Intraoperative infrared brain surface blood flow monitoring during superficial temporal artery-middle cerebral artery anastomosis in patients with childhood moyamoya disease

Atsuhiro Nakagawa; Miki Fujimura; Tatsuhiko Arafune; Ichiro Sakuma; Teiji Tominaga

doi:10.1007/s00381-008-0682-9

Intraoperative infrared brain surface blood flow monitoring during superficial temporal artery-middle cerebral artery anastomosis in patients with childhood moyamoya disease

Atsuhiro Nakagawa, Miki Fujimura, Tatsuhiko Arafune, Ichiro Sakuma, Teiji Tominaga

University Hospital (not affiliated with any section)

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

Abstract

Objective: To monitor patency of the bypass and to accomplish comprehensive visualized evaluation of brain surface hemodynamics in childhood moyamoya patients, we performed intraoperative monitoring using novel infrared imaging system. Materials and methods: Intraoperative monitoring of brain surface blood flow by IRIS V infrared imaging system has been conducted during superficial temporal artery-middle cerebral artery anastomosis on seven sides of five pediatric patients with moyamoya disease (man/woman=2:3, 7-8 years old). The range of recipient artery was 0.7-0.8 mm (average 0.75 mm). Magnetic resonance imaging and magnetic resonance angiography were performed routinely before and after surgery. Conclusions: In all cases, patency of bypass, as well as detailed local hemodynamics and changes of brain surface temperature distribution could be evaluated. Intraoperative infrared system will be a feasible monitoring not only for noninvasive intraoperative evaluation of bypass patency but also for local hemodynamics even in patients with childhood moyamoya disease.

Original language	English
Pages (from-to)	1299-1305
Number of pages	7
Journal	Child's Nervous System
Volume	24
Issue number	11
DOIs	https://doi.org/10.1007/s00381-008-0682-9
Publication status	Published - 2008

Keywords

Bypass patency
EC-IC bypass
Hemodynamics
Hyperperfusion
Intraoperative monitoring
Minimally invasive neurosurgery
Neurocritical care
Thermal artery imaging

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Clinical Neurology

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10.1007/s00381-008-0682-9

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Intraoperative infrared brain surface blood flow monitoring during superficial temporal artery-middle cerebral artery anastomosis in patients with childhood moyamoya disease. / Nakagawa, Atsuhiro; Fujimura, Miki; Arafune, Tatsuhiko et al.
In: Child's Nervous System, Vol. 24, No. 11, 2008, p. 1299-1305.

Research output: Contribution to journal › Article › peer-review

@article{3258e33da42d4d03be6e674668faddc8,

title = "Intraoperative infrared brain surface blood flow monitoring during superficial temporal artery-middle cerebral artery anastomosis in patients with childhood moyamoya disease",

abstract = "Objective: To monitor patency of the bypass and to accomplish comprehensive visualized evaluation of brain surface hemodynamics in childhood moyamoya patients, we performed intraoperative monitoring using novel infrared imaging system. Materials and methods: Intraoperative monitoring of brain surface blood flow by IRIS V infrared imaging system has been conducted during superficial temporal artery-middle cerebral artery anastomosis on seven sides of five pediatric patients with moyamoya disease (man/woman=2:3, 7-8 years old). The range of recipient artery was 0.7-0.8 mm (average 0.75 mm). Magnetic resonance imaging and magnetic resonance angiography were performed routinely before and after surgery. Conclusions: In all cases, patency of bypass, as well as detailed local hemodynamics and changes of brain surface temperature distribution could be evaluated. Intraoperative infrared system will be a feasible monitoring not only for noninvasive intraoperative evaluation of bypass patency but also for local hemodynamics even in patients with childhood moyamoya disease.",

keywords = "Bypass patency, EC-IC bypass, Hemodynamics, Hyperperfusion, Intraoperative monitoring, Minimally invasive neurosurgery, Neurocritical care, Thermal artery imaging",

author = "Atsuhiro Nakagawa and Miki Fujimura and Tatsuhiko Arafune and Ichiro Sakuma and Teiji Tominaga",

