Assessment of collateral venous flow using temporary clip placement at ICG videoangiography

Background As there are many collateral pathways between venous systems, intraoperative venous injury rarely induces venous infarction. In some patients, however, venous injury during microsurgical manipulation may cause acute and/or delayed serious complications. Although intraoperative evaluation...

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Veröffentlicht in:Acta neurochirurgica 2021-09, Vol.163 (9), p.2533-2536
Hauptverfasser: Hardian, Ridzky Firmansyah, Hanaoka, Yoshiki, Funato, Kohei, Agata, Masahiro, Ito, Kiyoshi, Horiuchi, Tetsuyoshi
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container_end_page 2536
container_issue 9
container_start_page 2533
container_title Acta neurochirurgica
container_volume 163
creator Hardian, Ridzky Firmansyah
Hanaoka, Yoshiki
Funato, Kohei
Agata, Masahiro
Ito, Kiyoshi
Horiuchi, Tetsuyoshi
description Background As there are many collateral pathways between venous systems, intraoperative venous injury rarely induces venous infarction. In some patients, however, venous injury during microsurgical manipulation may cause acute and/or delayed serious complications. Although intraoperative evaluation using indocyanine green (ICG) videoangiography is very useful, it is difficult to assess the flow direction using this technique. Method A simple technique using temporary clips and ICG videoangiography was applied to assess the collateral venous pathway in 4 cases of surgical manipulation-related injury or occlusion of the main superficial Sylvian vein in patients with aneurysm. Results The flow direction and collateral pathway can be easily visualized after release of temporary occlusion. Conclusions A collateral venous pathway can be evaluated with the present simple technique described here.
doi_str_mv 10.1007/s00701-020-04617-x
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In some patients, however, venous injury during microsurgical manipulation may cause acute and/or delayed serious complications. Although intraoperative evaluation using indocyanine green (ICG) videoangiography is very useful, it is difficult to assess the flow direction using this technique. Method A simple technique using temporary clips and ICG videoangiography was applied to assess the collateral venous pathway in 4 cases of surgical manipulation-related injury or occlusion of the main superficial Sylvian vein in patients with aneurysm. Results The flow direction and collateral pathway can be easily visualized after release of temporary occlusion. Conclusions A collateral venous pathway can be evaluated with the present simple technique described here.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-020-04617-x</identifier><identifier>PMID: 33085020</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Aneurysms ; Cerebral Angiography ; Clinical Neurology ; Coloring Agents ; Humans ; Indocyanine Green ; Infarction ; Interventional Radiology ; Life Sciences &amp; Biomedicine ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Minimally Invasive Surgery ; Neurology ; Neuroradiology ; Neurosciences &amp; Neurology ; Neurosurgery ; Neurosurgical Procedures ; Occlusion ; Science &amp; Technology ; Sinuses ; Surgery ; Surgical Instruments ; Surgical Orthopedics ; Technical Note - Vascular Neurosurgery - Other ; Vascular Neurosurgery – Other ; Veins &amp; arteries</subject><ispartof>Acta neurochirurgica, 2021-09, Vol.163 (9), p.2533-2536</ispartof><rights>Springer-Verlag GmbH Austria, part of Springer Nature 2020</rights><rights>2020. 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In some patients, however, venous injury during microsurgical manipulation may cause acute and/or delayed serious complications. Although intraoperative evaluation using indocyanine green (ICG) videoangiography is very useful, it is difficult to assess the flow direction using this technique. Method A simple technique using temporary clips and ICG videoangiography was applied to assess the collateral venous pathway in 4 cases of surgical manipulation-related injury or occlusion of the main superficial Sylvian vein in patients with aneurysm. Results The flow direction and collateral pathway can be easily visualized after release of temporary occlusion. 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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Aneurysms
Cerebral Angiography
Clinical Neurology
Coloring Agents
Humans
Indocyanine Green
Infarction
Interventional Radiology
Life Sciences & Biomedicine
Medical imaging
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosciences & Neurology
Neurosurgery
Neurosurgical Procedures
Occlusion
Science & Technology
Sinuses
Surgery
Surgical Instruments
Surgical Orthopedics
Technical Note - Vascular Neurosurgery - Other
Vascular Neurosurgery – Other
Veins & arteries
title Assessment of collateral venous flow using temporary clip placement at ICG videoangiography
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