Journal article
Assessment of intraoperative spinal angiography via the popliteal artery for spinal vascular diseases
World neurosurgery, Vol.169, pp.1-8
01/2023
DOI: 10.1016/j.wneu.2022.10.040
PMID: 36252907
Abstract
OBJECTIVE Intraoperative spinal angiography via the popliteal artery for patients in the prone position has been reported only twice in four patients. This study aimed to clarify the safety precautions to be taken with this technique in a larger patient cohort. METHODS Seven patients with spinal vascular disorders underwent intraoperative spinal angiography in the prone position via the popliteal artery. Ultrasound was used to evaluate the neurovascular anatomy in the popliteal fossa and guide the arterial puncture. Patient characteristics, features of angiography devices, puncture attempts, and angiography-related complications, such as hematoma formation and injury to the neurovascular bundle, were analyzed. RESULTS The average number of arterial puncture attempts was 1.3 times (range: 1-2). Sheaths (4 and 4.5 Fr) with different ineffective lengths were used. In one case, a 4.5-Fr sheath was replaced with a 4-Fr sheath with a shorter noneffective length as the length of the catheter limited access to the target. Catheters with Type-JB2 tip shapes were used for craniocervical junction lesions, and those with Type-KAGAWA tip shapes were used for thoracic and lumbar spinal lesions. No puncture site complications were observed in any patient. CONCLUSIONS Intraoperative spinal angiography via the popliteal artery was an effective tool in surgeries for spinal vascular diseases. The introduction of the ultrasound enabled atraumatic puncture of the popliteal artery. Spinal targets above T5 to T6 may be inaccessible from the popliteal fossa when using a 100-cm-long catheter.
Details
- Title: Subtitle
- Assessment of intraoperative spinal angiography via the popliteal artery for spinal vascular diseases
- Creators
- Yuyo Maeda - Hiroshima UniversityTakafumi MitsuharaShinji KumeSakamoto ShigeyukiKiyoharu ShimizuJumpei OshitaYousuke KajiharaMasaaki TakedaNobutaka HorieSatoshi Yamaguchi
- Resource Type
- Journal article
- Publication Details
- World neurosurgery, Vol.169, pp.1-8
- DOI
- 10.1016/j.wneu.2022.10.040
- PMID
- 36252907
- ISSN
- 1878-8750
- eISSN
- 1878-8769
- Language
- English
- Electronic publication date
- 10/14/2022
- Date published
- 01/2023
- Academic Unit
- Neurosurgery
- Record Identifier
- 9984305990302771
Metrics
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