Fluorescein-guided surgery for spinal dural arteriovenous fistulas: A short series.
Fluorescein
Fluorescence
Intra operative angiography
Spinal dural arteriovenous fistula
Surgery
Journal
Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
ISSN: 1532-2653
Titre abrégé: J Clin Neurosci
Pays: Scotland
ID NLM: 9433352
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
28
05
2019
accepted:
05
08
2019
pubmed:
17
8
2019
medline:
28
1
2020
entrez:
17
8
2019
Statut:
ppublish
Résumé
The gold standard treatment of spinal dural arteriovenous fistulas (SDAVF) is surgical exclusion. The main surgical challenge is to localize the origin of the shunting vein and to ensure its complete exclusion. In that context, intra operative angiography technologies have been developed, such as fluorescein video angiography (FVA). The objective of this preliminary study was to assess the utility of FVA in SDAVF surgery through a short surgical series. We retrospectively studied the cases of six patients who had a FVA for a SDAVF. FVA was performed after dural opening and visualization of the suspected shunting vein. In 5 cases, FVA was performed after ligation to ensure the complete exclusion. In 2 cases, FVA was performed before the ligation to confirm the localization of the shunt. In 1 case, FVA was performed before and after ligation. FVA was judged useful in all cases to localize the origin of the shunting vein. FVA permitted to ensure the complete exclusion after ligation. No anaphylactic events were noticed. Our preliminary study suggests that fluorescein video angiography is feasible and helpful for SDAVF surgery.
Identifiants
pubmed: 31416734
pii: S0967-5868(19)31075-6
doi: 10.1016/j.jocn.2019.08.036
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
226-228Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.