Evaluation of the Utility of Indocyanine Green Video Angiography in Cerebral Arteriovenous Malformation Surgery

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dc.authoridBayatli, Eyup/0000-0001-6246-4247
dc.authoridErdoğan, Koral/0000-0002-5335-7172
dc.authoridbozkurt, melih/0000-0001-7433-081X
dc.authoridOzden, Mahmut/0000-0003-2441-0015
dc.authoridMAMMADKHANLI, Orkhan/0000-0003-3299-4196
dc.authorwosidAbbasoglu, Bilal/HPG-0457-2023
dc.authorwosidBayatli, Eyup/AGH-1317-2022
dc.authorwosidErdoğan, Koral/JCE-8293-2023
dc.contributor.authorErdogan, Koral
dc.contributor.authorMammadkhanli, Orkhan
dc.contributor.authorAbbasoglu, Bilal
dc.contributor.authorBayatli, Eyup
dc.contributor.authorOzden, Mahmut
dc.contributor.authorBozkurt, Melih
dc.date.accessioned2024-06-12T10:52:32Z
dc.date.available2024-06-12T10:52:32Z
dc.date.issued2023
dc.departmentTrakya Üniversitesien_US
dc.description.abstractOBJECTIVE: To assess the utility of intraoperative indocyanine green video angiography (ICG-VA) during microsurgical resection of arteriovenous malformations (AVMs). METHODS: Data of the 24 patients, who were surgically treated for AVM using intraoperative ICG-VA, were reviewed retrospectively. Postoperative digital subtraction angiography (DSA) was performed in all patients before they regained consciousness and became fully awake, and the results were compared with those obtained with intraoperative ICG-VA. A scheduled DSA was performed in all patients in the third, sixth, and 12th postoperative months as well. RESULTS: Authors retrospectively analyzed the records of intraoperative ICG-VA application of all 24 patients. Though the exposures were limited and the image qualities were poor at higher magnification on the surgical micro-scope within deep surgical fields, the AVM niduses, feeding arteries, draining veins, and their relations to normal vasculature were observed precisely with ICG-VA in all the procedures. Furthermore, the visualization was not qualified enough to identify these pathological vascular structures accurately before evacuating and irrigating the layer of blood clots that obscure the view in patients who presented with hemorrhage. In a patient in our series, a residual nidus in the tail of the caudate nucleus was detected with immediate postoperative DSA which was not revealed by terminal assessment with final intraoperative ICG-VA. CONCLUSIONS: Intraoperative ICG-VA is particularly effective in the identification of the feeder, nidus, and drainer and in the assessment of the flow dynamics of the n idus in cerebral AVM surgery. It may be a quick and safe technique for intraoperative imaging of the angioarchi-tecture of superficial AVMs, but it may be less helpful for deep-seated lesions. Furthermore, this method alone may not be useful in the identification of residual disease or improvement of the clinical outcomes. DSA has remained the gold standard for confirming AVM obliteration. Despite the technical limitations associated with ICG-VA, a com-bination of intraoperative ICG-VA and immediate post-operative DSA may advance the safety and efficacy of AVM surgery.en_US
dc.identifier.doi10.1016/j.wneu.2022.11.076
dc.identifier.endpageE611en_US
dc.identifier.issn1878-8750
dc.identifier.issn1878-8769
dc.identifier.pmid36436772en_US
dc.identifier.scopus2-s2.0-85144539794en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpageE603en_US
dc.identifier.urihttps://doi.org/10.1016/j.wneu.2022.11.076
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18748
dc.identifier.volume170en_US
dc.identifier.wosWOS:000944461900001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofWorld Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectArteriovenous Malformationen_US
dc.subjectDigital Subtraction Angiographyen_US
dc.subjectIndocyanine Green Video Angiographyen_US
dc.subjectMicrosurgical Resectionen_US
dc.subjectResidual Lesionen_US
dc.subjectSurgical Microscopeen_US
dc.subjectVideoangiographyen_US
dc.subjectPrevalenceen_US
dc.titleEvaluation of the Utility of Indocyanine Green Video Angiography in Cerebral Arteriovenous Malformation Surgeryen_US
dc.typeArticleen_US

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