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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 686-692
DOI: 10.4103/ajns.AJNS_131_17
Review Article

Review of avoidance of complications in cerebral aneurysm surgery: The Fujita experience

Ahmed Ansari
Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya
,
Sai Kalyan
Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya
,
Treepob Sae-Ngow
Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya
,
Yasuhiro Yamada
Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya
,
Riki Tanaka
Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya
,
Tsukasa Kawase
Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya
,
Yoko Kato
Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya
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Avoidance of complications during cerebral aneurysm surgery marks the future outcome in the patient. Various modalities such as adequate opening of the Sylvian fissure, motor-evoked potential, endoscope-assisted microsurgery, indocyanine green dye, and dual image video angiography are available to reduce these complications during surgery, either by prevention of injury to the small perforators or the parent artery. We present our experience at the Fujita Health University Banbuntane Hospital, Japan, of the cerebral aneurysm surgery along with the use of these modalities in our patients from September 2014 to December 2016 along with a brief review of the various techniques for avoidance of complications.

Key-words:

Dual image video angiography - endoscope - indocyanine green - microsurgery

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Raabe A, Beck J, Gerlach R, Zimmermann M, Seifert V. Near-infrared indocyanine green video angiography: A new method for intraoperative assessment of vascular flow. Neurosurgery 2003;52:132-9.
  • 2 Oh JK, Shin HC, Kim TY, Choi GH, Ji GY, Yi S, et al. Intraoperative indocyanine green video-angiography: Spinal dural arteriovenous fistula. Spine (Phila Pa 1976) 2011;36:E1578-80.
  • 3 Germans MR, de Witt Hamer PC, van Boven LJ, Zwinderman KA, Bouma GJ. Blood volume measurement with indocyanine green pulse spectrophotometry: Dose and site of dye administration. Acta Neurochir (Wien) 2010;152:251-5.
  • 4 Cochran ST, Bomyea K, Sayre JW. Trends in adverse events after IV administration of contrast media. AJR Am J Roentgenol 2001;176:1385-8.
  • 5 Fischer G, Stadie A, Oertel JM. Near-infrared indocyanine green videoangiography versus microvascular Doppler sonography in aneurysm surgery. Acta Neurochir (Wien) 2010;152:1519-25.
  • 6 Dashti R, Laakso A, Niemelä M, Porras M, Hernesniemi J. Microscope-integrated near-infrared indocyanine green videoangiography during surgery of intracranial aneurysms: The Helsinki experience. Surg Neurol 2009;71:543-50.
  • 7 de Oliveira JG, Beck J, Seifert V, Teixeira MJ, Raabe A. Assessment of flow in perforating arteries during intracranial aneurysm surgery using intraoperative near-infrared indocyanine green videoangiography. Neurosurgery 2007;61:63-72.
  • 8 Xu BN, Sun ZH, Romani R, Jiang JL, Wu C, Zhou DB, et al. Microsurgical management of large and giant paraclinoid aneurysms. World Neurosurg 2010;73:137-46.
  • 9 Takagi Y, Sawamura K, Hashimoto N, Miyamoto S. Evaluation of serial intraoperative surgical microscope-integrated intraoperative near-infrared indocyanine green videoangiography in patients with cerebral arteriovenous malformations. Neurosurgery 2012;70:34-42.
  • 10 Esposito G, Durand A, Van Doormaal T, Regli L. Selective-targeted extra-intracranial bypass surgery in complex middle cerebral artery aneurysms: Correctly identifying the recipient artery using indocyanine green videoangiography. Neurosurgery 2012;71:ons274-84.
