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[Navigation in vascular neurosurgery].

V A Lukyanchikov1,2, I V Senko1,3, E S Ryzhkova1,2

  • 1Sklifosovsky Research Institute for Emergency Care, Moscow, Russia.

Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko
|August 8, 2020
PubMed
Summary
This summary is machine-generated.

Frameless neuronavigation enhances surgical precision for complex vascular brain lesions like aneurysms and arteriovenous malformations. This review details visualization techniques aiding navigation in these challenging neurosurgical procedures.

Keywords:
Kimmerle’s anomalyarteriovenous malformationscavernomasdistal aneurysmsextra-intracranial bypassframeless neuronavigationintraoperative sonographyminimally invasive surgery

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Area of Science:

  • Neurosurgery
  • Medical Imaging
  • Vascular Surgery

Background:

  • Frameless neuronavigation is increasingly utilized in complex neurosurgical interventions.
  • Accurate visualization is critical for managing intricate vascular pathologies.
  • Existing literature highlights the need for comprehensive reviews on neuronavigation's role in vascular surgery.

Purpose of the Study:

  • To review the application of frameless neuronavigation in surgeries involving distal aneurysms, cavernomas, arteriovenous malformations, and Kimmerle's anomaly.
  • To describe preoperative and intraoperative visualization methods compatible with frameless neuronavigation for vascular lesions.
  • To assess the impact of advanced visualization on surgical outcomes in neurovascular procedures.

Main Methods:

  • Systematic literature review of studies on frameless neuronavigation in neurovascular surgery.
  • Analysis of preoperative imaging techniques (e.g., CTA, MRA) for surgical planning.
  • Evaluation of intraoperative visualization tools (e.g., ICG videoangiography, intraoperative MRI/CT) used with neuronavigation.

Main Results:

  • Frameless neuronavigation offers improved spatial orientation and accuracy in resecting deep-seated or complex vascular lesions.
  • Preoperative visualization methods enable precise surgical planning, defining lesion margins and critical vascular structures.
  • Intraoperative visualization complements navigation by confirming resection extent and identifying residual or new vascular abnormalities.

Conclusions:

  • Frameless neuronavigation is a valuable tool for enhancing precision in the surgical treatment of diverse neurovascular conditions.
  • Integration of advanced preoperative and intraoperative visualization techniques optimizes the benefits of frameless neuronavigation.
  • Further research should focus on quantifying the long-term benefits and cost-effectiveness of frameless neuronavigation in vascular neurosurgery.