Integration of Real-Time Intraoperative Contrast-Enhanced Ultrasound and Color Doppler Ultrasound in the Surgical Treatment of Spinal Cord Dural Arteriovenous Fistulas

Giuseppe Maria Della Pepa, Giovanni Sabatino, Carmelo Lucio Sturiale, Enrico Marchese, Alfredo Puca, Alessandro Olivi, Alessio Albanese

Research output: Contribution to journalArticle

Abstract

Background: In the surgical treatment of spinal dural arteriovenous fistulas (DAVFs), intraoperative definition of anatomic characteristics of the DAVF and identification of the fistulous point is mandatory to effectively exclude the DAVF. Case Description: Intraoperative ultrasound and contrast-enhanced ultrasound integrated with color Doppler ultrasound was applied in the surgical setting for a cervical DAVF to identify the fistulous point and evaluate correct occlusion of the fistula. Conclusions: Integration of intraoperative ultrasound and contrast-enhanced ultrasound is a simple, cost-effective technique that provides an opportunity for real-time dynamic visualization of DAVF vascular patterns, identification of the fistulous point, and assessment of correct exclusion. Compared with other intraoperative tools, such as indocyanine green videoangiography, it allows the surgeon to visualize hidden anatomic and vascular structures, minimizing surgical manipulation and guiding the surgeon during resection.

Original languageEnglish (US)
Pages (from-to)138-142
Number of pages5
JournalWorld Neurosurgery
Volume112
DOIs
StatePublished - Apr 1 2018
Externally publishedYes

Keywords

  • CEUS
  • Color Doppler ultrasound
  • Contrast-enhanced ultrasound
  • DAVF
  • Dural arteriovenous fistula
  • Spinal dural arteriovenous fistula

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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