{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T13:46:05Z","timestamp":1792676765694,"version":"4.5.0"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2007,7]]},"abstract":"<jats:sec>\n<jats:title>Object<\/jats:title>\n<jats:p>The authors performed fluorescein cerebral angiography in patients after aneurysm clip placement to confirm the patency of the parent artery, perforating artery, and other arteries around the aneurysm.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Twenty-three patients who underwent aneurysm surgery were studied. Aneurysms were located in the internal carotid artery in 12 patients, middle cerebral artery in six, anterior cerebral artery in three, basilar artery bifurcation in one, and junction of the vertebral artery (VA) and posterior inferior cerebellar artery in one. After aneurysm clip placement, the target arteries were illuminated using a beam from a blue light-emitting diode atop a 7-mm diameter pencil-type probe. In all patients, after intravenous administration of 5 ml of 10% fluorescein sodium, fluorescence in the vessels was clearly observed through a microscope and recorded on videotape.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The excellent image quality and spatial resolution of the fluorescein angiography procedure facilitated intra-operative real-time assessment of the patency of the perforating arteries and branches near the aneurysm, including: 12 posterior communicating arteries; 12 anterior choroidal arteries; four lenticulostriate arteries; three recurrent arteries of Heubner; three hypothalamic arteries; one ophthalmic artery; one perforating artery arising from the VA; and one posterior thalamoperforating artery. All 23 patients experienced an uneventful postoperative course without clinical symptoms of perforating artery occlusion.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Because the fluorescein angiography procedure described here allows intraoperative confirmation of the patency of perforating arteries located deep inside the surgical field, it can be practically used for preventing unexpected cerebral infarction during aneurysm surgery.<\/jats:p><\/jats:sec>","DOI":"10.3171\/jns-07\/07\/0068","type":"journal-article","created":{"date-parts":[[2008,1,24]],"date-time":"2008-01-24T12:54:27Z","timestamp":1201179267000},"page":"68-73","source":"Crossref","is-referenced-by-count":82,"title":["Confirmation of blood flow in perforating arteries using fluorescein cerebral angiography during aneurysm surgery"],"prefix":"10.3171","volume":"107","author":[{"given":"Kyouichi","family":"Suzuki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namio","family":"Kodama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuya","family":"Sasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masato","family":"Matsumoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsuyoshi","family":"Ichikawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryoji","family":"Munakata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Muramatsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromichi","family":"Kasuya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-1070068","series-title":"IEEE Trans Sonics Ultrasonics","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1109\/T-SU.1970.29558","article-title":"Pulsed ultrasonic Doppler blood-flow sensing","volume":"17","author":"Baker","year":"1970"},{"key":"b2-1070068","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"988","DOI":"10.3171\/jns.2002.96.6.0988","article-title":"Routine intraoperative angiography during aneurysm surgery","volume":"96","author":"Chiang","year":"2002"},{"key":"b3-1070068","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"167","DOI":"10.3171\/jns.1971.35.2.0167","article-title":"Red cerebral veins and the cerebral steal syndrome. Evidence from fluorescein angiography and microregional blood flow by radioisotopes during excision of an angioma","volume":"35","author":"Feindel","year":"1971"},{"key":"b4-1070068","series-title":"Principles and Practice of Ophthalmology","first-page":"1842","article-title":"Examination of the retina: principles of fluorescein angiography","volume":"3","author":"Friberg","year":"2000"},{"key":"b5-1070068","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"565","DOI":"10.3171\/jns.2001.94.4.0565","article-title":"Ischemic complications of surgery for anterior choroidal artery aneurysms","volume":"94","author":"Friedman","year":"2001"},{"key":"b6-1070068","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1227\/00006123-199107000-00014","article-title":"Monitoring of somatosensory evoked potentials during surgery for middle cerebral artery aneurysms","volume":"29","author":"Friedman","year":"1991"},{"key":"b7-1070068","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1097\/00006123-199602000-00015","article-title":"Enhanced optical imaging of human gliomas and tumor margins","volume":"38","author":"Haglund","year":"1996"},{"key":"b8-1070068","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"275","DOI":"10.3171\/jns.2005.103.2.0275","article-title":"Intraoperative monitoring of blood flow insufficiency during surgery of middle