698, 2005 4) Kamiyama K, Nakagawara J, Takada H, Fumoto K, Osato T, Nakamura H. Transformation of the vasa vasorum from normal vessel structures to atheroma nutrient vessels on ICG angiography of cervical carotid artery stenosis. Surgery for Cerebral Stroke 39: 413–419, 2011 (Japanese 13) van Swieten JC, Koudstaal PJ, Visser MC, Schouten HJ, van Gijn J: Interobserver agreement for the assessment of handicap in stroke patients. Stroke 19: 604–607, 1988 16) Ferroli P, Acerbi F, Albanese E, et al.: Application of intraoperative indocyanine green angiography for CNS tumors: results on the first 100 cases. Acta Neurochir Suppl 109: 251–257, 2011 2) Raabe A, Nakaji P, Beck J, et al.: Prospective evaluation of surgical microscope-integrated intraoperative near-infrared indocyanine green videoangiography during aneurysm surgery. J Neurosurg 103: 982–989, 2005 15) d’Avella E, Volpin F, Manara R, Scienza R, Della Puppa A: Indocyanine green videoangiography (ICGV)-guided surgery of parasagittal meningiomas occluding the superior sagittal sinus (SSS). Acta Neurochir (Wien) 155: 415–420, 2013 11 12 13 14 15 16 17 18 1 2 3 4 5 6 7 8 9 10 20121384 - Br J Neurosurg. 2010 Apr;24(2):163-72 23307335 - Acta Neurochir (Wien). 2013 Mar;155(3):415-20 5635959 - J Neurosurg. 1968 Jan;28(1):14-20 12493110 - Neurosurgery. 2003 Jan;52(1):132-9; discussion 139 7354892 - Neurosurgery. 1980 Jan;6(1):1-9 26704199 - World Neurosurg. 2016 Mar;87:45-7 20960352 - Acta Neurochir Suppl. 2011;109 :251-7 21738090 - Spine (Phila Pa 1976). 2012 Feb 15;37(4):E264-7 19687689 - Neurosurgery. 2009 Sep;65(3):456-62; discussion 462 21628734 - No Shinkei Geka. 2011 Jun;39(6):563-8 19910198 - J Clin Neurosci. 2010 Jan;17 (1):26-8 3363593 - Stroke. 1988 May;19(5):604-7 15871512 - J Neurosurg. 2005 Apr;102(4):692-8 20647967 - Neurosurgery. 2010 Sep;67(3):658-62; discussion 662 16381184 - J Neurosurg. 2005 Dec;103(6):982-9 |
| References_xml | – reference: 18) Motoyama Y, Gurung P, Takeshima Y, Nakagawa I, Park YS, Nakase H: Indocyanine green (ICG) videoangiography-guided dissection of the sylvian fissure on the transsylvian approach: technical note. World Neurosurg 87: 45–47, 2016 – reference: 2) Raabe A, Nakaji P, Beck J, et al.: Prospective evaluation of surgical microscope-integrated intraoperative near-infrared indocyanine green videoangiography during aneurysm surgery. J Neurosurg 103: 982–989, 2005 – reference: 9) Kodama Y, Ohnishi H, Taomoto K, et al.: Evaluation for perfusion areas of bypass flow by intraoperative near-infrared indocyanine green videoangiography in superficial temporal artery-middle cerebral artery bypass surgery. Surgery for Cerebral Stroke 37: 233–239, 2009 (Japanese) – reference: 6) Khurana VG, Seow K, Duke D: Intuitiveness, quality and utility of intraoperative fluorescence videoangiography: Australian neurosurgical experience. Br J Neurosurg 24: 163–172, 2010 – reference: 13) van Swieten JC, Koudstaal PJ, Visser MC, Schouten HJ, van Gijn J: Interobserver agreement for the assessment of handicap in stroke patients. Stroke 19: 604–607, 1988 – reference: 1) Raabe A, Beck J, Gerlach R, Zimmermann M, Seifert V: Near-infrared indocyanine green video angiography: a new method for intraoperative assessment of vascular flow. Neurosurgery 52: 132–139; discussion 139, 2003 – reference: 11) Hunt WE, Hess RM: Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28: 14–20, 1968 – reference: 14) Schuette AJ, Cawley CM, Barrow DL: Indocyanine green videoangiography in the management of dural arteriovenous fistulae. Neurosurgery 67: 658–662; discussion 662, 2010 – reference: 12) Horie N, So G, Debata A, et al.: Intra-arterial indocyanine green angiography in the management of spinal arteriovenous fistulae: technical case reports. Spine 37: 264–267, 2012 – reference: 10) Woitzik J, Horn P, Vajkoczy P, Schmiedek P: Intraoperative control of extracranial-intracranial bypass patency by near-infrared indocyanine green videoangiography. J Neurosurg 102: 692–698, 2005 – reference: 8) Okawa M, Abe H, Hirata Y, et al.: [Visualization of the distal edge of carotid plaque using indocyanine green videoangiography during carotid endarterectomy and the pitfall involved]. No Shinkei Geka 39: 563–568, 2011 (Japanese) – reference: 16) Ferroli P, Acerbi F, Albanese E, et al.: Application of intraoperative