光素视频血管学在动脉瘤手术中的应用
Marcos Dellaretti1, André Guimarães Soares2, Alan Douglas de Oliveira Lima1
1Department of Neurosurgery, Santa Casa BH Hospital, Belo Horizonte, MG, Brazil; Santa Casa BH College, Belo Horizonte, MG, Brazil.
概括
光素视频血管学 (FL-VA) 为动脉瘤手术提供了ICG-VA的经济有效的替代方案. 这项研究表明,FL-VA影响了20%的动脉瘤剪切,改善了手术结果和安全性.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 医疗成像医学成像
背景情况:
- 自2003年以来,印ocyanine绿色视频血管学 (ICG-VA) 是血管神经外科的标准.
- 在预防术后并发症方面,ICG-VA已被证明是有效的.
- 对于用于血管神经外科手术的低成本光素基工具的研究是有限的.
研究的目的:
- 评估手术内光素视频血管学 (FL-VA) 在动脉瘤手术中的影响.
- 评估FL-VA作为ICG-VA的潜在替代品的有效性和安全性.
- 为了确定化的最佳剂量用于手术内血管学.
主要方法:
- 一项前性研究,涉及57名接受内动脉瘤手术的患者 (2021年12月-2022年9月).
- 在动脉瘤剪切后给0.5mg/kg的化.
- 使用显微镜集成的FL-VA进行内区域的内科手术评估,收集有关动脉瘤特征和手术调整的数据.
主要成果:
- 针对57名患者的64个动脉瘤进行了80项FL-VA研究.
- 在13例动脉瘤 (20%的病例) 中,FL-VA导致了剪贴调整,解决了残留动脉瘤,部残留物或相邻血管狭窄.
- 在所有情况下,都实现了穿孔血管流量的详细可视化.
结论:
- 术内FL-VA显著提高了动脉瘤手术的有效性和安全性.
- 光素0.5mg/kg的剂量足以评估动脉瘤封闭和相邻血管流动.
- 在血管神经外科手术中,FL-VA提供了一种有价值,具有成本效益的工具.
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