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Дата последнего поиска статьи во внешних источниках: 1 мая 2024 г.
Аннотация:The use of various blood flow control methods in neurovascular interventions is crucial for reducingpostoperative complications. Neurosurgeons worldwide use different methods, such as contactDopplerography, intraoperative indocyanine videoangiography (ICG) video angiography, fluoresceinangiography, flowmetry, intraoperative angiography, and direct angiography. However, thereis no noninvasive method that can assess the presence of blood flow in the vessels of the brainwithout the introduction of fluorescent substances throughout the intervention. The real‑timelaser‑speckle contrast imaging (LSCI) method was studied for its effectiveness in controlling bloodflow in standard cerebrovascular surgery cases in rat common carotid arteries, such as proximalocclusion, trapping, reperfusion, anastomosis, and intraoperative vessel thrombosis. The real‑timeLSCI method is a promising method for use in neurosurgical practice. This approach allows timelydiagnosis of intraoperative disturbance of blood flow in vessels in cases of clip occlusion or thrombosis.Additionally, LSCI allows us to reliably confirm the functioning of the anastomosis and reperfusionafter removal of the clips and thrombolysis in real time. An unresolved limitation of the method isnoise from movements, but this does not reduce the value of the method. Additional research isrequired to improve the quality of the data obtained.