Assessing perioperative complications associated with use of intraoperative magnetic resonance imaging during glioma surgery

• Verfasst von: Ahmadi, Rezvan [VerfasserIn]
• Verfasst von: Campos, Benito [VerfasserIn]
• Verfasst von: Haux-Nettesheim, Daniel [VerfasserIn]
• Verfasst von: Rieke, Jörn [VerfasserIn]
• Verfasst von: Beigel, Bernhard [VerfasserIn]
• Verfasst von: Unterberg, Andreas [VerfasserIn]
• Titel: Assessing perioperative complications associated with use of intraoperative magnetic resonance imaging during glioma surgery
• Titelzusatz: a single centre experience with 516 cases
• Verf.angabe: Rezvan Ahmadi, Benito Campos, Daniel Haux, Jörn Rieke, Bernhard Beigel, Andreas Unterberg
• E-Jahr: 2016
• Jahr: 23 Mar 2016
• Umfang: 4 S.
• Fussnoten: Gesehen am 12.08.2020
• Titel Quelle: Enthalten in: British journal of neurosurgery
• Ort Quelle: London [u.a.] : Taylor & Francis, 1987
• Jahr Quelle: 2016
• Band/Heft Quelle: 30(2016), 4, Seite 397-400
• ISSN Quelle: 1360-046X
• DOI: doi:10.3109/02688697.2016.1161726
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Complications
• Sach-SW: glioma
• Sach-SW: intraoperative MRI
• Sach-SW: surgery
• K10plus-PPN: 1726933644

Abstract

Background: Intraoperative magnetic resonance imaging (io-MRI) improves the extent of glioma resection. Due to the magnetic field, patients have to be covered with sterile drape and are then transferred into an io-MRI chamber, where ferromagnetic anaesthesia monitors and machines must be kept at distance and can only be applied with limitations. Despite the development of specific paramagnetic equipment for io-MRI use, this method is suspected to carry a higher risk for anaesthesiological and surgical complications. Particularly, serial draping and un-draping cycles as well as the extended surgery duration might increase the risk of perioperative infection. Objective: Given the importance of io-MRI for glioma surgery, the question regarding io-MRI safety needs to be answered. Methods: We prospectively evaluate the perioperative anaesthesiological and surgical complications for 516 cases of brain tumour surgery involving io-MRI (MRI cohort). As a control group, we evaluate a cohort of 610 cases of brain tumour surgery, performed without io-MRI (control group). Results: The io-MRI procedure (including draping/undraping, transfer to and from the MRI cabinet and io-MRI scan) significantly extended surgery, defined as “skin to skin” time, by 57 min (SD = 16 min) (p ≤ 0.01). Still, we show low and comparable rates of surgical complications in the MRI cohort and the control group. Postoperative haemorrhage (3.7% versus 3.0% in MRI cohort versus control group; p = 0.49) and infections (2.2% versus 1.8% in MRI cohort versus control group; p = 0.69) were not significantly different between both groups. No anaesthesiological disturbances were reported. Conclusion: Despite prolonged surgery and serial draping and un-draping cycles, io-MRI was not linked to higher rates of infections and postoperative haemorrhage in this study.