{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T23:36:36Z","timestamp":1783467396413,"version":"3.55.0"},"reference-count":48,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2014,2]]},"abstract":"\n Object<\/jats:title>\n There are no doubts about the role that indocyanine green video angiography (ICGVA) can play in current vascular neurosurgery. Conversely, in brain tumor surgery, and particularly in meningioma surgery, this role is still unclear. Vein management is pivotal for approaching parasagittal meningiomas, because venous preservation is strictly connected to both extent of resection and clinical outcome. The authors present the technical traits and the postoperative outcome of the application of ICGVA in patients undergoing parasagittal meningioma surgery.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The authors retrospectively collected demographic, radiological, intraoperative, and follow-up data in 43 patients with parasagittal meningiomas who underwent surgery with the assistance of ICGVA at Padua Neurosurgical Department between October 2010 and July 2013. Intraoperative ICGVA findings at different stages (before dural opening, after dural opening, during resection, after resection) were reviewed. Additional data on functional monitoring, temporary venous clipping, and flow measurements were also recorded. The overall postoperative outcome was evaluated by assessing both the extent of resection and the clinical outcome data.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The ICGVA studies were performed 125 times in 43 patients, providing helpful data for vein management and tumor resection in all stages of surgery. In 16% of meningiomas completely occluding the superior sagittal sinus, the ICGVA data differed from radiological findings and changed the surgical approach. In 20% of cases the intraoperative ICGVA findings directly guided the surgical strategy: venous sacrifice was necessary in 7 cases, without postoperative consequences; temporary clipping with neurophysiological monitoring proved to be predictive of safe venous sacrifice. In 7% of cases the ICGVA data needed to be supplemented with flow measurements. Simpson Grade I\u2013II and Grade III resections were achieved in 86% and 14% of cases, respectively, with a 4.6% rate of overall morbidity.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study shows that ICGVA can assist the different stages of parasagittal meningiomas surgery, guiding the vein management and tumor resection strategies with a favorable final clinical outcome. However, in the authors' experience the use of other complementary tools was mandatory in selected cases to preserve functional areas. Further studies are needed to confirm that the application of ICGVA in parasagittal meningioma surgery may improve the morbidity rate, as reported in this study.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2013.12.focus13385","type":"journal-article","created":{"date-parts":[[2014,2,1]],"date-time":"2014-02-01T03:36:45Z","timestamp":1391225805000},"page":"E13","source":"Crossref","is-referenced-by-count":26,"title":["Application of indocyanine green video angiography in parasagittal meningioma surgery"],"prefix":"10.3171","volume":"36","author":[{"given":"Alessandro","family":"Della Puppa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Padua University Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oriela","family":"Rustemi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Padua University Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Gioffr\u00e8","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Padua University Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Rolma","sequence":"additional","affiliation":[{"name":"Neuroradiology Unit, Padua University Hospital, Padua; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marzia","family":"Grandis","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, University of Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Munari","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, University of Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato","family":"Scienza","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Padua University Hospital;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4 Suppl 2","key":"b1-0360013","series-title":"Neurosurgery","first-page":"ONS-305","article-title":"The