Intraoperative Assessment Using Indocyanine Green Versus Sodium Fluorescein in Aneurysm Clipping: Review of Cases and Literature

I Wayan Niryana*, I Gusti Ketut Agung Surya Kencana, Made Bhuwana Putra, and Jevon Indra Susanto

Abstract

Introduction: The fundamental challenge of aneurysm clipping is to secure a complete neck occlusion while preserving both parent and their subsequent branch arteries along with the surrounding perforators. Indocyanine Green Video angiography (ICG-VA) and Fluorescein Sodium Angiography (FNa-VA) are microscope-integrated fluorescence that offer a more affordable intraoperative evaluation of the cerebral vasculature. We present our experience in using intraoperative ICG-VA and FNa-VA in aneurysm clipping cases along with the literature review to compare both fluorescence techniques. Case Series: Two patients with subarachnoid arachnoid hemorrhage caused by a ruptured aneurysm were involved, and surgical clipping of the aneurysm was done. Intraoperative assessment of cerebral vasculature was performed using both ICG-VA and FL-VA. Conclusion: Both ICG-VA and FL-VA each have their own advantages and disadvantages and are safe and effective in routine use for intraoperative evaluation in aneurysm clipping surgery.

Keywords

aneurysm; indocyanine green; sodium fluorescein; stroke; subarachnoid hemorrhage

Cite This Article

Niryana, I. W., Kencana, I. G. K. A. S., Putra, M. B., Susanto, J. I. (2024). Intraoperative Assessment Using Indocyanine Green Versus Sodium Fluorescein in Aneurysm Clipping: Review of Cases and Literature. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 1: Jan-Feb 2024, Pages 21-25, URL: https://www.ijscia.com/wp-content/uploads/2024/01/Volume5-Issue1-Jan-Feb-No.544-21-25.pdf

Volume 5 | Issue 1: Jan-Feb 2024