2018 AANS Annual Scientific Meeting-Interest and Limitations of the Near-infrared ICG Videoangiography in Aneurysm Clipping

Interest and Limitations of the Near-infrared ICG Videoangiography in Aneurysm Clipping

Video Transcription

Video Summary

In this video, Dr. Michael Bruno discusses the use of near-infrared indocyanine green (ICG) video angiography in aneurysm surgery. He explains that the goals of aneurysm surgery are to completely eliminate the aneurysm and preserve the surrounding blood vessels. However, traditional methods like visual observation and post-operative imaging can still result in incomplete clipping and unintentional vessel compromise. Dr. Bruno presents a meta-analysis of studies on ICG video angiography, comparing its accuracy to visual observation and digital subtraction angiography (DSA). The analysis showed that ICG video angiography detected misclipping in 6.1% of cases, with aneurysm remnants being the primary cause. Additionally, ICG video angiography had a detection rate comparable to DSA, demonstrating its clinical usefulness. Dr. Bruno concludes that ICG video angiography is a safe and cost-effective technique that should be considered complementary to rather than a replacement for DSA. The video ends with an invitation to a future congress and a question-and-answer session. No credits were mentioned.

Asset Caption

Michael Bruneau, MD (Belgium)

Keywords

near-infrared indocyanine green video angiography

aneurysm surgery

clipping

ICG video angiography

misclipping