Summary
In the past three years, we have used a superfine fiberscope for endovasculoscopy, ventriculoscopy, and myeloscopy. Flexible superfine fiberscope, 0.75 mm in outer diameter, could visualize various intravascular findings.
In in-vivo canine experiment, sequential changes of thrombus produced by endothelial abrasion by needle or balloon in the canine carotid artery can be clearly seen. And thrombolysis by focal arterial injection of tissue plasminogen activator was sequentially observed.
In the clinical study, we could evaluate the stenotic lesions of the subclavian and vertebral arteries before and after balloon angioplasty.
During ventriculoscopy, a 2 mm of mini-caliber fiberscope was introduced under ultrasound monitoring, and provided clear visualization of intraventricular tumours.
In myeloscopy, draining veins of arteriovenous malformations and nerve roots of the cauda equina could be clearly seen by flexible fiberscope.
From these results, it can be said that the superfine fiberscope provides clear and useful visualizations of the interior of vessels, ventricles, and the intrathecal area of the spinal canal. The new applications of this superfine fiberscope for minimally invasive neurosurgery may bring about a marked improvement of therapeutic results.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Auer L. M., Holzer P, Ascher P. W., Heppner F (1988) Endoscopic Neurosurgery. Acta Neurochir (Wien) 90: 1–14
Auer L. M., Deinsberger W, Niederkorn K, Gell G, Kleinert R, Schneider G, Holzer P, Bone G, Mokry M, Korner E, Kleinert G, Hanusch S (1989) Endoscopic surgery versus medical treatment for spontaneous intracerebral hematoma: a randomized study. J Neurosurg 70: 530–535
Berger M. S.( 1986) Ultrasound-guided stereotaxic biopsy using a new apparatus. J Neurosurg 65: 550–554
Dandy, W. E. (1922) Cerebral ventriculoscopy. Bull Hopkins Hosp 33: 189–190
Forrester I. S., Grundfest W, Litvack F (1989) Fiberoptic angioscopy in acute coronary syndromes. Coronary 6: 13–22
Griffith H. B. (1975) Technique of fontanelle and persutural ventriculoscopy and endoscopic ventricular surgery in infants. Child’ brain 1: 359–363
Griffith H. B. (1987) Endoneurosurgery: Endoscopic intracranial surgery. In: Advances in neurosurgery, vol 14. Springer, Berlin Heidelberg New York, pp 2–24
Kleinhaus S, German R, Sheran M, Shapiro K, Boley S. J. (1982) A role for endoscopy in the placement of ventriculoperitoneal shunts. Surg Neurol 18: 179–180
Miyamoto S, Kikuchi H, Nagata I, Yamagata S, Akiyama Y, Kaneko T, Ito K (1989) The development of spinal endoscope using a flexible optic fiber. Brain and Nerve 41: 1233–1238
Ogata M, Ishikawa T, Horide R, Watanabe M, Matsumura H (1965) Encephaloscope. J Neurosurg 22: 288–291
Oka K, Ohta T, Kibe M, Tomonaga M (1990) A new neurosurgical ventriculoscope-technical note. Neuro Med Chir 30: 77–79
Ooi Y, Satoh Y, Hirose K, Mikanagi K, Morisaki N (1977) Myeloscopy. Int Orthop 1: 107–111,6: 881-894
Poll J. L. (1942) Myeloscopy. Intraspinal endoscopy. Surgery 11: 169–182
Putnam T. J. (1934) Treatment of hydrocephalus by endoscopic coagulation of the choroid plexus. Description of a new instrument and preliminary report of results. New Eng J Med 210: 1373–1376
Scarff J. E. (1952) Non obstructive hydrocephalus. Treatment by endoscopic cauterization of the choroid plexus. J Neurosurg 9: 164–176
Seeger J. M., Abela G. S. (1986) Angioscopy as an adjunct to arterial reconstructive surgery: A preliminary report. J Vasc Surg 4: 315–320
Sjolander U, Lindgren P. G., Hugosson R (1983) Ultrasound sector scanning for the localization and biopsy of intracerebral lesions. J Neurosurg 58: 7–10
Spears J. R., Marais J, Serur J, Pomerantzeff O, Geyer R. P., Sipzener R. S., Weintraub R, Thurer R, Paulin S, Gerstin R, Grossman W (1983) In vivo coronary angioscopy. J Am Coli Cardiol 1: 1311–1314
Tsutsumi Y, Andoh Y, Inoue N (1982) Ultrasound-guided biopsy for deep seated brain tumours. J Neurosurg 57: 164–167
Uchida Y, Hasegawa, K, Kawamura K, Shibuya I (1989) Angioscopic observation of the coronary luminal changes induced by percutaneous transluminal coronary angioplasty. Am Heart J 117: 769–776
Vollmar J. F., Storz L. W. (1974) Vascular endoscopy possibilities and limits of its clinical application. Surg Clin North Am 54(1): 111–122
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer-Verlag Wien
About this paper
Cite this paper
Yamakawa, K., Kondo, T., Yoshioka, M., Takakura, K. (1992). Application of Superfine Fiberscope for Endovasculoscopy, Ventriculoscopy, and Myeloscopy. In: Bauer, B.L., Hellwig, D. (eds) Minimally Invasive Neurosurgery I. Acta Neurochirurgica Supplementum, vol 54. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6687-1_6
Download citation
DOI: https://doi.org/10.1007/978-3-7091-6687-1_6
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-7381-7
Online ISBN: 978-3-7091-6687-1
eBook Packages: Springer Book Archive