utility of intraoperative blood flow measurement during aneurysm surgery using an ultrasonic perivascular flow probe","volume":"58","author":"Amin-Hanjani","year":"2006"},{"key":"b2-0360013","series-title":"Acta Neurochir (Wien)","first-page":"415","article-title":"Indocyanine green videoangiography (ICGV)-guided surgery of parasagittal meningiomas occluding the superior sagittal sinus (SSS)","volume":"155","author":"d'Avella","year":"2013"},{"key":"b3-0360013","series-title":"Acta Neurochir (Wien)","first-page":"1475","article-title":"Indocyanine green videoangiography (ICGV) in parasagittal meningiomas surgery. Considerations on veins management and brain function preservation","volume":"155","author":"Della Puppa","year":"2013"},{"key":"b4-0360013","series-title":"Neurosurgery","first-page":"1263","article-title":"Meningiomas invading the superior sagittal sinus: surgical experience in 108 cases","volume":"55","author":"DiMeco","year":"2004"},{"key":"b5-0360013","series-title":"World Neurosurg","first-page":"122","article-title":"Indocyanine green (ICG) temporary clipping test to assess collateral circulation before venous sacrifice","volume":"75","author":"Ferroli","year":"2011"},{"key":"b6-0360013","series-title":"J Neurosurg","first-page":"511","article-title":"Editorial. Meningiomas involving the sinus","volume":"105","author":"Heros","year":"2006"},{"key":"b7-0360013","series-title":"J Neurosurg","first-page":"71","article-title":"Editorial. Venous preservation","volume":"119","author":"Heros","year":"2013"},{"key":"b8-0360013","series-title":"Neurology","first-page":"376","article-title":"The stroke syndrome of cortical vein thrombosis","volume":"47","author":"Jacobs","year":"1996"},{"issue":"Suppl Operative 2","key":"b9-0360013","series-title":"Neurosurgery","first-page":"ons145","article-title":"Indocyanine green for vessel identification and preservation before dural opening for parasagittal lesions","volume":"73","author":"Jusu\u00e9-Torres","year":"2013"},{"key":"b10-0360013","series-title":"Adv Clin Rehabil","first-page":"6","article-title":"The functional independence measure: a new tool for rehabilitation","volume":"1","author":"Keith","year":"1987"},{"issue":"1 Suppl 1","key":"b11-0360013","series-title":"J Clin Neurosci","first-page":"109","article-title":"Postoperative cortical venous infarction in tumours firmly adherent to the cortex","volume":"8","author":"Kiya","year":"2001"},{"issue":"1 Suppl Operative","key":"b12-0360013","series-title":"Neurosurgery","first-page":"61","article-title":"The use of indocyanine green videoangiography to optimize the dural opening for intracranial parasagittal lesions","volume":"70","author":"Nussbaum","year":"2012"},{"key":"b13-0360013","series-title":"Acta Neurochir (Wien)","first-page":"843","article-title":"Rolandic area meningioma resection controlled and guided by intraoperative cortical mapping","volume":"154","author":"Ostr\u00fd","year":"2012"},{"key":"b14-0360013","series-title":"Neurosurgery","first-page":"885","article-title":"Perioperative and long-term outcomes from the management of parasagittal meningiomas invading the superior sagittal sinus","volume":"67","author":"Raza","year":"2010"},{"key":"b15-0360013","series-title":"Surg Neurol","first-page":"158","article-title":"Importance of prevention of intravenous thrombosis and preservation of the venous collateral flow in bridging vein injury during surgery: an experimental study","volume":"44","author":"Sakaki","year":"1995"},{"key":"b16-0360013","series-title":"J Neurol Neurosurg Psychiatry","first-page":"22","article-title":"The recurrence of intracranial meningiomas after surgical treatment","volume":"20","author":"Simpson","year":"1957"},{"issue":"1 Suppl 1","key":"b17-0360013","series-title":"J Clin Neurosci","first-page":"8","article-title":"Meningiomas invading the sagittal or transverse sinuses, resection with venous reconstruction","volume":"8","author":"Sindou","year":"2001"},{"key":"b18-0360013","series-title":"Adv Tech Stand Neurosurg","first-page":"131","article-title":"The intracranial venous system as a neurosurgeon's perspective","volume":"26","author":"Sindou","year":"2000"},{"key":"b19-0360013","series-title":"J Neurosurg","first-page":"514","article-title":"Results of attempted radical tumor removal and venous repair in 100 consecutive meningiomas involving the major dural sinuses","volume":"105","author":"Sindou","year":"2006"},{"key":"b20-0360013","series-title":"J Neurosurg","first-page":"1029","article-title":"The relevance of Simpson Grade I and II resection in modern neurosurgical treatment of World Health Organization Grade I meningiomas. 