TY - JOUR
T1 - Clipping of an anterior spinal artery aneurysm using an endoscopic fluorescence imaging system for craniocervical junction epidural arteriovenous fistula
T2 - Technical note
AU - Mansour, Ahmed
AU - Endo, Toshiki
AU - Inoue, Tomoo
AU - Sato, Kenichi
AU - Endo, Hidenori
AU - Fujimura, Miki
AU - Tominaga, Teiji
N1 - Publisher Copyright:
©AANS 2019, except where prohibited by US copyright law
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
KW - Anterior spinal artery
KW - Craniocervical junction
KW - Epidural arteriovenous fistula
KW - Indocyanine green endoscopy
KW - Subarachnoid hemorrhage
KW - Surgical technique
KW - Vascular disorders
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U2 - 10.3171/2019.1.SPINE18983
DO - 10.3171/2019.1.SPINE18983
M3 - Article
C2 - 31026820
AN - SCOPUS:85073653064
VL - 31
SP - 279
EP - 284
JO - Journal of Neurosurgery: Spine
JF - Journal of Neurosurgery: Spine
SN - 1547-5654
IS - 2
ER -