Evidence map›Paper›PMID 41250142›Full record

ReviewJournal of medical case reports2025

Endoscope-integrated indocyanine green videoangiography for craniocervical dural arteriovenous fistula with ruptured anterior spinal artery aneurysm: a case report and review of the literature.

Tomohisa Ishida, Tomohiro Kawaguchi, Hiroyuki Sakata, Hidenori Endo

Abstract readCase ReportsReview
In one paragraph

Review in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Tomohisa IshidaDepartment of Neurosurgery, Kohnan Hospital, 4-20-1 Nagamachi Minami, Taihaku-Ku, Sendai, Miyagi, 982-8523, Japan.
Tomohiro KawaguchiDepartment of Neurosurgery, Kohnan Hospital, 4-20-1 Nagamachi Minami, Taihaku-Ku, Sendai, Miyagi, 982-8523, Japan. tkawaguchi0421.nsg@gmail.com.
Hiroyuki SakataDepartment of Neuroendovascular Therapy, Kohnan Hospital, Sendai, Miyagi, Japan.
Hidenori EndoDepartment of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment for arteriovenous fistulas located at the craniocervical junction involving the pial feeder aneurysm is challenging. When a direct aneurysm manipulation is not feasible, shunt interception to achieve flow reduction is a considerable option. However, a potential risk for remnant or recurrence of aneurysm may exist due to residual minor shunt flow from small vessels that are undetectable using conventional digital subtraction angiography. CASE PRESENTATION: A 44-year-old Asian man presented with sudden-onset left occipital headache, right thermoanesthesia, and left hemiparesis due to hematomyelia of the cervical spine. Digital subtraction angiography revealed epidural arteriovenous fistula with aneurysmal formation on the anterior spinal artery. As a direct approach to the aneurysm was difficult, the anterior spinal artery was intercepted from the fistula. During surgery, an endoscope-integrated indocyanine green videoangiography allows a clear visualization of abnormal small vessels that were not fully evaluated using digital subtraction angiography. Although the aneurysm blood flow was remnant, shunt interception was confirmed through endoscopic findings of disappearance of blood flow to these small vessels, leading to subsequent aneurysm obliteration.

conclusionIn the treatment of dural arteriovenous fistulas with anterior spinal artery aneurysm, a more precise assessment of small vessels and their occlusion is possible through the use of an endoscope-integrated indocyanine green videoangiography.

Indexed as

Aneurysm, RupturedCentral Nervous System Vascular MalformationsNeuroendoscopySpinal Cord Vascular DiseasesSurgery, Computer-AssistedAdultAngiography, Digital SubtractionCervical VertebraeColoring AgentsEpidural SpaceHumansIndocyanine GreenMaleSpinal CordVideo RecordingColoring AgentsIndocyanine GreenAnterior spinal artery aneurysmArteriovenous fistulaCraniocervical junctionEndoscope-integrated ICG videoangiographyEpidural

Identifiers

PMID41250142
PMCPMC12625509

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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.