The value of intraoperative indocyanine green angiography in microvascular decompression for hemifacial spasm to avoid brainstem ischemia.

ABSTRACT:

Purpose

Despite being rarely reported, ischemic insults resulting from compromising small brainstem perforators following microvascular decompression (MVD) remain a potential devastating complication. To avoid this complication, we have been using indocyanine green (ICG) angiography intraoperatively to check the flow within the small brainstem perforators. We aim to evaluate the safety and usefulness of ICG videoangiography in MVD.

Methods

We extracted retrospective data of patients who received ICG videoangiography from our prospectively maintained database for microvascular decompression. We noted relevant data including demographics, offending vessels, operative technique, outcome, and complications.

Results

Out of the 438 patients, 15 patients with a mean age (SD)

SUBMITTER: Al Menabbawy A 

PROVIDER: S-EPMC10006022 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature