Assessment of Intraoperative Spinal Angiography via the Popliteal Artery for Spinal Vascular Diseases

Maeda, Yuyo; Mitsuhara, Takafumi; Kume, Shinji; Sakamoto, Shigeyuki; Shimizu, Kiyoharu; Oshita, Jumpei; Kajihara, Yousuke; Takeda, M.; Horie, Nobutaka; Yamaguchi, S.

doi:10.1016/j.wneu.2022.10.040

Cited by 3 publications

(3 citation statements)

References 25 publications

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“…Finally, four studies were included in the systematic review 2 17–19. After the completion of the systematic review, one additional study was published that was included manually in this review 20. The selection of the above studies is shown in a PRISMA flow diagram (online supplemental figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…Catheters (eg, HS1 or Mikaelsson) are typically short, up to 80 cm, and the surgeon may need to use a longer Simmons catheter instead, depending on the level of the neurovascular lesion 24. Despite this challenge, in five of the cases discussed here popliteal access was used for IOA of cervical level vasculature, although using 140 cm type JB2 catheters 20. Using standard 100 cm catheters allows for visualization up to the T5–T6 level 2.…”

Section: Discussionmentioning

confidence: 99%

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Intraoperative angiography via popliteal artery access for spinal neurovascular lesions: an institutional experience and systematic review

Muhammad

Sioutas

Gajjar

et al. 2023

J NeuroIntervent Surg

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BackgroundIntraoperative DSA is used to confirm complete obliteration of neurovascular pathologies. For spinal neurovascular lesions, femoral access can be challenging given the need to flip the patient after sheath placement. Similarly, radial access can be complicated by arch navigation difficulties. Vascular access via the popliteal artery represents an appealing alternative option; however, data regarding its utility and efficacy in these cases are limited.MethodsA retrospective series of four consecutive patients between July 2016 and August 2022 who underwent intraoperative spinal DSA via the popliteal artery was analyzed. Additionally, a systematic review was conducted to collect previously reported such cases. Collective patient demographics and operative details are presented to consolidate the available evidence supporting popliteal access.ResultsFour patients met the inclusion criteria from our institution. The systematic review yielded six previously published studies reporting 16 additional transpopliteal access cases. Of the 20 total cases (mean±SD age 60.8±17.2 years), 60% were men. Most treated lesions were dural arteriovenous fistulas (80%) located in the thoracic spine (55%) or cervical spine (25%). The left popliteal artery was most accessed and the highest visualized level was the craniocervical junction. All outcomes were either stable or improving after surgery, and no complications were observed.ConclusionsWe report the safety and feasibility of transpopliteal access for intraoperative DSA in the prone position in four cases in addition to 16 previously reported cases in the literature. Our case series highlights popliteal artery access as an alternative to transfemoral or transradial access in this setting.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intraoperative angiography via popliteal artery access for spinal neurovascular lesions: an institutional experience and systematic review

Muhammad

Sioutas

Gajjar

et al. 2023

J NeuroIntervent Surg

View full text Add to dashboard Cite

show abstract

“…10 ) It was reported that intraoperative angiography via the transpopliteal approach is useful in patients with spinal vascular disorders. 17 ) Delayed treatment may result in poor outcomes in progressive AVFs. 18 , 19 ) In order for these patients to have a good prognosis, early diagnosis and surgical intervention are essential.…”

Section: Discussionmentioning

confidence: 99%