Using SPY Mode Endoscopy for Brain Aneurysms and AVMs
Author Information
Author(s): Aiudi Denis, Iacoangeli Alessio, Mattioli Andrea, Raggi Alessio, Dobran Mauro, Polonara Gabriele, Gigli Riccardo, Iacoangeli Maurizio, Gladi Maurizio, Papalois Apostolos E., Konstadoulakis Manousos M.
Primary Institution: Marche Polytechnic University
Hypothesis
Can the SPY mode of the Stryker endoscope effectively visualize cerebral vasculature during surgery for aneurysms and AVMs?
Conclusion
The use of indocyanine green in SPY mode endoscopy was found to be a safe and effective technique for visualizing cerebral vasculature during surgery.
Supporting Evidence
- All aneurysms were completely excluded from the cerebrovascular circulation.
- The complete removal of the nidus in all AVMs was achieved with no residues.
- No adverse reactions were observed following ICG infusion.
Takeaway
Doctors used a special camera to see blood vessels in the brain during surgery, which helped them do their job better and safer.
Methodology
A retrospective analysis of five patients who underwent surgery for cerebral aneurysms or AVMs using SPY mode endoscopy to visualize indocyanine green fluorescence.
Limitations
The study is limited by its small sample size and the retrospective nature of the analysis.
Participant Demographics
Five patients, including three with regular aneurysms and two with superficially located AVMs, aged between 31 and 73 years.
Digital Object Identifier (DOI)
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