  • 11 Özgiray E, Aktüre E, Patel N, Baggott C, Bozkurt M, Niemann D, et al. How reliable and accurate is indocyanine green video angiography in the evaluation of aneurysm obliteration? Clin Neurol Neurosurg 2013;115:870-8.
  • 12 Washington CW, Zipfel GJ, Chicoine MR, Derdeyn CP, Rich KM, Moran CJ, et al. Comparing indocyanine green videoangiography to the gold standard of intraoperative digital subtraction angiography used in aneurysm surgery. J Neurosurg 2013;118:420-7.
  • 13 Roessler K, Krawagna M, Dörfler A, Buchfelder M, Ganslandt O. Essentials in intraoperative indocyanine green videoangiography assessment for intracranial aneurysm surgery: Conclusions from 295 consecutively clipped aneurysms and review of the literature. Neurosurg Focus 2014;36:E7.
  • 14 Hardesty DA, Thind H, Zabramski JM, Spetzler RF, Nakaji P. Safety, efficacy, and cost of intraoperative indocyanine green angiography compared to intraoperative catheter angiography in cerebral aneurysm surgery. J Clin Neurosci 2014;21:1377-82.
  • 15 Spencer MP, Reid JM. Quantitation of carotid stenosis with continuous-wave (C-W) Doppler ultrasound. Stroke 1979;10:326-30.
  • 16 Flanigan DP, Tullis JP, Streeter VL, Whitehouse WM Jr., Fry WJ, Stanley JC, et al. Multiple subcritical arterial stenoses: Effect on poststenotic pressure and flow. Ann Surg 1977;186:663-8.
  • 17 Bailes JE, Tantuwaya LS, Fukushima T, Schurman GW, Davis D. Intraoperative microvascular Doppler sonography in aneurysm surgery. Neurosurgery 1997;40:965-70.
  • 18 Cho YD, Lee WJ, Kim KM, Kang HS, Kim JE, Han MH, et al. Endovascular coil embolization of middle cerebral artery aneurysms of the proximal (M1) segment. Neuroradiology 2013;55:1097-102.
  • 19 Yeon JY, Kim JS, Hong SC. Angiographic characteristics of unruptured middle cerebral artery aneurysms predicting perforator injuries. Br J Neurosurg 2011;25:497-502.
  • 20 Iwama T, Yoshimura S, Kaku Y, Sakai N. Considerations in the surgical treatment of superior-wall type aneurysm at the proximal (M1) segment of the middle cerebral artery. Acta Neurochir (Wien) 2004;146:967-72.
  • 21 Houkin K, Ito M, Miyamoto M, Hokari M, Kazumata K, Nakayama N, et al. Systematic review of complications for proper informed consent. Surgery for unruptured internal carotid artery aneurysm. No Shinkei Geka 2012;40:365-75.
  • 22 Taniguchi M, Takimoto H, Yoshimine T, Shimada N, Miyao Y, Hirata M, et al. Application of a rigid endoscope to the microsurgical management of 54 cerebral aneurysms: Results in 48 patients. J Neurosurg 1999;91:231-7.
  • 23 Wang E, Yong NP, Ng I. Endoscopic assisted microneurosurgery for cerebral aneurysms. J Clin Neurosci 2003;10:174-6.
  • 24 Profeta G, De Falco R, Ambrosio G, Profeta L. Endoscope-assisted microneurosurgery for anterior circulation aneurysms using the angle-type rigid endoscope over a 3-year period. Childs Nerv Syst 2004;20:811-5.
  • 25 Takaishi Y, Yamashita H, Tamaki N. Cadaveric and clinical study of endoscope-assisted microneurosurgery for cerebral aneurysms using angle-type rigid endoscope. Kobe J Med Sci 2002;48:1-11.
  • 26 Szelényi A, Beck J, Strametz R, Blasel S, Oszvald A, Raabe A, et al. Is the surgical repair of unruptured atherosclerotic aneurysms at a higher risk of intraoperative ischemia? Clin Neurol Neurosurg 2011;113:129-35.
  • 27 Bhatia S, Sekula RF, Quigley MR, Williams R, Ku A. Role of calcification in the outcomes of treated, unruptured, intracerebral aneurysms. Acta Neurochir (Wien) 2011;153:905-11.
  • 28 Salunke P, Gupta SK. Symptomatic bilateral isolated perforator infarction following aneurysmal subarachnoid hemorrhage. J Neurosci Rural Pract 2013;4:45-7.