Effect of selective indocyanine green videoangiography in the operation of craniocervical junction dural arteriovenous fistulas
10.3969/j.issn.1672-5921.2017.11.007
- VernacularTitle:选择性吲哚氰绿荧光显影技术在颅颈交界区硬膜动静脉瘘手术中的作用
- Author:
Liyong SUN
1
;
Guilin LI
;
Chuan HE
;
Ming YE
;
Meng LI
;
Hongqi ZHANG
Author Information
1. 首都医科大学宣武医院神经外科
- Keywords:
Dural arteriovenous fistulas;
Craniocervical junction;
Indocyanine green videoangiography;
Fistula site
- From:
Chinese Journal of Cerebrovascular Diseases
2017;14(11):589-593
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of using selective indocyanine green videoangiography in the surgical treatment of craniocervical junction dural arteriovenous fistulas.Methods From June 2014to January 2017,the clinical data of 24 patients (26 sides) with craniocervical junction dural arteriovenous fistula treated at the Department of Neurosurgery,Xuanwu Hospital,Capital Medical University were analyzed retrospectively,including 15 with subarachnoid hemorrhage,8 with venous hypertensive myelopathy,and 1 with medullary compression symptom.The selective indocyanine green fluorescence technique was used to temporarily clip the origin of the arterilized draining vein,and the drainage vein was opened after the indocyanine green fluorescent arterial phase,and thus to determine the sites of arteriovenous fistulas.DSA examination was performed again after the operation,and the clinical efficacy was evaluated with the modified Rankin scale (mRS).Results The dural arteriovenous fistulas of 24 patients (26 sides) were separated from the fistulas during the operation.Intraoperative indocyanine green fluorescence development and postoperative DSA follow-up confirmed that the fistulas were separated.The follow-up time was 4-30 months.The mRS score in 21 patients was 0-1,the Hunt-Hess grade Ⅲ subarachnoid hemorrhage in 2 patients was mRS score 2,and mRS score in 1 patients with preoperative brainstem compression symptom was mRS score 3.Conclusion The selective indocyanine green fluorescence technique is a safe,simple,and effective technique for the treatment of dural arteriovenous fistulas at the junction of craniocervical junction.
