Navigation in vascular neurosurgery

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Literature review is devoted to the role of frameless neuronavigation in surgery of distal aneurysms, cavernomas, arteriovenous malformations, Kimmerle’s anomaly and revascularization surgeries. Visualization methods used in preoperative preparation of patients with vascular lesions compatible with frameless neuronavigation and the methods of intraoperative visualization as an addition to navigation are described.

Keywords:

minimally invasive surgery

frameless neuronavigation

distal aneurysms

cavernomas

arteriovenous malformations

Kimmerle’s anomaly

extra-intracranial bypass

intraoperative sonography

Authors:

Lukyanchikov V.A.

Sklifosovsky Research Institute for Emergency Care;
Peoples’ Friendship University of Russia

Senko I.V.

Sklifosovsky Research Institute for Emergency Care;
Federal Center for Brain and Neurotechnologies

Ryzhkova E.S.

Sklifosovsky Research Institute for Emergency Care;
Peoples’ Friendship University of Russia

Dmitriev A.Yu.

Sklifosovsky Research Institute for Emergency;
Yevdokimov Moscow State University of Medicine and Dentistry

ORCID: 0000-0002-7635-9701

Received:

06.07.2019

Accepted:

24.04.2020

List of references:

Hirurgiya anevrizm golovnogo mozga. Pod red. Krylova V.V. M.: Izdatel’stvo Novoe vremya; 2011. (In Russ.).
Senko IV, Krylov VV. Microsurgery of distal brain aneurysms. Nejrohirurgiya. 2016;1:98-103. (In Russ.).
Aoki S, Sasaki Y, Machida T, Ohkubo T, Minami M, Sasaki Y. Aneurysms Detection and Delineation Using 3-D-CT Angiography. AJNR: American Journal of Neuroradiology. 1992;13(4):1115-1120.
Matsumoto M, Sato M, Nakano M, Endo Y, Watanabe Y, Sasaki T, Suzuki K, Kodama N. Three-dimensional computerized tomography angiography-guided surgery of acutely ruptured cerebral aneurysms. Journal of Neurosurgery. 2001;94(5):718-727. https://doi.org/10.3171/jns.2001.94.5.0718
Kim T, Joo S, Lee J, Jung S, Kim J, Kim S, Kang SS, Yoon W. Neuronavigation-Assisted Surgery for Distal Anterior Cerebral Artery Aneurysm. Minimally Invasive Neurosurgery. 2007;50(2):77-81. https://doi.org/10.1055/s-2007-984380
Kil J-S, Kim D-W, Kang S-D. Navigation-guided Keyhole Approach for Unruptured Intracranial Aneurysms. Korean Journal of Cerebrovascular Surgery. 2011;13(3):244-248.
Hermann EJ, Petrakakis I, Götz F, Lütjens G, Lang J, Nakamura M, Krauss JK. Surgical treatment of distal anterior cerebral artery aneurysms aided by electromagnetic navigation CT angiography. Neurosurgical Review. 2015;38(3):523-530. https://doi.org/10.1007/s10143-015-0611-9
Onen MR, Yuvruk E, Naderi S, Egemen N. The role of neuronavigation and intraoperative ultrasonography in distal middle cerebral artery aneurysm. Neurosciences. 2018;23(3):265-267. https://doi.org/10.17712/nsj.2018.3.20180059
Lee SH, Bang JS. Distal Middle Cerebral Artery M4 Aneurysm Surgery Using Navigation-CT Angiography. Journal of Korean Neurosurgical Society. 2007;42(6):478-480. https://doi.org/10.3340/jkns.2007.42.6.478
Cabrilo I, Bijlenga P, Schaller K. Augmented Reality in the Surgery of Cerebral Aneurysms. Neurosurgery. 2014;10(4):252-261. https://doi.org/10.1227/neu.0000000000000328
Marinho P, Thines L, Verscheure L, Mordon S, Lejeune J-P, Vermandel M. Recent advances in cerebrovascular simulation and neuronavigation for the optimization of intracranial aneurysm clipping. Computer Aided Surgery. 2012;17(2):47-55. https://doi.org/10.3109/10929088.2011.653403
Toyooka T, Otani N, Wada K, Tomiyama A, Takeuchi S, Fujii K, Mori K. Head-up display may facilitate safe keyhole surgery for cerebral aneurysm clipping. Journal of Neurosurgery. 2018;129(4):883-889. https://doi.org/10.3171/2017.5.jns162692
Russell SM, Woo HH, Joseffer SS, Jafar JJ. Role of Frameless Stereotaxy in the Surgical Treatment of Cerebral Arteriovenous Malformations: Technique and Outcomes in a Controlled Study of 44 Consecutive Patients. Neurosurgery. 2002;51(5):1108-1118. https://doi.org/10.1097/00006123-200211000-00002