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Considerations on veins management and brain function preservation","volume":"155","author":"Della Puppa","year":"2013"},{"key":"b4-0360013","series-title":"Neurosurgery","first-page":"1263","article-title":"Meningiomas invading the superior sagittal sinus: surgical experience in 108 cases","volume":"55","author":"DiMeco","year":"2004"},{"key":"b5-0360013","series-title":"World Neurosurg","first-page":"122","article-title":"Indocyanine green (ICG) temporary clipping test to assess collateral circulation before venous sacrifice","volume":"75","author":"Ferroli","year":"2011"},{"key":"b6-0360013","series-title":"J Neurosurg","first-page":"511","article-title":"Editorial. Meningiomas involving the sinus","volume":"105","author":"Heros","year":"2006"},{"key":"b7-0360013","series-title":"J Neurosurg","first-page":"71","article-title":"Editorial. Venous preservation","volume":"119","author":"Heros","year":"2013"},{"key":"b8-0360013","series-title":"Neurology","first-page":"376","article-title":"The stroke syndrome of cortical vein thrombosis","volume":"47","author":"Jacobs","year":"1996"},{"issue":"Suppl Operative 2","key":"b9-0360013","series-title":"Neurosurgery","first-page":"ons145","article-title":"Indocyanine green for vessel identification and preservation before dural opening for parasagittal lesions","volume":"73","author":"Jusu\u00e9-Torres","year":"2013"},{"key":"b10-0360013","series-title":"Adv Clin Rehabil","first-page":"6","article-title":"The functional independence measure: a new tool for rehabilitation","volume":"1","author":"Keith","year":"1987"},{"issue":"1 Suppl 1","key":"b11-0360013","series-title":"J Clin Neurosci","first-page":"109","article-title":"Postoperative cortical venous infarction in tumours firmly adherent to the cortex","volume":"8","author":"Kiya","year":"2001"},{"issue":"1 Suppl Operative","key":"b12-0360013","series-title":"Neurosurgery","first-page":"61","article-title":"The use of indocyanine green videoangiography to optimize the dural opening for intracranial parasagittal lesions","volume":"70","author":"Nussbaum","year":"2012"},{"key":"b13-0360013","series-title":"Acta Neurochir (Wien)","first-page":"843","article-title":"Rolandic area meningioma resection controlled and guided by intraoperative cortical mapping","volume":"154","author":"Ostr\u00fd","year":"2012"},{"key":"b14-0360013","series-title":"Neurosurgery","first-page":"885","article-title":"Perioperative and long-term outcomes from the management of parasagittal meningiomas invading the superior sagittal sinus","volume":"67","author":"Raza","year":"2010"},{"key":"b15-0360013","series-title":"Surg Neurol","first-page":"158","article-title":"Importance of prevention of intravenous thrombosis and preservation of the venous collateral flow in bridging vein injury during surgery: an experimental study","volume":"44","author":"Sakaki","year":"1995"},{"key":"b16-0360013","series-title":"J Neurol Neurosurg Psychiatry","first-page":"22","article-title":"The recurrence of intracranial meningiomas after surgical treatment","volume":"20","author":"Simpson","year":"1957"},{"issue":"1 Suppl 1","key":"b17-0360013","series-title":"J Clin Neurosci","first-page":"8","article-title":"Meningiomas invading the sagittal or transverse sinuses, resection with venous reconstruction","volume":"8","author":"Sindou","year":"2001"},{"key":"b18-0360013","series-title":"Adv Tech Stand Neurosurg","first-page":"131","article-title":"The intracranial venous system as a neurosurgeon's perspective","volume":"26","author":"Sindou","year":"2000"},{"key":"b19-0360013","series-title":"J Neurosurg","first-page":"514","article-title":"Results of attempted radical tumor removal and venous repair in 100 consecutive meningiomas involving the major dural sinuses","volume":"105","author":"Sindou","year":"2006"},{"key":"b20-0360013","series-title":"J Neurosurg","first-page":"1029","article-title":"The relevance of Simpson Grade I and II resection in modern neurosurgical treatment of World Health Organization Grade I meningiomas. 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