Skip to main content

Microscope Integrated Indocyanine Green Video-Angiography in Cerebrovascular Surgery

  • Chapter
  • First Online:
Book cover Intraoperative Imaging

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 109))

Abstract

Microscope integrated indocyanine green video-angiography (ICG-VA) is a new technique for intraoperative assessment of blood flow that has been recently applied to the field of Neurosurgery. ICG-VA is known as a simple and practical method of blood flow assessment with acceptable reliability. Real time information obtained under magnification of operating microscope has many potential applications in the microneurosurgical management of vascular lesions. This review is based on institutional experience with use of ICG-VA during surgery of intracranial aneurysms, AVMs and other vascular lesions at the Department of Neurosurgery at Helsinki University Central Hospital.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 279.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Anegawa S, Hayashi T, Torigoe R, Harada K, Kihara S (1994) Intraoperative angiography in the resection of arteriovenous malformations. J Neurosurg 80:73–78

    Article  PubMed  CAS  Google Scholar 

  2. Barrow D, Boyer K, Joseph G (1992) Intraoperative angiography in the management of neurovascular disorders. Neurosurgery 30:153–159

    Article  PubMed  CAS  Google Scholar 

  3. Batjer H, Frankfurt A, Purdy P, Smith S, Samson D (1988) Use of etomidate, temporary arterial occlusion, and intraoperative angiography in surgical treatment of large and giant cerebral aneurysms. J Neurosurg 68:234–240

    Article  PubMed  CAS  Google Scholar 

  4. Bauer BL (1984) Intraoperative angiography in cerebral aneurysm and AV-malformation. Neurosurg Rev 7:209–217

    Article  PubMed  CAS  Google Scholar 

  5. Chiang V, Gailloud P, Murphy K, Rigamonti D, Tamargo R (2002) Routine intraoperative angiography during aneurysm surgery. J Neurosurg 96:988–992

    Article  PubMed  Google Scholar 

  6. Derdeyn C, Moran C, Cross D, Grubb RJ, Dacey RJ (1995) Intraoperative digital subtraction angiography: a review of 112 consecutive examinations. AJNR Am J Neuroradiol 16:307–318

    PubMed  CAS  Google Scholar 

  7. Katz JM, Gologorsky Y, Tsiouris A, Wells-Roth D, Mascitelli J, Gobin YP, Stieg PE, Riina HA (2006) Is routine intraoperative angiography in the surgical treatment of cerebral aneurysms justified? A consecutive series of 147 aneurysms. Neurosurgery 58:719–727

    Article  PubMed  Google Scholar 

  8. Klopfenstein J, Spetzler R, Kim L, Feiz-Erfan I, Han P, Zabramski J, Porter RW, Albuquerque FC, McDougall CG, Fiorella DJ (2004) Comparison of routine and selective use of intraoperative angiography during aneurysm surgery: a prospective assessment. J Neurosurg 100:230–235

    Article  PubMed  Google Scholar 

  9. Martin N, Bentson J, Vinuela F, Hieshima G, Reicher M, Black K, Dion J, Becker D (1990) Intraoperative digital subtraction angiography and the surgical treatment of intracranial aneurysms and vascular malformations [see comment]. J Neurosurg 73:526–533

    Article  PubMed  CAS  Google Scholar 

  10. Munshi I, Macdonald RL, Weir BK (1999) Intraoperative angiography of brain arteriovenous malformations. Neurosurgery 45:491–497

    Article  PubMed  CAS  Google Scholar 

  11. Peeters FL, Walder HA (1973) Intraoperative vertebral angiography in arteriovenous malformations. Neuroradiology 6:169–173

    Article  PubMed  CAS  Google Scholar 

  12. Tang G, Cawley C, Dion J, Barrow D (2002) Intraoperative angiography during aneurysm surgery: a prospective evaluation of efficacy. J Neurosurg 96:993–999

    Article  PubMed  Google Scholar 

  13. Amin-Hanjani S, Meglio G, Gatto R, Bauer A, Charbel F (2006) The utility of intraoperative blood flow measurment during aneurysm surgery using an ultrasonic perivascular flow probe. Neurosurgery 58:ONS 305–ONS 312

    Article  Google Scholar 

  14. Bailes J, Tantuwaya L, Fukushima T, Schurman G, Davis D (1997) Intraoperative microvascular Doppler sonography in aneurysm surgery. Neurosurgery 40:965–970

    Article  PubMed  CAS  Google Scholar 

  15. Charbel FT, Hoffman WE, Misra M, Ostergren LA (1998) Ultrasonic perivascular flow peobe: technique and application in neurosurgery. Neurol Res 20:439–442

    PubMed  CAS  Google Scholar 

  16. Firsching R, Synowitz HJ, Hanebeck J (2000) Practicability of intraoperative microvascular Doppler sonography in aneurysm surgery. Minim Invasive Neurosurg 43:144–148

    Article  PubMed  CAS  Google Scholar 

  17. Raabe A, Beck J, Gerlach R, Zimmermann M, Seifert V (2003) Near-infrared indocyanine green video angiography: a new method for intraoperative assessment of vascular flow. Neurosurgery 52:132–139

