Near-infrared indocyanine green videoangiography for assessment of carotid endarterectomy

详细信息    查看全文

• 作者：Sei Haga (1)
  Shinji Nagata (1)
  Ai Uka (1)
  Yojiro Akagi (1)
  Yasuhiro Hamada (1)
  Tadahisa Shono (1)
  
• 关键词：Angiography ; Carotid endarterectomy ; Indocyanine green ; Fluorosence ; Near ; infrared
• 刊名：Acta Neurochirurgica
• 出版年：2011
• 出版时间：August 2011
• 年：2011
• 卷：153
• 期：8
• 页码：1641-1644
• 全文大小：241KB
• 参考文献：1. Kohno K, Uka A, Mori M, Haga S, Hamada Y, Nagata S, Yasaka M, Okada Y (2010) Usefulness of video angiography using indocyanine green for carotid endarterectomy (in Japanese). Nosinkeigeka-sokuho 20:328-32
  2. Moore W, Barnett C, Beebe H, Bernstein EF, Brener BJ, Brott T, Caplan LR, Day A, Goldstone J, Hobson RW, Kempczinski RF, Matchar DB, Mayberg MR, Nicolaides AN, Norris JW, Ricotta JJ, Robertson JT, Rutherford RB, Thomas D, Toole JF, Trout HH, Wiebers DO (1995) Guidelines for carotid endarterectomy. Stroke 26:188-01 CrossRef
  3. Raabe A, Nakaji P, Beck J, Kim LJ, Hsu FPK, Kamerman JD, Seifert V, Spetzler RF (2005) Prospective evaluation of surgical microscope integrated intraoperative near-infrared indocyanine green videoangiography during aneurysm surgery. J Neurosurg 103:982-89 CrossRef
  4. Rolfe P (2000) In vivo near-infrared spectroscopy. Ann Rev Biomed Eng 2:715-54 CrossRef
  5. Tanaka S, Kakio M, Yamakoshi K (2008) Non-destructive optical monitoring for calcification of tissue-engineered bone in vitro. J Biomed Sci Eng 3:332-42 CrossRef
  6. Watanabe H, Ogami S, Hisakado Y (2009) Indocyanine green videoangiography in neurosurgical field (in Japanese). Nosinkeigeka-sokuho 37:104-08
  7. Woitzik J, Horn P, Vajkoczy P, Schmiedek P (2005) Intraoperative control of extracranial intracranial bypass patency by near-infrared indocyanine green videoangiography. J Neurosurg 102:692-98 CrossRef
  
• 作者单位：Sei Haga (1)
  Shinji Nagata (1)
  Ai Uka (1)
  Yojiro Akagi (1)
  Yasuhiro Hamada (1)
  Tadahisa Shono (1)
  
  1. Department of Neurosurgery, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, 1-8-1 Jigyohama, Chuo-ku, Fukuoka, 810-563, Japan
  

文摘

Background Intraoperative fluorescence angiography with indocyanine green (ICG) as a tracer has recently been introduced as a novel technique for neurosurgery. We evaluated the feasibility and efficacy of near-infrared (NIR) indocyanine green (ICG) videoangiography for patients undergoing carotid endarterectomy (CEA). Methods Sixty patients (7 females, 53 males; mean age, 71.8?years) undergoing CEA for severe stenosis of the internal carotid artery (ICA) were included. During CEA, microscope-integrated intraoperative NIR videoangiographic recording was performed before and after the excision of the plaque and closure of the ICA. Results During the 60 CEA procedures, 60 consecutive ICG videoangiographic examinations were performed. All patients tolerated the intravenous injection of ICG well with no adverse effects. The videoangiographic study showed the blood stream of the ICA in all cases and the position of plaque in some cases. Conclusion Microscope-based ICG videoangiography is simple, and provides reliable and rapid intraoperative assessment of CEA.