cerebral artery aneurysms","volume":"103","author":"Horiuchi","year":"2005"},{"key":"b9-1070068","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"18","DOI":"10.3171\/jns.1990.73.1.0018","article-title":"The International Cooperative Study on the Timing of Aneurysm Surgery. Part 1: Overall management results","volume":"73","author":"Kassell","year":"1990"},{"key":"b10-1070068","series-title":"AJR Am J Roentgenol","doi-asserted-by":"publisher","first-page":"3","DOI":"10.2214\/ajr.177.1.1770003","article-title":"Skin injuries from fluoroscopically guided procedures: part 1, characteristics of radiation injury","volume":"177","author":"Koenig","year":"2001"},{"key":"b11-1070068","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1016\/S0090-3019(98)00055-X","article-title":"Development of a fluorescein operative microscope for use during malignant glioma surgery: A technical note and preliminary report","volume":"50","author":"Kuroiwa","year":"1998"},{"key":"b12-1070068","series-title":"Neurosurgery","first-page":"434","article-title":"Permissible temporary occlusion time in aneurysm surgery as evaluated by evoked potential monitoring","volume":"33","author":"Mizoi","year":"1993"},{"key":"b13-1070068","series-title":"Neurosurgery","first-page":"132","article-title":"Near-infrared indocyanine green video angiography: A new method for intraoperative assessment of vascular flow","volume":"52","author":"Raabe","year":"2003"},{"key":"b14-1070068","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"982","DOI":"10.3171\/jns.2005.103.6.0982","article-title":"Prospective evaluation of surgical microscope-integrated intra-operative near-infrared indocyanine green videoangiography during aneurysm surgery","volume":"103","author":"Raabe","year":"2005"},{"key":"b15-1070068","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"960","DOI":"10.3171\/jns.2004.100.5.0960","article-title":"Monitoring and preventing blood flow insufficiency due to clip rotation after the treatment of internal carotid artery aneurysms","volume":"100","author":"Sakuma","year":"2004"},{"key":"b16-1070068","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1136\/jnnp.68.1.29","article-title":"Intraoperative microvascular Doppler ultrasonography in cerebral aneurysm surgery","volume":"68","author":"Stendel","year":"2000"},{"key":"b17-1070068","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1003","DOI":"10.3171\/jns.2000.93.6.1003","article-title":"Fluorescence-guided resection of glioblastoma multiforme by using 5-aminolevulinic acid-induced porphyrins: a prospective study in 52 consecutive patients","volume":"93","author":"Stummer","year":"2000"},{"key":"b18-1070068","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"507","DOI":"10.3171\/jns.2003.98.3.0507","article-title":"Intraoperative monitoring of blood flow insufficiency in the anterior choroidal artery during aneurysm surgery","volume":"98","author":"Suzuki","year":"2003"},{"key":"b19-1070068","series-title":"Neurosurgery of Complex Vascular Lesions and Tumors","first-page":"42","article-title":"Large aneurysm of the internal carotid artery obliterated with seven fenestrated clips under intra-operative monitoring of anterior choroidal arterial blood flow insufficiency","author":"Suzuki","year":"2005"},{"key":"b20-1070068","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"993","DOI":"10.3171\/jns.2002.96.6.0993","article-title":"Intraoperative angiography during aneurysm surgery: a prospective evaluation of efficacy","volume":"96","author":"Tang","year":"2002"},{"key":"b21-1070068","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"692","DOI":"10.3171\/jns.2005.102.4.0692","article-title":"Intraoperative control of extracranial-intracranial bypass patency by near-infrared indocyanine green videoangiography","volume":"102","author":"Woitzik","year":"2005"},{"key":"b22-1070068","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"970","DOI":"10.1227\/00006123-199411000-00027","article-title":"Intraoperative assessment of aneurysm clip placement by intravenous fluorescein angiography","volume":"35","author":"Wrobel","year":"1994"},{"key":"b23-1070068","series-title":"Ophthalmology","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1016\/S0161-6420(86)33697-2","article-title":"Fluorescein angiography complication survey","volume":"93","author":"Yannuzzi","year":"1986"},{"key":"b24-1070068","series-title":"Surg Neurol","first-page":"129","article-title":"Anterior choroidal artery aneurysms: their anatomy and surgical significance","volume":"9","author":"Ya\u015fargil","year":"1978"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/107\/1\/article-p68.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/107\/1\/article-p68.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/107\/1\/article-p68.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T01:24:20Z","timestamp":1681349060000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/107\/1\/article-p68.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,7]]},"references-count":24,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/jns-07\/07\/0068","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[2007,7]]}}}