Mikami T, Hirano T, Sugino T, Miyata K, Iihoshi S, Wanibuchi M, Mikuni N. Presurgical planning for arteriovenous malformations using multidetector row CT. Neurosurgical Review. 2012;35(3):393-400. https://doi.org/10.1007/s10143-012-0383-4
Cabrilo I, Bijlenga P, Schaller K. Augmented reality in the surgery of cerebral arteriovenous malformations: technique assessment and considerations. Acta Neurochirurgica. 2014;156(9):1769-1774. https://doi.org/10.1007/s00701-014-2183-9
Unsgaard G, Ommedal S, Rygh OM, Lindseth F. Operation of Arteriovenous Malformations Assisted by Stereoscopic Navigation-controlled Display of Preoperative Magnetic Resonance Angiography and Intraoperative Ultrasound Angiography. Neurosurgery. 2007;61(suppl 1):281-290. https://doi.org/10.1227/01.neu.0000157005.51053.41
Walkden JS, Zador Z, Herwadkar A, Kamaly-Asl ID. Use of intraoperative Doppler ultrasound with neuronavigation to guide arteriovenous malformation resection: a pediatric case series. Journal of Neurosurgery. Pediatrics. 2015;15(3):291-300. https://doi.org/10.3171/2014.10.peds14249
Berntsen EM, Gulati S, Solheim O, Kvistad KA, Lindseth F, Unsgaard G. Integrated Pre- and Intraoperative Imaging in a Patient with an Arteriovenous Malformation Located in Eloquent Cortex. Minimally Invasive Neurosurg. 2009;52(2):83-85. https://doi.org/10.1055/s-0028-1124104
Young WL, Pile-Spellman J, Prohovnik I, Kader A, Stein BM. Evidence for adaptive autoregulatory displacement in hypotensive cortical territories adjacent to arteriovenous malformations. Neurosurgery. 1994;34(4):601-610. https://doi.org/10.1227/00006123-199404000-00006
Barnett GH, Little JR, Ebrahim ZY, Jones SC, Friel HT. Cerebral Circulation during Arteriovenous Malformation Operation. Neurosurgery. 1987;20(6):836-842. https://doi.org/10.1227/00006123-198706000-00003
Latchaw RE, Hu X, Ugurbil K, Hall WA, Madison MT, Heros RC. Functional Magnetic Resonance Imaging as a Management Tool for Cerebral Arteriovenous Malformations. Neurosurgery. 1995;37(4):619-626. https://doi.org/10.1097/00006123-199510000-00003
Xu H, Qin Z, Xu M, Chen C, Zhang J, Chen X. Clinical Experience with Intraoperative Ultrasonographic Image in Microsurgical Resection of Cerebral Arteriovenous Malformations. World Neurosurgery. 2017;97:93-97. https://doi.org/10.1016/j.wneu.2016.09.089
Winkler D, Linder D, Trantakis C, Strauss C, Richter A, Schober R, Meixensberger J. Cavernomas Malformations — navigation supports Surgery. Minimally Invasive Neurosurgery. 2004;47(1):24-28. https://doi.org/10.1055/s-2003-812537
Muha AM. Hirurgicheskoe lechenie razorvavshihsya kavernoznyh mal’formacij golovnogo mozga: Dis. ... kand. med. nauk. M. 2017. (In Russ.).
Okada T, Mikuni N, Miki Y, Kikuta K, Urayama S, Hanakawa T, Fushimi Y, Yamamoto A, Kanagaki M, Fukuyama H, Hashimoto N, Togashi K. Corticospinal tract localization: integration of diffusion tensor. 2006;240(3):849-857. https://doi.org/10.1111/dmcn.12780_92
Kinoshita M, Yamada K, Hashimoto N, Kato A, Izumoto S, Baba T, Yoshimine T. Fiber-tracking does not accurately estimate size of fiber bundle in pathological condition: initial neurosurgical experience using neuronavigation and subcortical white matter stimulation. Neuro Image. 2005;25(2):424-429. https://doi.org/10.1016/j.neuroimage.2004.07.076
Nimsky C, Ganslandt O, Hastreiter P, Wang R, Benner T, Sorensen AG, Fahlbusch R. Intraoperative diffusion-tensor MR imaging: shifting of white matter tracts during neurosurgical procedures — initial experience. Radiology. 2005;234(1):218-225. https://doi.org/10.1148/radiol.2341031984
