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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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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
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cited_by cdi_FETCH-LOGICAL-c471t-a33ea395dcc44a5276ba3e9541848611b0a552c3f360564aa80f0697ba66a4e3
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container_title Acta neurochirurgica
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creator Horie, Nobutaka
Fukuda, Yuhtaka
Izumo, Tsuyoshi
Hayashi, Kentaro
Suyama, Kazuhiko
Nagata, Izumi
description 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  
doi_str_mv 10.1007/s00701-014-2054-4
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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  &lt; 0.001). There was no correlation between the ICG peak time and preoperative cerebral blood flow or vascular reserve. The ratio of the vessel caliber was also higher in adult MMD with HP ( P  &lt; 0.001). Conclusions ICG videoangiography provides different characteristics of bypass flow among adult MMD, pediatric MMD, and atherosclerosis. Poor run-off and stagnation of blood flow from the STA might contribute to postoperative HP in MMD. The occurrence of postoperative HP in MMD could depend on two factors: donor STA size and poor run-off and integrity of the blood brain barrier in the recipient MCA.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-014-2054-4</identifier><identifier>PMID: 24627037</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>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 &amp; 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</subject><ispartof>Acta neurochirurgica, 2014-05, Vol.156 (5), p.919-926</ispartof><rights>Springer-Verlag Wien 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-a33ea395dcc44a5276ba3e9541848611b0a552c3f360564aa80f0697ba66a4e3</citedby><cites>FETCH-LOGICAL-c471t-a33ea395dcc44a5276ba3e9541848611b0a552c3f360564aa80f0697ba66a4e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24627037$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Horie, Nobutaka</creatorcontrib><creatorcontrib>Fukuda, Yuhtaka</creatorcontrib><creatorcontrib>Izumo, Tsuyoshi</creatorcontrib><creatorcontrib>Hayashi, Kentaro</creatorcontrib><creatorcontrib>Suyama, Kazuhiko</creatorcontrib><creatorcontrib>Nagata, Izumi</creatorcontrib><title>Indocyanine green videoangiography for assessment of postoperative hyperperfusion in moyamoya disease</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir</addtitle><addtitle>Acta Neurochir (Wien)</addtitle><description>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  &lt; 0.001). There was no correlation between the ICG peak time and preoperative cerebral blood flow or vascular reserve. The ratio of the vessel caliber was also higher in adult MMD with HP ( P  &lt; 0.001). Conclusions ICG videoangiography provides different characteristics of bypass flow among adult MMD, pediatric MMD, and atherosclerosis. Poor run-off and stagnation of blood flow from the STA might contribute to postoperative HP in MMD. 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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  &lt; 0.001). There was no correlation between the ICG peak time and preoperative cerebral blood flow or vascular reserve. The ratio of the vessel caliber was also higher in adult MMD with HP ( P  &lt; 0.001). Conclusions ICG videoangiography provides different characteristics of bypass flow among adult MMD, pediatric MMD, and atherosclerosis. Poor run-off and stagnation of blood flow from the STA might contribute to postoperative HP in MMD. The occurrence of postoperative HP in MMD could depend on two factors: donor STA size and poor run-off and integrity of the blood brain barrier in the recipient MCA.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>24627037</pmid><doi>10.1007/s00701-014-2054-4</doi><tpages>8</tpages></addata></record>
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source Springer Nature
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
title Indocyanine green videoangiography for assessment of postoperative hyperperfusion in moyamoya disease
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