Assessment of collateral venous flow using temporary clip placement at ICG videoangiography.

Abstract:

BACKGROUND:As there are many collateral pathways between venous systems, intraoperative venous injury rarely induces venous infarction. In some patients, however, venous injury during microsurgical manipulation may cause acute and/or delayed serious complications. Although intraoperative evaluation using indocyanine green (ICG) videoangiography is very useful, it is difficult to assess the flow direction using this technique. METHOD:A simple technique using temporary clips and ICG videoangiography was applied to assess the collateral venous pathway in 4 cases of surgical manipulation-related injury or occlusion of the main superficial Sylvian vein in patients with aneurysm. RESULTS:The flow direction and collateral pathway can be easily visualized after release of temporary occlusion. CONCLUSIONS:A collateral venous pathway can be evaluated with the present simple technique described here.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Hardian RF,Hanaoka Y,Funato K,Agata M,Ito K,Horiuchi T

doi

10.1007/s00701-020-04617-x

subject

Has Abstract

pub_date

2020-10-21 00:00:00

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-020-04617-x

pub_type

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