    PubMed  Google Scholar 

  18. Dashti R, Laakso A, Porras M, Niemelä M, Hernesniemi J (2009) Microscope integrated Near-infrared indocyanine green video angiography during surgery of intracranial Aneurysms: Helsinki experience. Surg Neurol 71:543–550

    Article  PubMed  Google Scholar 

  19. Raabe A, Nakaji P, Beck J, Kim L, Hsu F, Kamerman JD, Seifert V, Spetzler RF (2005) Prospective evaluation of surgical microscope-integrated intraoperative near-infrared indocyanine green videoangiography during aneurysm surgery. J Neurosurg 103:982–989

    Article  PubMed  Google Scholar 

  20. de Oliveira M, Beck J, Seifert V, Teixeria M, Raabe A (2007) Assessment of blood in perforating arteries during intraoperative near-infrared indocyanine green videoangiography. Neurosurgery 61:ONS 63–ONS 73

    Google Scholar 

  21. Raabe A, Beck J, Seifert V (2005) Technique and image quality of intraoperative indocyanine green angiography during aneurysm surgery using surgical microscope integrated near-infrared video technology. Zentralbl Neurochir 66:1–6

    Article  PubMed  CAS  Google Scholar 

  22. Killory B, Nakaji P, Gonzales L, Ponce F, Wait S, Spetzler R (2009) Prospective evaluation of surgical microscope-integrated intraoperative near-infrared indocyanine green angiography during cerebral arteriovenous malformation surgery. Neurosurgery 65:456–462

    Article  PubMed  Google Scholar 

  23. Bailes J, Deeb Z, Wilson J, Jungreis C, Horton J (1992) Intraoperative angiography and temporary balloon occlusion of the basilar artery as an adjunct to surgical clipping: technical note. Neurosurgery 31:603

    PubMed  CAS  Google Scholar 

  24. Kallmes DF, Kallmes MH (1997) Cost-effectiveness of angiography performed during surgery for ruptured intracranial aneurysms. AJNR Am J Neuroradiol 18:1453–1462

    PubMed  CAS  Google Scholar 

  25. Origitano TC, Schwartz K, Anderson D, Azar-Kia B, Reichman OH (1999) Optimal clip application and intraoperative angiography for intracranial aneurysms. Surg Neurol 51:117–124

    Article  PubMed  CAS  Google Scholar 

  26. Payner TD, Horner TG, Leipzig TJ, Scott JA, Gilmor RL, DeNardo AJ (1998) Role of intraoperative angiography in the surgical treatment of cerebral aneurysms. J Neurosurg 88:441–448

    Article  PubMed  CAS  Google Scholar 

  27. Ma C, Shi J, Wang H, Hang C, Cheng H, Wu W (2009) Intraoperative indocyanine green angiography in intracranial aneurysm surgery: microsurgical clipping and revascularization. Clin Neurol Neurosurg 111:840–846

    Article  PubMed  Google Scholar 

  28. Li J, Lan Z, He M, You C (2009) Assessment of microscope-integrated indocyanine green angiography during intracranial aneurysm surgery: a retrospective study of 120 patients. Neurol India 57:453–459

    Article  PubMed  Google Scholar 

  29. Yaşargil MG (1988) Microneurosurgery, vol 3-B. Georg Thieme Verlag, Stuttgart, New York, pp 25–53

    Google Scholar 

  30. Colby GP, Coon AL, Sciubba DM, Bydon A, Gailloud P, Tamargo RJ (2009) Intraoperative indocyanine green angiography for obliteration of a spinal dural arteriovenous fistula. J Neurosurg Spine 11:705–709

    Article  PubMed  Google Scholar 

  31. Hettige S, Walsh D (2010) Indocyanine green video-angiography as an aid to surgical treatment of spinal dural arteriovenous fistulae. Acta Neurochir (Wien) 152(3):533–536

    Google Scholar 

  32. Woitzik J, Horn P, Vajkoczy P, Schmiedek P (2005) Intraoperative control of extracranial-intracranial bypass patency by near-infrared indocyanine green videoangiography. J Neurosurg 102:692–698

    Article  PubMed  Google Scholar 

  33. Pena-Tapia PG, Kemmling A, Czabanka M, Vajkoczy P, Schmiedek P (2008) Identification of the optimal cortical target point for extracranial-intracranial bypass surgery in patients with hemodynamic cerebrovascular insufficiency. J Neurosurg 108:655–661

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Juha Hernesniemi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag/Wien

About this chapter

Cite this chapter

Dashti, R., Laakso, A., Niemelä, M., Porras, M., Hernesniemi, J. (2011). Microscope Integrated Indocyanine Green Video-Angiography in Cerebrovascular Surgery. In: Pamir, M., Seifert, V., Kiris, T. (eds) Intraoperative Imaging. Acta Neurochirurgica Supplementum, vol 109. Springer, Vienna. https://doi.org/10.1007/978-3-211-99651-5_39

Download citation

  • DOI: https://doi.org/10.1007/978-3-211-99651-5_39

  • Published:

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-99650-8

  • Online ISBN: 978-3-211-99651-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics