Department of Neurosurgery, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, 215006, Jiangsu, China.
School of Biology and Basic Medical Science, Soochow University, Suzhou, 215006, China.
BMC Surg. 2022 Apr 2;22(1):126. doi: 10.1186/s12893-022-01573-4.
In regard to central nervous system tumour resection, preserving vital venous structures to avoid devastating consequences such as brain oedema and haemorrhage is important. However, in clinical practice, it is difficult to obtain clear and vivid intraoperative venous visualization and blood flow analyses.
We retrospectively reviewed patients who underwent brain tumour resection with the application of indocyanine green videoangiography (ICG-VA) integrated with FLOW 800 from February 2019 to December 2020 and present our clinical cases to demonstrate the process of venous preservation. Galen, sylvian and superior cerebral veins were included in these cases.
Clear documentation of the veins from different venous groups was obtained via ICG-VA integrated with FLOW 800, which semiquantitatively analysed the flow dynamics. ICG-VA integrated with FLOW 800 enabled us to achieve brain tumour resection without venous injury or obstruction of venous flux.
ICG-VA integrated with FLOW 800 is an available method for venous preservation, although further comparisons between ICG-VA integrated with FLOW 800 and other techniques of intraoperative blood flow monitoring is needed.
在中枢神经系统肿瘤切除术中，保护重要的静脉结构以避免脑水肿和出血等灾难性后果非常重要。然而，在临床实践中，很难获得清晰、生动的术中静脉可视化和血流分析。
我们回顾性分析了 2019 年 2 月至 2020 年 12 月期间应用吲哚菁绿视频血管造影（ICG-VA）联合 FLOW 800 行脑肿瘤切除术的患者，并展示了我们的临床病例，以演示静脉保护的过程。这些病例包括 Galen 静脉、大脑外侧裂静脉和大脑上静脉。
通过 ICG-VA 联合 FLOW 800 获得了来自不同静脉群的静脉的清晰记录，并对血流动力学进行了半定量分析。ICG-VA 联合 FLOW 800 使我们能够在不损伤静脉或阻碍静脉血流的情况下进行脑肿瘤切除术。
ICG-VA 联合 FLOW 800 是一种可行的静脉保护方法，但需要进一步比较 ICG-VA 联合 FLOW 800 与其他术中血流监测技术。
