Evidence map›Paper›PMID 37909032›Full record

ArticleFrontiers in neurology2023

Application of intraarterial superselective indocyanine green angiography in bypass surgery for adult moyamoya disease.

Haojin Ni, Yiwen Wu, Chenhui Zhou, Xianru Li, Shengjun Zhou, Wenting Lan, Zhimeng Zhang, Yi Huang, Haifeng Wang, Jinghui Lin

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Haojin NiDepartment of Neurosurgery, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Yiwen WuDepartment of Neurosurgery, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Chenhui ZhouDepartment of Neurosurgery, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Xianru LiDepartment of Neurosurgery, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Shengjun ZhouDepartment of Neurosurgery, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Wenting LanDepartment of Radiology, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Zhimeng ZhangDepartment of Neurosurgery, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Yi HuangDepartment of Neurosurgery, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Haifeng WangDepartment of Neurosurgery, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Jinghui LinDepartment of Neurosurgery, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Ningbo University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Extracranial-intracranial (EC-IC) bypass surgery is the main treatment approach to moyamoya disease, and an accurate assessment of the patency of anastomosis is critical for successful surgery. So far, the most common way to do this is the intraoperative intravenous indocyanine green (ICG) video-angiography. Intra-arterial ICG-VA has been applied to treat peripheral cerebral aneurysms, spinal arteriovenous fistulas, and dural arteriovenous fistulas, but few reports have concerned the use of arterial injection of ICG to evaluate anastomotic patency. This research aims to explore the feasibility and effects of catheter-guided superficial temporal artery injection of ICG in the evaluation of anastomotic patency after bypass surgery. Methods: In this study, 20 patients with moyamoya disease or syndrome who underwent bypass surgery were divided into two groups, one who received intravenous ICG angiography and the other who received intra-arterial ICG angiography, to compare the two injection methods for vascular anastomosis patency. We conducted conventional intraoperative digital subtraction angiography (DSA) in a hybrid operating room during extracranial-intracranial (EC-IC) bypass surgery, including the additional step of injecting ICG into the main trunk of the superficial temporal artery (STA) through a catheter. Results: Intra-arterial injection of indocyanine green video-angiography (ICG-VA) indicated good patency of the vascular anastomosis when compared with conventional digital subtraction angiography (DSA) and intravenous ICG-VA, confirming the feasibility of using the arterial injection of ICG for assessing anastomotic patency. And intra-arterial ICG-VA results in faster visualization than intravenous ICG-VA ( Conclusion: This study indicates that intra-arterial ICG-VA has good effects in observing the direction of blood flow in blood vessels and the range of cortical brain supply from the STA, which reflects blood flow near the anastomosis and provides additional information that may allow the postoperative prediction of cerebral hyperperfusion syndrome. However, the procedure of intra-arterial ICG-VA is relatively complicated compared to intravenous ICG-VA.

Indexed as

blood flow directioncerebral revascularizationcortical perfusion rangeintra-arterial ICG video-angiographyintravenous ICG video-angiographymoyamoya disease

Identifiers

PMID37909032
PMCPMC10613996
OpenAlexW4387670071

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.