Use of indocyanine green angiography during endoscopic microvascular decompression for trigeminal neuralgia
Background: The aim of this study was to assess the efficacy of indocyanine green (ICG) angiography during full endoscopic microvascular decompression for trigeminal neuralgia. Methods: We extracted retrospective data of patients who received ICG videoangiography during full endoscopic microvascular...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Interdisciplinary Neurosurgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751923001834 |
| _version_ | 1827316585162866688 |
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| author | Kantenga Dieu Merci Kabulo Fuminari Komatsu Afsal Sharafundeen Shahidur Rahman Sikder Kandolo Simon IIunga Kazadi kaluile ntenga Kalangu Yoko Kato |
| author_facet | Kantenga Dieu Merci Kabulo Fuminari Komatsu Afsal Sharafundeen Shahidur Rahman Sikder Kandolo Simon IIunga Kazadi kaluile ntenga Kalangu Yoko Kato |
| author_sort | Kantenga Dieu Merci Kabulo |
| collection | DOAJ |
| description | Background: The aim of this study was to assess the efficacy of indocyanine green (ICG) angiography during full endoscopic microvascular decompression for trigeminal neuralgia. Methods: We extracted retrospective data of patients who received ICG videoangiography during full endoscopic microvascular decompression for trigeminal neuralgia. Preoperative neurovascular contact was evaluated by three-dimensional (3D) fusion images using image analysis software Ziostation2 (ZIOSOFT, Tokyo, Japan) and Intraoperative ICG angiography was used in pre and post ICG injection to identify and assess blood flow in the offending vessel for adequate transposition planification and assess for immediate post transposition blood flow or vasospasm respectively. Patients were assessed the next morning for early signs of brainstem infarction and at one month follow up. Results: There were 44 patients. All patients had ICG videoangiography done during the procedure. The mean age was 65.5 and male female ratio 3.4:1. Some anatomical variants were identified during this procedure. Five patients (11.3%) had a trigeminocerebellar artery, three patients (6.8%) had a developed superior petrosal vein and one patient (2.2%) had dural adhesions with encasement of anterior inferior cerebellar artery. Among the 44 patients enrolled, 34 had transposition done and 10 had combined transposition either with neurolysis or Teflon interposition. The main offending vessel was Superior cerebellar artery (SCA) in 23 patients (67.6%). In 5 (14.7%) of 34 patients who underwent Transposition, vasospasm was seen and no complications were observed in all patients but 93.1% had good pain control in postoperative. Conclusion: ICG angiography in endoscopic microvascular decompression is safe and effective in depicting the offending vessel, its branches and some perforators and contributes significantly to the determination of treatment strategy. |
| first_indexed | 2024-03-09T14:14:29Z |
| format | Article |
| id | doaj.art-208edc5274404327be76366327d127b0 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-24T23:17:00Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-208edc5274404327be76366327d127b02024-03-17T07:54:08ZengElsevierInterdisciplinary Neurosurgery2214-75192024-06-0136101900Use of indocyanine green angiography during endoscopic microvascular decompression for trigeminal neuralgiaKantenga Dieu Merci Kabulo0Fuminari Komatsu1Afsal Sharafundeen2Shahidur Rahman Sikder3Kandolo Simon IIunga4Kazadi kaluile ntenga Kalangu5Yoko Kato6Department of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, Japan; Corresponding author.Department of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, JapanDepartment of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, JapanDepartment of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, JapanDepartment of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, JapanDepartment of Neurosurgery, University of Zimbabwe, Harare, ZimbabweDepartment of Neurosurgery, Fujita Health University, Bantane Hospital, Nagoya, JapanBackground: The aim of this study was to assess the efficacy of indocyanine green (ICG) angiography during full endoscopic microvascular decompression for trigeminal neuralgia. Methods: We extracted retrospective data of patients who received ICG videoangiography during full endoscopic microvascular decompression for trigeminal neuralgia. Preoperative neurovascular contact was evaluated by three-dimensional (3D) fusion images using image analysis software Ziostation2 (ZIOSOFT, Tokyo, Japan) and Intraoperative ICG angiography was used in pre and post ICG injection to identify and assess blood flow in the offending vessel for adequate transposition planification and assess for immediate post transposition blood flow or vasospasm respectively. Patients were assessed the next morning for early signs of brainstem infarction and at one month follow up. Results: There were 44 patients. All patients had ICG videoangiography done during the procedure. The mean age was 65.5 and male female ratio 3.4:1. Some anatomical variants were identified during this procedure. Five patients (11.3%) had a trigeminocerebellar artery, three patients (6.8%) had a developed superior petrosal vein and one patient (2.2%) had dural adhesions with encasement of anterior inferior cerebellar artery. Among the 44 patients enrolled, 34 had transposition done and 10 had combined transposition either with neurolysis or Teflon interposition. The main offending vessel was Superior cerebellar artery (SCA) in 23 patients (67.6%). In 5 (14.7%) of 34 patients who underwent Transposition, vasospasm was seen and no complications were observed in all patients but 93.1% had good pain control in postoperative. Conclusion: ICG angiography in endoscopic microvascular decompression is safe and effective in depicting the offending vessel, its branches and some perforators and contributes significantly to the determination of treatment strategy.http://www.sciencedirect.com/science/article/pii/S2214751923001834Trigeminal neuralgiaIndocyanine greenTranspositionVasospasmBantane hospital |
| spellingShingle | Kantenga Dieu Merci Kabulo Fuminari Komatsu Afsal Sharafundeen Shahidur Rahman Sikder Kandolo Simon IIunga Kazadi kaluile ntenga Kalangu Yoko Kato Use of indocyanine green angiography during endoscopic microvascular decompression for trigeminal neuralgia Interdisciplinary Neurosurgery Trigeminal neuralgia Indocyanine green Transposition Vasospasm Bantane hospital |
| title | Use of indocyanine green angiography during endoscopic microvascular decompression for trigeminal neuralgia |
| title_full | Use of indocyanine green angiography during endoscopic microvascular decompression for trigeminal neuralgia |
| title_fullStr | Use of indocyanine green angiography during endoscopic microvascular decompression for trigeminal neuralgia |
| title_full_unstemmed | Use of indocyanine green angiography during endoscopic microvascular decompression for trigeminal neuralgia |
| title_short | Use of indocyanine green angiography during endoscopic microvascular decompression for trigeminal neuralgia |
| title_sort | use of indocyanine green angiography during endoscopic microvascular decompression for trigeminal neuralgia |
| topic | Trigeminal neuralgia Indocyanine green Transposition Vasospasm Bantane hospital |
| url | http://www.sciencedirect.com/science/article/pii/S2214751923001834 |
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