Combined use of intraoperative indocyanine green and dynamic angiography in rotational vertebral artery occlusion

Rotational vertebral artery occlusion (RVAO) is a well-documented surgically amenable cause of vertebrobasilar insufficiency. Traditionally, patients have been imaged using dynamic rotational angiography. We report a case of RVAO in which intraoperative indocyanine green angiography (ICGA) was used to confirm adequate surgical decompression of the VA. A 57-year-old female who presented with multiple episodes of syncope provoked by turning her head to the right. Rotational dynamic angiography revealed a dominant right VA that became occluded at the level of C5/6 with head rotation to the right. The patient underwent successful surgical decompression of the VA via an anterior cervical approach. ICGA demonstrated VA patency with head rotation. This was further confirmed by intraoperative dynamic catheter angiography. To the best of our knowledge, we present the first use of ICG combined with intra-operative dynamic rotational angiography to document the adequacy surgical decompression of the VA in a patient with RVAO.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Combined use of intraoperative indocyanine green and dynamic angiography in rotational vertebral artery occlusion ; volume:12 ; number:04 ; year:2017 ; pages:763-765 ; Asian journal of neurosurgery ; 12, Heft 04 (2017), 763-765

Contributors, Places and Time

• Contributor: Chaudhry, Nauman ; Gaynor, Brandon ; Ambekar, Sudheer ; Elhammady, Mohamed

Further information

• DOI: 10.4103/1793-5482.180910
• URN: urn:nbn:de:101:1-2022112412341358515000
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:34 AM CEST