indocyanine green angiography for CNS tumors: results on the first 100 cases. Acta Neurochir Suppl 109: 251–257, 2011 – reference: 7) Killory BD, Nakaji P, Gonzales LF, Ponce FA, Wait SD, Spetzler RF. Prospective evaluation of surgical microscope-integrated intraoperative near-infrared indocyanine green angiography during cerebral arteriovenous malformation surgery. Neurosurgery 65: 456–462, 2009 – reference: 17) Fisher CM, Kistler JP, Davis JM: Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6: 1–9, 1980 – reference: 15) d’Avella E, Volpin F, Manara R, Scienza R, Della Puppa A: Indocyanine green videoangiography (ICGV)-guided surgery of parasagittal meningiomas occluding the superior sagittal sinus (SSS). Acta Neurochir (Wien) 155: 415–420, 2013 – reference: 3) Jing Z, Ou S, Ban Y, Tong Z, Wang Y: Intraoperative assessment of anterior circulation aneurysms using the indocyanine green video angiography technique. J Clin Neurosci 17: 26–28, 2010 – reference: 4) Kamiyama K, Nakagawara J, Takada H, Fumoto K, Osato T, Nakamura H. Transformation of the vasa vasorum from normal vessel structures to atheroma nutrient vessels on ICG angiography of cervical carotid artery stenosis. Surgery for Cerebral Stroke 39: 413–419, 2011 (Japanese) – reference: 5) Takagi Y, Sawamura K, Hashimoto N. Intraoperative near-infrared indocyanine green videoangiography performed with a surgical microscope – applications in cerebrovascular surgery. European Neurological Review 3: 66–68, 2008 – ident: 5 doi: 10.17925/ENR.2008.03.01.66 – ident: 9 doi: 10.2335/scs.37.233 – ident: 7 doi: 10.1227/01.NEU.0000346649.48114.3A – ident: 11 doi: 10.3171/jns.1968.28.1.0014 – ident: 1 doi: 10.1097/00006123-200301000-00017 – ident: 12 – ident: 6 doi: 10.3109/02688690903518247 – ident: 16 – ident: 17 doi: 10.1227/00006123-198001000-00001 – ident: 13 doi: 10.1161/01.STR.19.5.604 – ident: 4 doi: 10.2335/scs.39.413 – ident: 18 doi: 10.1016/j.wneu.2015.11.069 – ident: 2 doi: 10.3171/jns.2005.103.6.0982 – ident: 3 doi: 10.1016/j.jocn.2009.03.034 – ident: 14 doi: 10.1227/01.NEU.0000374721.84406.7F – ident: 8 – ident: 15 doi: 10.1007/s00701-012-1617-5 – ident: 10 doi: 10.3171/jns.2005.102.4.0692 – reference: 21628734 - No Shinkei Geka. 2011 Jun;39(6):563-8 – reference: 21738090 - Spine (Phila Pa 1976). 2012 Feb 15;37(4):E264-7 – reference: 23307335 - Acta Neurochir (Wien). 2013 Mar;155(3):415-20 – reference: 7354892 - Neurosurgery. 1980 Jan;6(1):1-9 – reference: 15871512 - J Neurosurg. 2005 Apr;102(4):692-8 – reference: 20960352 - Acta Neurochir Suppl. 2011;109 :251-7 – reference: 20647967 - Neurosurgery. 2010 Sep;67(3):658-62; discussion 662 – reference: 19687689 - Neurosurgery. 2009 Sep;65(3):456-62; discussion 462 – reference: 3363593 - Stroke. 1988 May;19(5):604-7 – reference: 20121384 - Br J Neurosurg. 2010 Apr;24(2):163-72 – reference: 19910198 - J Clin Neurosci. 2010 Jan;17 (1):26-8 – reference: 5635959 - J Neurosurg. 1968 Jan;28(1):14-20 – reference: 12493110 - Neurosurgery. 2003 Jan;52(1):132-9; discussion 139 – reference: 26704199 - World Neurosurg. 2016 Mar;87:45-7 – reference: 16381184 - J Neurosurg. 2005 Dec;103(6):982-9 |
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| SubjectTerms | Aged Aneurysm Aneurysm, Ruptured - complications Aneurysm, Ruptured - diagnostic imaging Aneurysm, Ruptured - surgery Aneurysms Angiography Blood flow Cerebral Angiography Cerebral Veins - diagnostic imaging Cerebral Veins - surgery Coloring Agents Dissection Dissection - methods Female Fluorescence Hemorrhage Humans Indocyanine Green indocyanine green video angiography Intracranial Aneurysm - complications Intracranial Aneurysm - diagnostic imaging Intracranial Aneurysm - surgery Male Medical imaging Microscopes Middle Aged Neck Subarachnoid hemorrhage Subarachnoid Hemorrhage - diagnostic imaging Subarachnoid Hemorrhage - etiology Subarachnoid Hemorrhage - surgery Surgery Surgery, Computer-Assisted - methods Sylvian fissure Sylvian veins Technical Note Veins |
| Title | Utility of Indocyanine Green Video Angiography for Sylvian Fissure Dissection in Subarachnoid Hemorrhage Patients - Sylvian ICG Technique |
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| ispartofPNX | Neurologia medico-chirurgica, 2018, Vol.58(2), pp.85-90 |
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