Intraoperative spinal digital subtraction angiography: Technique and results

Ludwig Benes, Jörg Peter Wakat, Ulrich Sure, Siegfried Bien, Helmut Bertalanffy, Christopher S. Ogilvy, Daniel L. Barrow, H. Hunt Batjer

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

OBJECTIVE: To evaluate technical and methodological aspects of intraoperative spinal digital subtraction angiography (ISDSA) in our clinical practice and to assess its practicability, safety, and accuracy for the surgical treatment of spinal vascular malformations. METHODS: Between August 1997 and February 2002, a total of 30 patients were treated either surgically (n = 18) or endovascularly (n = 12) for spinal vascular lesions at our institution. The clinical records of five patients who underwent ISDSA were analyzed retrospectively. The thoracic segment was involved in three patients and the medullary cone in two. RESULTS: ISDSA could be performed in four cases. In one patient, the segmental artery could not be probed sufficiently while the patient was prone. No complications occurred from the application of ISDSA. The method was beneficial for the neurosurgeon in all but one patient because the vascular anatomy of the malformation was shown with respect to the surgical approach, including the nidus, and immediate resection control could be performed before wound closure. The duration of the procedure was prolonged by 45 minutes on average. CONCLUSION: ISDSA is safe and effective, especially in surgery for complex vascular and recurrent malformations. Benefits to the patient outweigh the additional expense and prolongation of the surgical procedure.

Original languageEnglish (US)
Pages (from-to)603-609
Number of pages7
JournalNeurosurgery
Volume52
Issue number3
StatePublished - Mar 1 2003

Fingerprint

Subtraction Technique
Digital Subtraction Angiography
Vascular Malformations
Blood Vessels
Anatomy
Thorax
Arteries
Safety
Wounds and Injuries

Keywords

  • Intraoperative digital subtraction angiography
  • Spinal arteriovenous malformations
  • Spine
  • Vascular disease

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Benes, L., Wakat, J. P., Sure, U., Bien, S., Bertalanffy, H., Ogilvy, C. S., ... Batjer, H. H. (2003). Intraoperative spinal digital subtraction angiography: Technique and results. Neurosurgery, 52(3), 603-609.

Intraoperative spinal digital subtraction angiography : Technique and results. / Benes, Ludwig; Wakat, Jörg Peter; Sure, Ulrich; Bien, Siegfried; Bertalanffy, Helmut; Ogilvy, Christopher S.; Barrow, Daniel L.; Batjer, H. Hunt.

In: Neurosurgery, Vol. 52, No. 3, 01.03.2003, p. 603-609.

Research output: Contribution to journalArticle

Benes, L, Wakat, JP, Sure, U, Bien, S, Bertalanffy, H, Ogilvy, CS, Barrow, DL & Batjer, HH 2003, 'Intraoperative spinal digital subtraction angiography: Technique and results', Neurosurgery, vol. 52, no. 3, pp. 603-609.
Benes L, Wakat JP, Sure U, Bien S, Bertalanffy H, Ogilvy CS et al. Intraoperative spinal digital subtraction angiography: Technique and results. Neurosurgery. 2003 Mar 1;52(3):603-609.
Benes, Ludwig ; Wakat, Jörg Peter ; Sure, Ulrich ; Bien, Siegfried ; Bertalanffy, Helmut ; Ogilvy, Christopher S. ; Barrow, Daniel L. ; Batjer, H. Hunt. / Intraoperative spinal digital subtraction angiography : Technique and results. In: Neurosurgery. 2003 ; Vol. 52, No. 3. pp. 603-609.
@article{b04e81cf37c746d98ca72a78dd886690,
title = "Intraoperative spinal digital subtraction angiography: Technique and results",
abstract = "OBJECTIVE: To evaluate technical and methodological aspects of intraoperative spinal digital subtraction angiography (ISDSA) in our clinical practice and to assess its practicability, safety, and accuracy for the surgical treatment of spinal vascular malformations. METHODS: Between August 1997 and February 2002, a total of 30 patients were treated either surgically (n = 18) or endovascularly (n = 12) for spinal vascular lesions at our institution. The clinical records of five patients who underwent ISDSA were analyzed retrospectively. The thoracic segment was involved in three patients and the medullary cone in two. RESULTS: ISDSA could be performed in four cases. In one patient, the segmental artery could not be probed sufficiently while the patient was prone. No complications occurred from the application of ISDSA. The method was beneficial for the neurosurgeon in all but one patient because the vascular anatomy of the malformation was shown with respect to the surgical approach, including the nidus, and immediate resection control could be performed before wound closure. The duration of the procedure was prolonged by 45 minutes on average. CONCLUSION: ISDSA is safe and effective, especially in surgery for complex vascular and recurrent malformations. Benefits to the patient outweigh the additional expense and prolongation of the surgical procedure.",
keywords = "Intraoperative digital subtraction angiography, Spinal arteriovenous malformations, Spine, Vascular disease",
author = "Ludwig Benes and Wakat, {J{\"o}rg Peter} and Ulrich Sure and Siegfried Bien and Helmut Bertalanffy and Ogilvy, {Christopher S.} and Barrow, {Daniel L.} and Batjer, {H. Hunt}",
year = "2003",
month = "3",
day = "1",
language = "English (US)",
volume = "52",
pages = "603--609",
journal = "Neurosurgery",
issn = "0148-396X",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Intraoperative spinal digital subtraction angiography

