How reliable and accurate is indocyanine green video angiography in the evaluation of aneurysm obliteration?

Articles > Article · 2013

Authors: Erkin ÖZGİRAY, Erinc Aktuere, Nirav Patel, Christopher Baggott, Melih Bozkurt, David Niemann, Mustafa K. Baskaya

CLINICAL NEUROLOGY AND NEUROSURGERY, Journal Indexed in SCI Expanded, International, 2013, vol 115, pp 870-878

DOI: 10.1016/j.clineuro.2012.08.027

Summary

Introduction: Indocyanine green video angiography (ICG-VA) has been recently introduced into neurovascular surgery and gained a role in assessing vessel patency and obliteration of intracranial aneurysms (IA) after clipping. Although its correlation with intra-postoperative angiography was demonstrated in previous studies, difficulties in evaluating aneurysm obliteration have not been reported. We report reliability and accuracy of ICG-VA in 109 clipped aneurysms with attention given to five cases in which ICG-VA evaluation resulted in false indication that aneurysms were secure in terms of complete obliteration.

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