THE USAGE OF INTRAOPERATIVE VIDEOANGIOGRAPHY DURING REMOVAL OF SPINAL HAEMANGIOBLASTOMA
Abstract
Objective: to demonstrate the efficacy of intraoperative videoangiography usage during microsurgery of intramedullary spinal haemangioblastomas.
Material and methods: 683 patients with intramedullary spinal tumors were operated on from 2002 till 2017, among them 93 (8%) patients had intramedullary haemangioblastomas. Authors operated 2 patients from June to August 2017 with the usage of videoangiography (microscope Haag-Streit Surgical©).
Results: The feeding arteries and drainage veins of tumor solid component were identified due to intraoperative videoangiography in 22 patients which allowed removing tumor without bleeding and increase of neurological deficit. The remnant of tumor was revealed in one patient during videoangiography and was totally removed.
Conclusion: The intraoperative videoangiography is available method of visualization of feeding arteries, drainage veins and borders of solid component of spinal intramedullary haemangioblastoma with the possibilities for multiple repeated usage during surgery. The application of this method in routine work allows increasing the safety of intramedullary haemangioblastomas surgery and decreasing the numbers of subtotal removal of tumor.
About the Authors
N. A. Konovalov
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
T. P. Tissen
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
S. Yu. Timonin
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
A. G. Nazarenko
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
D. S. Asyutin
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
R. A. Onoprienko
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
V. A. Korolishin
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
A. I. Batalov
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
I. N. Pronin
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
M. A. Martynova
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
B. A. Zakirov
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
A. L. Pogosyan
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
E. S. Brinyuk
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
S. V. Kaprovoi
НМИЦ нейрохирургии им. Н.Н. Бурденко.
Russian Federation
Russian Federation
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Review
For citations:
Konovalov N.A., Tissen T.P., Timonin S.Yu., Nazarenko A.G., Asyutin D.S., Onoprienko R.A., Korolishin V.A., Batalov A.I., Pronin I.N., Martynova M.A., Zakirov B.A., Pogosyan A.L., Brinyuk E.S., Kaprovoi S.V. THE USAGE OF INTRAOPERATIVE VIDEOANGIOGRAPHY DURING REMOVAL OF SPINAL HAEMANGIOBLASTOMA. Russian journal of neurosurgery. 2017;(4):21-27. (In Russ.)
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