Intraoperative dynamic assessment of the posterior communicating artery and its branches by indocyanine green videoangiography.

ABSTRACT:

Background

True hemodynamic assessment of the posterior communicating artery (PComA) by preoperative angiography in terms of its perforators and configuration (adult vs. fetal vs. transitional) can be challenging in the surgical treatment of aneurysms involving the PComA, posterior cerebral artery, and basilar artery. Indocyanine green videoangiography (ICG-VA) is a widely accepted new technique in the surgical treatment of intracranial aneurysms to assess the patency of the parent artery, branches, and residual flow within the aneurysm after clipping.

Case description

Here we report two cases in which ICG-VA was utilized to assess either the direction of flow in the PComA or preservation of the PComA perforators with temporary clip application before dividing the PComA.

SUBMITTER: Gurer B 

PROVIDER: S-EPMC3815034 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature