Erschienen in:
01.10.2009 | Tell Me Something I Need To Know
Intraoperative Angiography during Cerebral Aneurysm Surgery
verfasst von:
Ravi Kumar, Jonathan A. Friedman
Erschienen in:
Neurocritical Care
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Ausgabe 2/2009
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Excerpt
Intraoperative angiography (IOA) has been considered since the 1960s for use during surgical repair of cerebral aneurysms. The potential of IOA to confirm complete aneurysm occlusion and patency of the parent vasculature intraoperatively are of significant clinical value. Over the past 5 to 7 years, use of intraoperative angiography has been increasing, and many centres now use the technique frequently. However, no consensus exists regarding the routine use of IOA in cerebral aneurysm surgery. Different institutional paradigms include the use of IOA rarely or never, selectively based on aneurysm complexity, or routinely in all aneurysm cases. This article describes the authors’ use of intraoperative angiography with particular emphasis on practical recommendations for implementing an institutional program of routine IOA as an adjunct to all surgeries for aneurysm repair. …