TY - JOUR
T1 - Integration of Real-Time Intraoperative Contrast-Enhanced Ultrasound and Color Doppler Ultrasound in the Surgical Treatment of Spinal Cord Dural Arteriovenous Fistulas
AU - Della, Pepa G. M.
AU - Sabatino, Giovanni
AU - Sturiale, C. L.
AU - Marchese, Enrico
AU - Puca, A.
AU - Olivi, Alessandro
AU - Albanese, Alessio
PY - 2018
Y1 - 2018
N2 - Background: In the surgical treatment of spinal dural arteriovenous fistulas (DAVFs), intraoperative definition of anatomic characteristics of the DAVF and identification of the fistulous point is mandatory to effectively exclude the DAVF. Case Description: Intraoperative ultrasound and contrast-enhanced ultrasound integrated with color Doppler ultrasound was applied in the surgical setting for a cervical DAVF to identify the fistulous point and evaluate correct occlusion of the fistula. Conclusions: Integration of intraoperative ultrasound and contrast-enhanced ultrasound is a simple, cost-effective technique that provides an opportunity for real-time dynamic visualization of DAVF vascular patterns, identification of the fistulous point, and assessment of correct exclusion. Compared with other intraoperative tools, such as indocyanine green videoangiography, it allows the surgeon to visualize hidden anatomic and vascular structures, minimizing surgical manipulation and guiding the surgeon during resection.
AB - Background: In the surgical treatment of spinal dural arteriovenous fistulas (DAVFs), intraoperative definition of anatomic characteristics of the DAVF and identification of the fistulous point is mandatory to effectively exclude the DAVF. Case Description: Intraoperative ultrasound and contrast-enhanced ultrasound integrated with color Doppler ultrasound was applied in the surgical setting for a cervical DAVF to identify the fistulous point and evaluate correct occlusion of the fistula. Conclusions: Integration of intraoperative ultrasound and contrast-enhanced ultrasound is a simple, cost-effective technique that provides an opportunity for real-time dynamic visualization of DAVF vascular patterns, identification of the fistulous point, and assessment of correct exclusion. Compared with other intraoperative tools, such as indocyanine green videoangiography, it allows the surgeon to visualize hidden anatomic and vascular structures, minimizing surgical manipulation and guiding the surgeon during resection.
KW - CEUS
KW - Color Doppler ultrasound
KW - CEUS
KW - Color Doppler ultrasound
UR - https://publicatt.unicatt.it/handle/10807/149138
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85041922940&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85041922940&origin=inward
U2 - 10.1016/j.wneu.2018.01.101
DO - 10.1016/j.wneu.2018.01.101
M3 - Article
SN - 1878-8750
VL - 112
SP - 138
EP - 142
JO - World Neurosurgery
JF - World Neurosurgery
IS - 2
ER -