title: Intraoperative monitoring by imaging and electrophysiological techniques during giant intracranial aneurysm surgery.
abstract: Difficulties in giant intracranial aneurysm surgery are the consequence of aneurysmal wall histology and the complex angioarchitecture of the vascular tree. In order to reduce complications and risks of those procedures, various imaging and electrophysiological techniques can be implemented perioperatively. The authors review the principles, goals and main results in this context of micro-Doppler and flowmeter techniques, near-infrared spectroscopy, operative microscope-integrated indocyanine green video-angiography, neuro-endoscopy, selective intraoperative angiography and electrophysiological monitoring.
authors.affiliation: Clinique du Tonkin, 69626 Villeurbanne cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Durand
authors.affiliation: Service de neurochirurgie, hôpital Pellegrin, CHU de Bordeaux, 33076 Bordeaux, France.
authors.forename: G
authors.initials: G
authors.lastname: Penchet
authors.affiliation: Clinique de neurochirurgie, pôle des neurosciences et appareil locomoteur, université Lille Nord de France, CHRU de Lille, 59000 Lille, France. Electronic address: laurent.thines@wanadoo.fr.
authors.forename: L
authors.initials: L
authors.lastname: Thines
mesh_terms: D015901:Angiography, Digital Subtraction / Q000379:methods; D002533:Cerebral Angiography / Q000379:methods; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000601:surgery*; D016343:Monitoring, Intraoperative / Q000379:methods; D019635:Neurosurgical Procedures / Q000379:methods; D014656:Vascular Surgical Procedures / Q000379:methods
keywords: Angiographie rotationnelle peropératoire; Anévrisme géant intracrânien; Clippage; Clipping; Débimétrie; Extracranial–intracranial bypass; Flowmeter; Giant intracranial aneurysm; Indocyanine green video-angiography; Intraoperative rotational angiography; Micro-Doppler; Micro-doppler; Monitorage; Monitoring; Motor evoked potentials; Neuro-endoscopie; Neuro-endoscopy; Pontage extracrânien–intracrânien; Potentiels évoqués moteurs; Potentiels évoqués sensitifs; Somatosensory evoked potentials; Vidéo-angiographie au vert d’indocyanine