title: Use of near-infrared indocyanine videoangiography and Flow 800 in the resectioning of a spinal cord haemangioblastoma.
abstract: Haemangioblastomas are hypervascularized tumours. Their surgical management requires a complete resectioning and a prompt handling of the vascular inlets and outlets. The use of intraoperative indocyanine green video angiography (ICG-VAG) depicts the precise vascular pattern for the surgeon. Its use is safe and easy, and the procedure can be repeated during the operation. Here we present a case of spinal haemangioblastoma treated with the aid of intraoperative ICG-VAG and the Flow 800 software. The use of the Flow 800 allowed the surgeon to detect, at a glance, minimal changes in the vascular supply during the dissection. The colour-coded images generated by the Flow 800 increase the ICG-CAG sensitivity, improving the capability to detect changes in vascular patterns.
authors.affiliation: Department of Neurosurgery, AOUP , Pisa , Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Benedetto
authors.forename: Filippo
authors.initials: F
authors.lastname: Aquila
authors.forename: Riccardo
authors.initials: R
authors.lastname: Vannozzi
mesh_terms: D000465:Algorithms; D004396:Coloring Agents; D005451:Fluorescein Angiography; D018325:Hemangioblastoma / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods*; D007208:Indocyanine Green; D007796:Laminectomy; D018810:Magnetic Resonance Angiography / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D012039:Regional Blood Flow / Q000502:physiology; D019265:Spectroscopy, Near-Infrared; D013116:Spinal Cord / Q000473:pathology; D013120:Spinal Cord Neoplasms / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D013131:Spine / Q000473:pathology
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green