Intraoperative real-time identification of abnormal vessels within the bright field by superselective arterial injection of saline and its slow-motion recording using a high frame rate digital camera during surgical treatment of spinal arteriovenous shunts: technical note

J Neurosurg Spine. 2018 Nov 1;29(5):576-581. doi: 10.3171/2018.3.SPINE1854. Epub 2018 Aug 10.

Abstract

The authors describe a novel method of observing blood flow in abnormal vessels with slow-motion video during surgical treatment of spinal arteriovenous shunts. The method is based on the use of superselective angiography with saline for visualizing abnormal vessels in bright field and commercially available high frame rate digital camera for recording slow-motion video.

Keywords: ASA = anterior spinal artery; AVF = arteriovenous fistula; AVM = arteriovenous malformation; AVS = arteriovenous shunt; DSA = digital subtraction angiography; HFR = high frame rate; ICG = indocyanine green; NIR = near infrared; OPLL = ossification of the posterior longitudinal ligament; SAI = superselective arterial injection; SAI-ICG = SAI of ICG; SAIS = SAI of saline; dAVF = dural AVF; fps = frames per second; high frame rate; intraoperative angiography; slow-motion video; spinal arteriovenous shunt; surgical technique; vascular disorders.

MeSH terms

  • Angiography, Digital Subtraction* / methods
  • Central Nervous System Vascular Malformations / surgery*
  • Coloring Agents
  • Female
  • Fluorescein Angiography / methods
  • Humans
  • Indocyanine Green
  • Male
  • Middle Aged
  • Monitoring, Intraoperative* / methods
  • Spine / surgery*
  • Time Factors

Substances

  • Coloring Agents
  • Indocyanine Green