• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
Icg and parasagittal lesions akil
 

Icg and parasagittal lesions akil

on

  • 1,056 views

 

Statistics

Views

Total Views
1,056
Views on SlideShare
564
Embed Views
492

Actions

Likes
0
Downloads
0
Comments
0

2 Embeds 492

http://libguides.mq.edu.au 491
https://www.google.com 1

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    Icg and parasagittal lesions akil Icg and parasagittal lesions akil Presentation Transcript

    • “The use of Indocyanine Greenvideoangiography to optimize the dural opening for intracranial parasagittal lesions” Nussbaum et al Operative Neurosurgery March 2012
    • Reasons to choose the article• Parasagittal Meningioma coming soon• The issue was raised in previous meeting• the availability of the material
    • National Brain Aneurysm CentreSt joseph’s Hospital, St Paul, MN
    • • Technical note• A series of 3 cases• Optimization of dural opening in parasagittal lesions• Delineation of the cortical draining veins before dural opening
    • • To avoid cortical venous injury
    • Method• exposure of the dura• IV injection of 0.25mg/kg of IGC• Microscope with light source with a wave length ICG absorption• Visualization of the venous structure in real time• Marking of the visualized cortical veins• Strategic planning of the dura
    • Case 1• 73 year old female• confusion/leg weakness• large parasagittal mass• Method as previously described
    • • Video
    • Post Operative MRI
    • • First description of the use of ICG videoangiography to protect cortical draining veins• Injury to draining veins can be disastrous• Simple technique that can potentially prevent severe venous infarction
    • Conclusion• Safe• Fast• Inexpensive• Accurate• “can be utilised to assess the risk of sacrificing particular vein”