note = "Funding Information: Acknowledgments This work was supported in part by a Grant-in-Aid for Scientific Research (B) (no. 18390388), (no. 19399372), Grant-in-Aid for Young Scientist (A) (no. 19689028) offered by the Japanese Ministry of Education, Culture, Sports, Science, and Technology, Exploratory Research program for Young Scientist (ERYs) offered by Tohoku University and Mitsubishi Pharma Research Foundation. There was no any personal or institutional financial interest in drugs, materials, or devices described in present submissions. We also pay special thanks to Hideaki Suzuki, M.D., of Tohoku University Hospital, Etsuko Kobayashi, Ph.D., Takahiro Yamaguchi, Ph.D., and Teruko Sakurai of Bio-Medical Precision, Engineering Laboratory, Institute of Environmental Studies, Graduate School of Frontier Sciences, the University of Tokyo, Tokyo, Japan for analysis of the infrared imaging.",

year = "2008",

doi = "10.1007/s00381-008-0682-9",

language = "English",

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pages = "1299--1305",

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T1 - Intraoperative infrared brain surface blood flow monitoring during superficial temporal artery-middle cerebral artery anastomosis in patients with childhood moyamoya disease

AU - Nakagawa, Atsuhiro

AU - Fujimura, Miki

AU - Arafune, Tatsuhiko

AU - Sakuma, Ichiro

AU - Tominaga, Teiji

N1 - Funding Information: Acknowledgments This work was supported in part by a Grant-in-Aid for Scientific Research (B) (no. 18390388), (no. 19399372), Grant-in-Aid for Young Scientist (A) (no. 19689028) offered by the Japanese Ministry of Education, Culture, Sports, Science, and Technology, Exploratory Research program for Young Scientist (ERYs) offered by Tohoku University and Mitsubishi Pharma Research Foundation. There was no any personal or institutional financial interest in drugs, materials, or devices described in present submissions. We also pay special thanks to Hideaki Suzuki, M.D., of Tohoku University Hospital, Etsuko Kobayashi, Ph.D., Takahiro Yamaguchi, Ph.D., and Teruko Sakurai of Bio-Medical Precision, Engineering Laboratory, Institute of Environmental Studies, Graduate School of Frontier Sciences, the University of Tokyo, Tokyo, Japan for analysis of the infrared imaging.

PY - 2008

Y1 - 2008

N2 - Objective: To monitor patency of the bypass and to accomplish comprehensive visualized evaluation of brain surface hemodynamics in childhood moyamoya patients, we performed intraoperative monitoring using novel infrared imaging system. Materials and methods: Intraoperative monitoring of brain surface blood flow by IRIS V infrared imaging system has been conducted during superficial temporal artery-middle cerebral artery anastomosis on seven sides of five pediatric patients with moyamoya disease (man/woman=2:3, 7-8 years old). The range of recipient artery was 0.7-0.8 mm (average 0.75 mm). Magnetic resonance imaging and magnetic resonance angiography were performed routinely before and after surgery. Conclusions: In all cases, patency of bypass, as well as detailed local hemodynamics and changes of brain surface temperature distribution could be evaluated. Intraoperative infrared system will be a feasible monitoring not only for noninvasive intraoperative evaluation of bypass patency but also for local hemodynamics even in patients with childhood moyamoya disease.

AB - Objective: To monitor patency of the bypass and to accomplish comprehensive visualized evaluation of brain surface hemodynamics in childhood moyamoya patients, we performed intraoperative monitoring using novel infrared imaging system. Materials and methods: Intraoperative monitoring of brain surface blood flow by IRIS V infrared imaging system has been conducted during superficial temporal artery-middle cerebral artery anastomosis on seven sides of five pediatric patients with moyamoya disease (man/woman=2:3, 7-8 years old). The range of recipient artery was 0.7-0.8 mm (average 0.75 mm). Magnetic resonance imaging and magnetic resonance angiography were performed routinely before and after surgery. Conclusions: In all cases, patency of bypass, as well as detailed local hemodynamics and changes of brain surface temperature distribution could be evaluated. Intraoperative infrared system will be a feasible monitoring not only for noninvasive intraoperative evaluation of bypass patency but also for local hemodynamics even in patients with childhood moyamoya disease.

KW - Bypass patency

KW - EC-IC bypass

KW - Hemodynamics

KW - Hyperperfusion

KW - Intraoperative monitoring

KW - Minimally invasive neurosurgery

KW - Neurocritical care

KW - Thermal artery imaging

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JO - Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

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Intraoperative infrared brain surface blood flow monitoring during superficial temporal artery-middle cerebral artery anastomosis in patients with childhood moyamoya disease

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Keywords

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