Minimally invasive tubular retractor system for adequate exposure during surgical obliteration of spinal dural arteriovenous fistulas with the aid of indocyanine green intraoperative angiography.
Effective surgical obliteration of spinal dural arteriovenous fistulas (DAVFs) traditionally requires laminectomy or hemilaminectomy to allow intradural exposure and occlusion of the draining vein. The authors present successful treatment of a spinal DAVF by using a tubular retractor system to provide minimally invasive exposure at the L5-S1 level adequate for both microsurgical treatment and intraoperative indocyanine green angiography.
Section of Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA. atman.desai@hitchcock.org
Atman
A
Desai
Kimon
K
Bekelis
Kadir
K
Erkmen
D000369:Aged, 80 and over; D000792:Angiography / Q000379:methods*; D020785:Central Nervous System Vascular Malformations / Q000000981:diagnostic imaging / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007208:Indocyanine Green; D008279:Magnetic Resonance Imaging; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D013116:Spinal Cord / Q000098:blood supply*; D013525:Surgical Instruments; D016896:Treatment Outcome
D007208:Indocyanine Green