Indocyanine green videoangiography for assessment of postoperative hyperperfusion in moyamoya disease

Background Postoperative cerebral hyperperfusion (HP) is a notable complication that occurs more frequently in moyamoya disease (MMD) than in atherosclerosis. This study aimed to clarify the characteristics of intraoperative indocyanine green (ICG) videoangiography in MMD and atherosclerotic disease...

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Bibliographic Details
Published in:Acta neurochirurgica 2014-05, Vol.156 (5), p.919-926
Main Authors: Horie, Nobutaka, Fukuda, Yuhtaka, Izumo, Tsuyoshi, Hayashi, Kentaro, Suyama, Kazuhiko, Nagata, Izumi
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Cerebral Angiography - methods
Cerebral Revascularization - methods
Cerebrovascular Circulation
Child
Child, Preschool
Clinical Article - Vascular
Coloring Agents
Female
Hemodynamics
Humans
Indocyanine Green
Interventional Radiology
Intracranial Arteriosclerosis - surgery
Intraoperative Complications - diagnosis
Male
Medicine
Medicine & Public Health
Middle Aged
Middle Cerebral Artery - surgery
Minimally Invasive Surgery
Moyamoya Disease - surgery
Neurology
Neuroradiology
Neurosurgery
Prospective Studies
Surgical Orthopedics
Temporal Arteries - surgery
Video Recording - methods
Young Adult
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Summary:Background Postoperative cerebral hyperperfusion (HP) is a notable complication that occurs more frequently in moyamoya disease (MMD) than in atherosclerosis. This study aimed to clarify the characteristics of intraoperative indocyanine green (ICG) videoangiography in MMD and atherosclerotic disease in terms of postoperative HP. Methods This prospective study included 47 patients with 60 sides that underwent superior temporal artery (STA)-middle cerebral artery (MCA) single bypass. ICG videoangiography was performed after revascularization. The ICG time intensity curve was recorded in the STA, proximal MCA, distal MCA, and superficial Sylvian vein, and the angiographic differences among adult MMD, pediatric MMD, and atherosclerosis were analyzed. Results Twenty-two patients (27 sides) had adult MMD, 14 patients (22 sides) had pediatric MMD, and 11 patients (11 sides) had atherosclerosis. Postoperative HP was significantly higher in adult MMD (40.7 %) than in pediatric MMD (18.2 %) and atherosclerosis (0 %). Adult MMD with HP was associated with a longer ICG peak time ( P  
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-014-2054-4