|Management of spinal arteriovenous fistulae with intraarterial indocyanine green angiography: a case report and review of the literature|
|Sukru Caglar1, Mevci Ozdemir2, Gokmen Kahilogullari1, Melih Bozkurt1, Ayhan Attar1|
|1Ankara University Faculty of Medicine, Department of Neurosurgery, Ankara,
2Pamukkale University Faculty of Medicine, Department of Neurosurgery, Denizli,
We describe herein intraoperative effectiveness of indocyanine green video angiography to confirm the dural arteriovenous fistulae. A 62-year-old man presenting with a residual symptomatic dural arteriovenous fistulae that was previously embolized at another institution. On neurological examination, motor strength in his both lower extremity was documented as grade 4 and patella reflex was slightly increased. After verifying the presence of abnormal early venous drainage and retrograde flow, the fistulae repaired. Postoperatively there were not additional neurologic deficit. Intraoperative ICG video angiography provides noninvasive and real-time information, reduce of spinal cord ischemic damage, rapid identification of feeding artery and confirmed of its complete disconnection during surgery, reduce operative time, there is no radiation hazard and improve outcome.
|Full text PDF|