T2 - Technique and results

AU - Benes, Ludwig

AU - Wakat, Jörg Peter

AU - Sure, Ulrich

AU - Bien, Siegfried

AU - Bertalanffy, Helmut

AU - Ogilvy, Christopher S.

AU - Barrow, Daniel L.

AU - Batjer, H. Hunt

PY - 2003/3/1

Y1 - 2003/3/1

N2 - OBJECTIVE: To evaluate technical and methodological aspects of intraoperative spinal digital subtraction angiography (ISDSA) in our clinical practice and to assess its practicability, safety, and accuracy for the surgical treatment of spinal vascular malformations. METHODS: Between August 1997 and February 2002, a total of 30 patients were treated either surgically (n = 18) or endovascularly (n = 12) for spinal vascular lesions at our institution. The clinical records of five patients who underwent ISDSA were analyzed retrospectively. The thoracic segment was involved in three patients and the medullary cone in two. RESULTS: ISDSA could be performed in four cases. In one patient, the segmental artery could not be probed sufficiently while the patient was prone. No complications occurred from the application of ISDSA. The method was beneficial for the neurosurgeon in all but one patient because the vascular anatomy of the malformation was shown with respect to the surgical approach, including the nidus, and immediate resection control could be performed before wound closure. The duration of the procedure was prolonged by 45 minutes on average. CONCLUSION: ISDSA is safe and effective, especially in surgery for complex vascular and recurrent malformations. Benefits to the patient outweigh the additional expense and prolongation of the surgical procedure.

AB - OBJECTIVE: To evaluate technical and methodological aspects of intraoperative spinal digital subtraction angiography (ISDSA) in our clinical practice and to assess its practicability, safety, and accuracy for the surgical treatment of spinal vascular malformations. METHODS: Between August 1997 and February 2002, a total of 30 patients were treated either surgically (n = 18) or endovascularly (n = 12) for spinal vascular lesions at our institution. The clinical records of five patients who underwent ISDSA were analyzed retrospectively. The thoracic segment was involved in three patients and the medullary cone in two. RESULTS: ISDSA could be performed in four cases. In one patient, the segmental artery could not be probed sufficiently while the patient was prone. No complications occurred from the application of ISDSA. The method was beneficial for the neurosurgeon in all but one patient because the vascular anatomy of the malformation was shown with respect to the surgical approach, including the nidus, and immediate resection control could be performed before wound closure. The duration of the procedure was prolonged by 45 minutes on average. CONCLUSION: ISDSA is safe and effective, especially in surgery for complex vascular and recurrent malformations. Benefits to the patient outweigh the additional expense and prolongation of the surgical procedure.

KW - Intraoperative digital subtraction angiography

KW - Spinal arteriovenous malformations

KW - Spine

KW - Vascular disease

UR - http://www.scopus.com/inward/record.url?scp=0037373064&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037373064&partnerID=8YFLogxK

M3 - Article

C2 - 12590685

AN - SCOPUS:0037373064

VL - 52

SP - 603

EP - 609

JO - Neurosurgery

JF - Neurosurgery

SN - 0148-396X

IS - 3

ER -