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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 |
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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 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1520390938</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1517398963</sourcerecordid><originalsourceid>FETCH-LOGICAL-c471t-a33ea395dcc44a5276ba3e9541848611b0a552c3f360564aa80f0697ba66a4e3</originalsourceid><addsrcrecordid>eNqNkU2LFDEQhoMo7of-AC8S8OKlNV-ddI6yrO7Cgpe9h5ru6tks00mb6l7of2-GWUUEQUhVKtRTbyhext5J8UkK4T5TTUI2QppGidY05gU7F96opibxstaidq2y3Rm7IHqsL-WMfs3OlLHKCe3OGd6mIfcbpJiQ7wti4k9xwAxpH_O-wPyw8TEXDkRINGFaeB75nGnJMxZY4hPyh62W9YwrxZx4THzKGxyDD5EQCN-wVyMcCN8-35fs_uv1_dVNc_f92-3Vl7umN04uDWiNoH079L0x0Cpnd6DRt0Z2prNS7gS0rer1qK1orQHoxCisdzuwFgzqS_bxJDuX_GNFWsIUqcfDARLmlYJsldBeeN39Byqd9p23uqIf_kIf81pS3eNIWe208q5S8kT1JRMVHMNc4gRlC1KEo1vh5FaoboWjW8HUmffPyutuwuH3xC97KqBOANVW2mP54-t_qv4EH0Wf6A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1516373297</pqid></control><display><type>article</type><title>Indocyanine green videoangiography for assessment of postoperative hyperperfusion in moyamoya disease</title><source>Springer Nature</source><creator>Horie, Nobutaka ; Fukuda, Yuhtaka ; Izumo, Tsuyoshi ; Hayashi, Kentaro ; Suyama, Kazuhiko ; Nagata, Izumi</creator><creatorcontrib>Horie, Nobutaka ; Fukuda, Yuhtaka ; Izumo, Tsuyoshi ; Hayashi, Kentaro ; Suyama, Kazuhiko ; Nagata, Izumi</creatorcontrib><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
< 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
< 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 & 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
< 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
< 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><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cerebral Angiography - methods</subject><subject>Cerebral Revascularization - methods</subject><subject>Cerebrovascular Circulation</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical Article - Vascular</subject><subject>Coloring Agents</subject><subject>Female</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Indocyanine Green</subject><subject>Interventional Radiology</subject><subject>Intracranial Arteriosclerosis - surgery</subject><subject>Intraoperative Complications - diagnosis</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Middle Cerebral Artery - surgery</subject><subject>Minimally Invasive Surgery</subject><subject>Moyamoya Disease - surgery</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosurgery</subject><subject>Prospective Studies</subject><subject>Surgical Orthopedics</subject><subject>Temporal Arteries - surgery</subject><subject>Video Recording - methods</subject><subject>Young Adult</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqNkU2LFDEQhoMo7of-AC8S8OKlNV-ddI6yrO7Cgpe9h5ru6tks00mb6l7of2-GWUUEQUhVKtRTbyhext5J8UkK4T5TTUI2QppGidY05gU7F96opibxstaidq2y3Rm7IHqsL-WMfs3OlLHKCe3OGd6mIfcbpJiQ7wti4k9xwAxpH_O-wPyw8TEXDkRINGFaeB75nGnJMxZY4hPyh62W9YwrxZx4THzKGxyDD5EQCN-wVyMcCN8-35fs_uv1_dVNc_f92-3Vl7umN04uDWiNoH079L0x0Cpnd6DRt0Z2prNS7gS0rer1qK1orQHoxCisdzuwFgzqS_bxJDuX_GNFWsIUqcfDARLmlYJsldBeeN39Byqd9p23uqIf_kIf81pS3eNIWe208q5S8kT1JRMVHMNc4gRlC1KEo1vh5FaoboWjW8HUmffPyutuwuH3xC97KqBOANVW2mP54-t_qv4EH0Wf6A</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Horie, Nobutaka</creator><creator>Fukuda, Yuhtaka</creator><creator>Izumo, Tsuyoshi</creator><creator>Hayashi, Kentaro</creator><creator>Suyama, Kazuhiko</creator><creator>Nagata, Izumi</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Indocyanine green videoangiography for assessment of postoperative hyperperfusion in moyamoya disease</title><author>Horie, Nobutaka ; Fukuda, Yuhtaka ; Izumo, Tsuyoshi ; Hayashi, Kentaro ; Suyama, Kazuhiko ; Nagata, Izumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-a33ea395dcc44a5276ba3e9541848611b0a552c3f360564aa80f0697ba66a4e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cerebral Angiography - methods</topic><topic>Cerebral Revascularization - methods</topic><topic>Cerebrovascular Circulation</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical Article - Vascular</topic><topic>Coloring Agents</topic><topic>Female</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Indocyanine Green</topic><topic>Interventional Radiology</topic><topic>Intracranial Arteriosclerosis - surgery</topic><topic>Intraoperative Complications - diagnosis</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Middle Cerebral Artery - surgery</topic><topic>Minimally Invasive Surgery</topic><topic>Moyamoya Disease - surgery</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosurgery</topic><topic>Prospective Studies</topic><topic>Surgical Orthopedics</topic><topic>Temporal Arteries - surgery</topic><topic>Video Recording - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Horie, Nobutaka</creatorcontrib><creatorcontrib>Fukuda, Yuhtaka</creatorcontrib><creatorcontrib>Izumo, Tsuyoshi</creatorcontrib><creatorcontrib>Hayashi, Kentaro</creatorcontrib><creatorcontrib>Suyama, Kazuhiko</creatorcontrib><creatorcontrib>Nagata, Izumi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Horie, Nobutaka</au><au>Fukuda, Yuhtaka</au><au>Izumo, Tsuyoshi</au><au>Hayashi, Kentaro</au><au>Suyama, Kazuhiko</au><au>Nagata, Izumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Indocyanine green videoangiography for assessment of postoperative hyperperfusion in moyamoya disease</atitle><jtitle>Acta neurochirurgica</jtitle><stitle>Acta Neurochir</stitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>156</volume><issue>5</issue><spage>919</spage><epage>926</epage><pages>919-926</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>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
< 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
< 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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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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