Abstract：
BACKGROUND:Verification of complete occlusion or resection of neurovascular lesions is often performed using intraoperative angiography. Surgery for spinal vascular lesions such as arteriovenous malformations (AVMs) and arteriovenous fistulas (AVFs) is typically performed with the patient in the prone position, making intraoperative angiography difficult. No standardized protocol is available for intraoperative angiography during spinal surgery with the patient in the prone position. We have described our experience using radial artery access for intraoperative angiography in thoracic spinal neurovascular procedures performed with the patient in the prone position. METHODS:We reviewed the data from all patients who had undergone surgical resection of spinal vascular lesions in the prone position with radial artery vascular access for intraoperative angiography. The patients were treated in a hybrid endovascular operating room. RESULTS:A total of 4 patients were treated in the prone position using transradial artery access intraoperative angiography for confirmation of complete resection of the vascular lesions. Of the 4 patients, 2 had undergone surgery for a dural AVF, 1 for a pial AVF, and 1 for an AVM of the filum terminale. None of the patients had experienced any procedural complications. CONCLUSION:Radial artery access for intraoperative angiography during spinal neurovascular procedures in which selective catheterization of a thoracic branch is necessary is feasible, safe, and practical.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Haynes J,Nossek E,Shapiro M,Chancellor B,Frempong-Boadu A,Peschillo S,Alves H,Tanweer O,Gordon D,Raz Edoi
10.1016/j.wneu.2020.01.208subject
Has Abstractpub_date
2020-05-01 00:00:00pages
e358-e365eissn
1878-8750issn
1878-8769pii
S1878-8750(20)30226-6journal_volume
137pub_type
杂志文章abstract：BACKGROUND:Fungal mass lesions in the central nervous system rarely reach a size large enough to directly cause neurologic deterioration. In terms of the etiologic incidence of fungal mass lesions in the central nervous system, whereas cryptococcomas may be the most common, they rarely reach any appreciable size. One f...
journal_title：World neurosurgery
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pub_type： 杂志文章,评审
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journal_title：World neurosurgery
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更新日期：2017-05-01 00:00:00
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更新日期：2020-11-01 00:00:00
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pub_type： 杂志文章
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更新日期：2018-01-01 00:00:00
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pub_type： 杂志文章,meta分析,评审
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