Clipping of an anterior spinal artery aneurysm using an endoscopic fluorescence imaging system for craniocervical junction epidural arteriovenous fistula: Technical note

Ahmed Mansour, Toshiki Endo, Tomoo Inoue, Kenichi Sato, Hidenori Endo, Miki Fujimura, Teiji Tominaga

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The authors report the case of a 78-year-old man with a craniocervical junction epidural arteriovenous fistula who presented with subarachnoid hemorrhage from a ruptured anterior spinal artery (ASA) aneurysm. Because endovascular embolization was difficult, a posterolateral approach was chosen and a novel endoscopic fluorescence imaging system was utilized to clip the aneurysm. The fluorescence imaging system provided clear and magnified views of the ventral spinal cord simultaneously with the endoscope-integrated indocyanine green videoangiography, which helped safely obliterate the ASA aneurysm. With the aid of this novel imaging system, surgeons can appreciate and manipulate complex vascular pathologies of the ventral spinal cord through a posterolateral approach, even when the lesion is closely related to the ASA.

Original languageEnglish
Pages (from-to)279-284
Number of pages6
JournalJournal of Neurosurgery: Spine
Volume31
Issue number2
DOIs
Publication statusPublished - 2019

Keywords

  • Anterior spinal artery
  • Craniocervical junction
  • Epidural arteriovenous fistula
  • Indocyanine green endoscopy
  • Subarachnoid hemorrhage
  • Surgical technique
  • Vascular disorders

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology

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