Coenen VA, Krings T, Weidemann J, Hans F-J, Reinacher P, Gilsbach JM, Rohde V. Sequential Visualization of Brain and Fiber Tract Deformation during Intracranial Surgery with Three-dimensional Ultrasound: An Approach to Evaluate the Effect of Brain Shift. Operative Neurosurgery. 2005;56(1 suppl):133-141. https://doi.org/10.1227/01.neu.0000144315.35094.5f
Kamada K, Todo T, Masutani Y, Aoki S, Ino K, Takano T, Kirino T, Kawahara N, Morita A. Combined use of tractographyintegrated unctional neuronavigation and direct fiber stimulation. Journal of Neurosurgery. 2005;102(4):664-672. https://doi.org/10.3171/jns.2005.102.4.0664
Chen X, Weigel D, Ganslandt O, Fahlbusch R, Buchfelder M, Nimsky C. Duffusion tensor-based fiber tracking and intraoperative neuronavigation for the resection of a brainstem cavernous angioma. Surgical Neurology. 2007;68(3):285-291. https://doi.org/10.1016/j.surneu.2007.05.005
Håberg A, Kvistad KA, Unsgård G, Haraldseth O. Preoperative blood oxyfen level-dependent functional magnetic resonance imaging in patients with primary brain tumors: clinical application outcome. Neurosurgery. 2004;54(4):902-914. https://doi.org/10.1227/01.neu.0000114510.05922.f8
https://doi.org/10.1007/978-3-211-99651-5_28
Coppens JR, Cantando JD, Abdulrauf SI. Minimally invasive superficial temporal artery to middle cerebral artery bypass through an enlarged bur hole: the use of computed tomography angiography neuronavigation in surgical planning. Journal of Neurosurgery. 2008;109(3):553-558. https://doi.org/10.3171/jns/2008/109/9/0553
Nakagawa I, Kurokawa S, Tanisaka M, Kimura R, Nakase H. Virtual surgical planning for superficial temporal artery to middle cerebral artery bypass using three-dimensional digital subtraction angiography. Acta Neurochirurgica. 2010;152(9):1535-1541. https://doi.org/10.1007/s00701-010-0681-y
Fischer G, Stadie A, Schwandt E, Gawehn J, Boor S, Marx J, Oertel J. Minimally invasive superficial temporal artery to middle cerebral artery bypass through a minicranitomy: benefit of three-dimensional virtual reality planning using magnetic resonance angiography. Neurosurgery Focus. 2009;26(5):E20. https://doi.org/10.3171/2009.2.focus0917
Kaku Y, Yamashita K, Kokuzawa J, Kanou K, Tsujimoto M. Superficial temporal artery-middle cerebral artery bypass using local anesthesia and a sedative without endotracheal general anesthesia. Journal of Neurosurgery. 2012;117(2):288-294. https://doi.org/10.3171/2012.4.jns111958
Lukyanchikov VA, Kalandari AA, Dalibaldyan VA, Shestov EV, Nakhabin OYu, Polunina NA, Tokarev AS, Senko IV, Grigorieva EV, Khamidova LT, Poroshina IV. The possibility of performing EICMA using a frameless neural navigation system. Nejrohirurgiya. 2014;2:66-72. (In Russ.).
Lukyanchikov VA, Polunina NA, Lunkova RN, Tokarev AS, Kalandari AA, Dalibaldyan VA, Nakhabin OYu, Grigor’eva EV. The extra-intracranial bypass between occipital artery and posterior inferior cerebellar artery. Case report. Nejrohirurgiya. 2015;1:76-81. (In Russ.).
Lukyanchikov VA, Dalibaldyan VA, Grigoriev IV, Kudryashova NE, Grigorieva EV, Krylov VV. Selective extra-intracanal anastomosis in the region of cerebral hypoperfusion. Rossijskij nejrohirurgicheskij zhurnal im. prof. A.L. Polenova. 2017;9(2):55-59. (In Russ.).
Krylov VV, Lukyanchikov VA, Lvov IS, Grin AA, Sytnik AV, Hayrapetyan AA. Surgical treatment of vertebro-vascular conflict in patients with Kimmerle’s anomaly. Rossijskij nejrohirurgicheskij zhurnal. 2017;9(2):16-21. (In Russ.).
Lvov I, Lukianchikov V, Grin A, Sytnik A, Polunina N, Krylov V. Minimally invasive surgical treatment for Kimmerle anomaly. Journal of Craniovertebral Junction and Spine. 2017;8(4):359-363. https://doi.org/10.4103/jcvjs.jcvjs_73_17
Lukianchikov V, Lvov I, Grin A, Kordonskiy A, Polunina N, Krylov V. Minimally Invasive Surgical Treatment for Vertebral Artery Compression in a Patient with One-Sided Ponticulus Posticus and Ponticulus Lateralis. World Neurosurgery. 2018;117:97-102. https://doi.org/10.1016/j.wneu.2018.06.002

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