Experience Using Gentian Violet-Free Dyes for Tissue Visualization.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY Journal of neurological surgery. Part A, Central European neurosurgery Pub Date : 2024-09-01 Epub Date: 2023-09-13 DOI:10.1055/a-2175-3295

Fumihiro Matano, Yasuo Murai, Yohei Nounaka, Tadashi Higuchi, Riku Mihara, Koshiro Isayama, Akio Morita

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Abstract

Background: Gentian violet ink is used as a skin marker in various surgical procedures, including neurosurgery. The dye is also used to visualize the edges of blood vessels during bypass surgery. However, gentian violet ink carries the risks of carcinogenicity and venous injury, which causes microvascular thrombosis. In this study, we compare the gentian violet-free dye C.I. Basic Violet 4 (BV4) and gentian violet. The usefulness, in terms of color, and formation of microvascular thrombosis in anastomosis were compared.

Methods: We used the gentian violet-free dye in 20 cases involving 3 vascular anastomoses. The bone cutting lines on the bone surface, superior temporal artery, and middle cerebral artery were drawn using BV4 and gentian violet ink.

Results: The colors of BV4 and gentian violet ink were similar. No thrombus formation was observed at the vascular anastomosis when using BV4.

Conclusion: BV4 can be used similarly to gentian violet ink. No adverse effects such as thrombus formation in microvascular anastomosis were experienced when BV4 was used.

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使用无龙胆紫染料进行组织可视化的经验。

背景：龙胆紫墨水在包括神经外科在内的各种外科手术中用作皮肤标记。这种染料还用于在搭桥手术中观察血管边缘。然而，龙胆紫墨水有致癌和静脉损伤的风险，会导致微血管血栓形成。在这项研究中，我们比较了不含龙胆紫的染料 C.I. 碱性紫 4（BV4）和龙胆紫。方法：我们在 20 个病例中使用了不含龙胆紫的染料，涉及 3 个血管吻合口。使用 BV4 和龙胆紫墨水绘制骨面、颞上动脉和大脑中动脉的切骨线：结果：BV4 和龙胆紫墨水的颜色相似。结果：BV4 和龙胆紫墨水的颜色相似，使用 BV4 时在血管吻合处未观察到血栓形成：结论：BV4 的使用方法与龙胆紫墨水相似。结论：BV4 的使用方法与龙胆紫墨水相似，使用 BV4 时不会在微血管吻合处形成血栓等不良反应。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of neurological surgery. Part A, Central European neurosurgery CLINICAL NEUROLOGY-SURGERY

CiteScore

2.30

自引率

0.00%

发文量

期刊介绍： The Journal of Neurological Surgery Part A: Central European Neurosurgery (JNLS A) is a major publication from the world''s leading publisher in neurosurgery. JNLS A currently serves as the official organ of several national neurosurgery societies. JNLS A is a peer-reviewed journal publishing original research, review articles, and technical notes covering all aspects of neurological surgery. The focus of JNLS A includes microsurgery as well as the latest minimally invasive techniques, such as stereotactic-guided surgery, endoscopy, and endovascular procedures. JNLS A covers purely neurosurgical topics.