Angiografia cerebral trans-operatória

Abstract

Revisões e estudos críticos de nossa casuística, no que se refere a angiomas cerebrais, nos levaram a concluir pela necessidade da angiografia trans-operatória para evitar secções parciais e para facilitar a localização trans-operatória de pequenas fístulas. Se concebido inicialmente como elemento para avaliação do sucesso cirúrgico ( Fig. 2 C), o método tem também servido como subsídio para orientação e delimitação precisa da patologia (Fig. 2 B).Os resultados do emprego sistemático deste procedimento têm sido apresentados desde 1964 nos congressos brasileiros da especialidade 2 > 4 , porém a publicação a fazemos somente agora, após casuística mais extensa (quadro 1). Em 1966 outro autor 3 relatou experiência análoga à qual foi levado por idênticos motivos.

Raupp: 50 years of neuroradiology

“…By self-taught also used the pneumo-rachis, pneumo-mielography or gas mielography, liposoluble contrasted positive mielography, the discography or nucleography, the vertebral flebography, the subclavian angiography, the aortography, the retrograde catheterization, among other types of puncture for injection of contrast for diagnostic purposes [5][6][7][8][9] . His original studies in South America on expansive processes in the posterior fossa provides diagnostic and topographic precisions impressive 10 .…”

“…His original studies in South America on expansive processes in the posterior fossa provides diagnostic and topographic precisions impressive 10 . Intraoperative angiography was another innovation that Dr. Raupp introduced in our country 3 , helped lead to the cure several patients in a single neurosurgical approach 7 . In the case of arteriovenous malformations, has already watched the poor prognosis in those who had deep venous drainage and intraparenchymal hematoma 7,8 .…”

“…Intraoperative angiography was another innovation that Dr. Raupp introduced in our country 3 , helped lead to the cure several patients in a single neurosurgical approach 7 . In the case of arteriovenous malformations, has already watched the poor prognosis in those who had deep venous drainage and intraparenchymal hematoma 7,8 . The rigor of his practice and observation allowed the identification of benefits in different ways of catheterization 11 , and criticism about the complications of direct puncture of the vertebral arteries abandoning this technique in mid-1970 12 .…”