Cerebral Aneurysms and Arteriovenous Malformation: Preliminary Experience with the Use of Near-Infrared Fluorescence Imaging Applied to Endoscopy
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Cohort and Surgical Equipment
2.2. Preparation Protocol
2.3. Use of the Endoscope with Fluorescence Visualization and IntraOperative Evaluation
3. Results
3.1. Patients Overview
- (1)
- A 57-year-old male patient with a middle cerebral artery aneurysm (M2 segment) with a diameter of 1.2 cm, neurologically intact. The patient underwent clipping of the aneurysm neck.
- (2)
- A 73-year-old female patient with temporal AVM originating from the left middle cerebral artery and discharge into the ipsilateral transverse sinus, with a 3 cm nidus. The AVM manifested itself with an episode of fluent aphasia. The patient underwent preoperative embolization and microsurgical removal of the nidus (see Figure 1).
- (3)
- A 46-year-old female patient with an aneurysm of the anterior communicating artery with a diameter of 1 cm, neurologically intact. The patient underwent clipping of the aneurysm neck.
- (4)
- A 44-year-old female patient with a right middle cerebral artery aneurysm (M1-M2 union) with a diameter of 1 cm, a history of headaches. The patient underwent clipping of the aneurysm neck (see Figure 2).
- (5)
- A 31-year-old male patient with frontal AVM originating from the right anterior cerebral artery and discharge into the sagittal sinus, with a 2.5 cm nidus. The patient presented with weakness in the left upper limb and underwent microsurgical removal of the nidus.
3.2. Illustrative Cases
3.2.1. Case Number 2
3.2.2. CASE Number 4
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Age | Sex | Clinical Data | CV Disease | Neurosurgical Procedure | Postoperative Outcome | |
---|---|---|---|---|---|---|
1 | 57 | M | Neurologically intact | Left middle cerebral artery aneurysm (M2 segment) with a diameter of 1.2 cm | Clipping of the aneurysm neck | Neurologically intact; total exclusion of the aneurysm. No bleeding events. |
2 | 73 | F | Episode of fluent aphasia | Left temporal AVM originating from the left middle cerebral artery and venous drainage into the ipsilateral transverse sinus (3 cm nidus) | Preoperative embolization and the microsurgical removal of the nidus | Complete removal of the nidus and transient fluent aphasia lasting three months; no bleeding events. |
3 | 46 | F | Neurologically intact | Anterior communicating artery aneurysm with a diameter of 1 cm | Clipping of the aneurysm neck | Neurologically intact, total exclusion of the aneurysm, and no bleeding events. |
4 | 44 | F | Headache | Right middle cerebral artery aneurysm (M1-M2 union) with a diameter of 1.1 cm | Clipping of the aneurysm neck | Neurologically intact, total exclusion of the aneurysm, and no bleeding events. |
5 | 31 | M | Weakness in the left upper limb | Right frontal AVM originating from the right anterior cerebral artery and venous drainage into the sagittal sinus (2.5 cm nidus) | Microsurgical removal of the nidus | Complete removal of the nidus and partial recovery of weakness. No bleeding events. |
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Aiudi, D.; Iacoangeli, A.; Mattioli, A.; Raggi, A.; Dobran, M.; Polonara, G.; Gigli, R.; Iacoangeli, M.; Gladi, M. Cerebral Aneurysms and Arteriovenous Malformation: Preliminary Experience with the Use of Near-Infrared Fluorescence Imaging Applied to Endoscopy. J. Pers. Med. 2024, 14, 1117. https://doi.org/10.3390/jpm14121117
Aiudi D, Iacoangeli A, Mattioli A, Raggi A, Dobran M, Polonara G, Gigli R, Iacoangeli M, Gladi M. Cerebral Aneurysms and Arteriovenous Malformation: Preliminary Experience with the Use of Near-Infrared Fluorescence Imaging Applied to Endoscopy. Journal of Personalized Medicine. 2024; 14(12):1117. https://doi.org/10.3390/jpm14121117
Chicago/Turabian StyleAiudi, Denis, Alessio Iacoangeli, Andrea Mattioli, Alessio Raggi, Mauro Dobran, Gabriele Polonara, Riccardo Gigli, Maurizio Iacoangeli, and Maurizio Gladi. 2024. "Cerebral Aneurysms and Arteriovenous Malformation: Preliminary Experience with the Use of Near-Infrared Fluorescence Imaging Applied to Endoscopy" Journal of Personalized Medicine 14, no. 12: 1117. https://doi.org/10.3390/jpm14121117
APA StyleAiudi, D., Iacoangeli, A., Mattioli, A., Raggi, A., Dobran, M., Polonara, G., Gigli, R., Iacoangeli, M., & Gladi, M. (2024). Cerebral Aneurysms and Arteriovenous Malformation: Preliminary Experience with the Use of Near-Infrared Fluorescence Imaging Applied to Endoscopy. Journal of Personalized Medicine, 14(12), 1117. https://doi.org/10.3390/jpm14121117