|
|
第57卷 第2期 2024-3
Necrotizing fasciitis resulted from foreign body ingestion and intestinal perforation in an incisional hernia: Report of a case |
| ......................... |
|
第57卷 第2期 2024-3
Application of artificial intelligence in endodontic microsurgery |
| ......................... |
|
第57卷 第2期 2024-3
A rare case of cerebral metastasis of malignant peripheral nerve sheath tumor in a patient with neurofibromatosis type 1 |
| ......................... |
|
第57卷 第2期 2024-3
Ethic in commenting and clinical surgery journal publication: Emerging issue in the era of social media—A story from “Beall” to “Jaime” and independent researcher |
| ......................... |
|
第57卷 第2期 2024-3
Ophidascaris robertsi, the new emerging human parasite and neurosurgery |
| ......................... |
|
第57卷 第2期 2024-3
Tetanus toxoid IgG, usefulness in clinical surgery, and diagnostic property limitation |
| ......................... |
|
第57卷 第2期 2024-3
Deaths among surgeons while on duty: An important issue in surgery and occupational medicine that should not be disregarded |
| ......................... |
|
第57卷 第2期 2024-3
ChatGPT and its use in clinical surgery: A comment on its pro and con |
| ......................... |
|
第57卷 第2期 2024-3
Isolated spinal neurocysticercosis and pseudotumor cerebri: Tropical problem to be noted |
| ......................... |
|
第57卷 第2期 2024-3
Management of massive hemothorax resulting from traumatic diaphragm rupture with kidney avulsion injury by combined anterior thoracoabdominal approaches |
| ......................... |
|
第57卷 第2期 2024-3
Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation: A case report and literature review |
| ......................... |
|
第57卷 第2期 2024-3
Using three-dimensional versus two-dimensional laparoscopy in sleeve gastrectomy: A case matched comparison |
| ......................... |
|
第57卷 第2期 2024-3
Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer: 1-year results |
| ......................... |
|
第57卷 第2期 2024-3
Nylon cable ties–assisted delay primary closure of fasciotomy wound in patients of forearm compartment syndrome |
| ......................... |
|
第57卷 第2期 2024-3
Prefabricated venous fl ap, an advanced free venous fl ap for distant transfer: An experimental rat study |
| ......................... |
|
第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage |
| ......................... |
|
第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer |
| ......................... |
|
第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery |
| ......................... |
|
第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem |
| ......................... |
|
第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern |
| ......................... |
|
 |
| 篇名 |
Intraoperative blood flow monitor for aneurysm clipping: A comparison between Flowmetry and Indocyanine Green videoangiography |
| 作者 |
Li Chun David Chen, Shiu‑Jau Chen |
| 卷期/出版年月 |
55卷6期 (2022/11) |
| 頁次 |
207-214 |
| 摘要 |
Background: Both indocyanine green videoangiography (ICG‑VA) and flowmetry were considered beneficial
in preventing parent artery compromise during aneurysm surgery. However, the appropriate strategy that
should be used remains controversial. The objective of the study is to assess the outcomes of aneurysm
clipping through flowmetry or ICG‑VA monitoring.
Materials and Methods: This retrospective cohort study included 75 patients who underwent aneurysm
clipping with vascular patency monitoring. In total, 42 patients underwent flowmetry monitoring and 33
ICG‑VA monitoring. Preoperative disease severity and functional outcomes were assessed using the World
Federation of Neurosurgical Societies (WFNS) grading system and the modified Rankin scale, respectively.
Results: As compared with ICG‑VA, flowmetry group had nonsignificant higher incidence of clip
modification (31.7% vs. 18.2%, P = 0.29) and residual neck (22% vs. 10%, P = 0.218). Besides Fisher grade,
flowmetry monitoring (Crude odds ratio [OR] = 0124, P = 0.015), young age, and anterior communicating
artery location were the independent risk factors for vasospasm based on multivariate analysis. The incidence
of parent artery compromise did not differ between both groups. Old age, poor preoperative WFNS grade,
low Glasgow coma scale (GCS) score, left‑side location, and long hospital stay were associated with poor
functional outcomes in the univariate analysis. However, only the GCS score was considered a prognostic
factor in the multivariate analysis (Adjusted OR = 0.03, P = 0.034).
Conclusion: Both monitoring methods have similar functional outcomes. Although not influencing outcome,
the flowmetry group has a higher incidence of angiographic vasospasm than the ICG‑VA group. The vessel
preparation for flowmetry monitoring is more complicated than that for ICG‑VA; thus, we recommend
ICG‑VA for routine monitoring. Flowmetry may be applicable in distal aneurysms when hemodynamic
insufficiency in a parent artery is suspected. |
| 關鍵詞 |
Cerebral aneurysm, angiography, clipping, flowmetry, indocyanine green videoangiography, residual aneurysm, subarachnoid hemorrhage, vasospasm, World Federation of Neurosurgical Societies grade, fluorescence image |
| 分類 |
Original Articles |
|
