Application of indocyanine green fluorescein angiography in intracranial aneurysm surgery
10.3969/j.issn.1671-8348.2015.27.013
- VernacularTitle:吲哚菁绿荧光血管造影在颅内动脉瘤夹闭术中的应用
- Author:
Hongping MIAO
;
Jun TAN
;
Yin NIU
;
Jiangkai LIN
;
Zhi CHEN
;
Hua FENG
;
Gang ZHU
- Publication Type:Journal Article
- Keywords:
intracranial aneurysm;
indocyanine green;
fluorescein angiography
- From:
Chongqing Medicine
2015;(27):3785-3787
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the safety of surgery,the application of indocyanine green fluorescein(ICG)angiography in intracranial aneurysm surgery was investigated.Methods Fifty cases of intracranial aneurysms were retrospectively analyzed.All the patients were received ICG angiography before and after intracranial aneurysm clipping.The efficiency of the surgery was evalu-ated with CT angiography(CTA)and(or)digital subtraction angiography(DSA).The postoperative follow-up was conducted using Glasow outcomes score(GOS).Results Of the 50 patients,3 cases of aneurysmal neck remnant,one case of parent arteries steno-sis,one case of nearby branch stenosis and two cases of “false-negative”were observed after ICG angiography.The clips were adjus-ted until the satisfactory blood flew was restored.Postoperative CTA and(or)DSA confirmed the results of intraoperative ICG an-giography.Of the 40 patients underwent follow-up,GOS score was 5 in 30 cases,4 in 7 case,3 in 2 case and 2 in 1 case.Conclusion ICG angiography is a useful way to assess the clipping of aneurysms,blood flew of parent arteries and nearby branches during the aneurysm surgery.It could raise the safety of surgery and further improve the clinical outcomes of intracranial aneurysms.
