Compendium

Publications on the use of indocyanine green (ICG) in fluorescence-guided surgery

Focusing on neurosurgical indications
21 April 2026 · 10 min read
Compiled by ZEISS Medical Technology
SUMMARY

List of articles about ICG in fluorescence-guided surgery

This literature compendium presents an overview of peer-reviewed publications discussing the use of ICG videoangiography in fluorescence-guided neurosurgical procedures across various cerebrovascular and oncological indications. The objective is to compile and share evidence-based medical insights into the application of ICG videoangiography to support knowledge exchange within the neurosurgical community.

Each publication is based on the author´s own professional opinion or on their study results. It does not necessarily reflect the opinion of Carl Zeiss Meditec AG and may not be in line with the clinical evaluation or intended purpose of our medical devices. Therefore, suitability of clinical application for each publication should be carefully assessed by the concerned physician.

Neurosurgical indications

  • Year

    Title

    Publication type
    (study design)

    Journal

    Authors

    2026 Jan

    Efficacy of intraoperative indocyanine green videoangiography (ICG-VA) and FLOW 800 in the surgical management of intracranial aneurysms: a systematic review and meta-analysis
    Link to Publication

    Sytematic review and meta-analysis

    Acta Neurochirurgica

    Turpo-Pequeña AG, Santos-Vargas SA, Loza-Chipa HR, Lamas FM, Espinoza-Laura GA, Núñez-Basurco CS, Medina-Neira DN, Benites-Bustamante VA, Osorio-Pacheco RR, Turpo-Peqqueña JR, Huanca-Quispe G, Vizcarra-Vizcarra CA, Gómez B, Rivillas JA, Hernández-Mayori R

    2026 Jan

    Application of intraoperative fluorescent imaging techniques in vascular neurosurgical procedures
    Link to Publication

    Original article (retrospective, single-center, n=154)

    Egyptian Journal of Neurosurgery

    Nathal E, Serrano-Rubio A, Xochipa-Ruiz KE, Medina-Félix ZE, Riley-Moguel AE, Fernández-Rodríguez ER, Becerril-Mejía A

    2024 Sep

    Comparison of intraoperative sodium fluorescein and indocyanine green videoangiography during intracranial aneurysm and arteriovenous malformation surgery
    Link to Publication

    Original article (prospective, n=49)

    Clinical Neurology and Neurosurgery

    Kırış T, Akçakaya MO

    2024 Sep

    Clipping of a persistent middle cerebral artery aneurysm after previous flow diverter placement: an illustrative case and review of the literature
    Link to Publication

    Original article (n=1)

    Journal of Cerebrovascular and Endovascular Neurosurgery

    Veken JV, Keukeleire K

    2024 Jun

    Improved rates of postoperative ischemia, completeness of aneurysm occlusion and neurological deficits in elective clipping of anterior circulation aneurysms over the past 20 years - association with technical improvements
    Link to Publication

    Original article (retrospective, single-center, n=1317)

    Acta Neurochirurgica

    Siller S, Briegel J, Kunz M, Liebig T, Forbrig R, Tonn JC, Schichor C, Thorsteinsdottir J

    2023 Dec

    Complementary role of indocyanine green video angiography, dual-image video angiography and flow-800
    Link to Publication

    Original article (single-center, n=35)

    British Journal of Neurosurgery

    Khasanov KA, Alikhodjayeva GA, Yamada Y, Kato Y, Yakubov JB, Yağmurlu K, Chaurasia B

    2020 Oct

    Indocyanine green angiography visualized by augmented reality in aneurysm surgery
    Link to Publication

    Original article (prospective, single-center, n=20)

    World Neurosurgery

    Carl B, Bopp M, Benescu A, Saß B, Nimsky C

    2020 Feb

    Intraoperative use of microscope-integrated Flow 800 - a valuable tool in surgical management of anterior communicating artery aneurysm: our institutional experience
    Link to Publication

    Original article (single-center, n=10)

    Asian Journal of Neurosurgery

    Chavan VS, Yamada Y, Chandratej K, Gowtham D, Riccardo S, Firuz S, Yoko K

    2003 Jan

    Near-infrared indocyanine green video angiography: a new method for intraoperative assessment of vascular flow
    Link to Publication

    Original article (single-center, n=14)

    Neurosurgery

    Raabe A, Beck J, Gerlach R, Zimmermann M, Seifert V

  • 2026 Feb

    Intraoperative evaluation of dural arteriovenous fistula obliteration using FLOW 800 hemodynamic analysis
    Link to Publication

    Original article (retrospective, single-center, n=8)

    Operative Neurosurgery

    Sangwon KL, Grin EA, Negash B, Wiggan DD, Lapierre C, Raz E, Shapiro M, Laufer I, Sharashidze V, Rutledge C, Riina HA, Oermann EK, Nossek E

    2025 Aug

    Intraoperative indocyanine green videoangiography with FLOW800 and multimodal fusion neuro-navigation for the resection of arteriovenous malformation with reduced blood loss
    Link to Publication

    Original article (retrospective, single-center, n=90)

    World Neurosurgery

    Yang X, Tao X, Meng J, You W, Gu F, Li J, Tian Z, Wang Z

    2023 Sep

    Evaluation of serial intra-arterial indocyanine green videoangiography in the surgical treatment of cranial and craniocervical junction arteriovenous fistulae: a case series
    Link to Publication

    Original article (retrospective, single-center, n=50)

    Operative Neurosurgery

    Yamaguchi I, Kanematsu Y, Shimada K, Yamamoto N, Korai M, Miyake K, Miyamoto T, Sogabe S, Shikata E, Ishihara M, Yamamoto Y, Kuroda K, Takagi Y

    2023 Feb

    Evaluation of the utility of indocyanine green video angiography in cerebral arteriovenous malformation surgery
    Link to Publication

    Original article (retrospective, single-center, n=24)

    World Neurosurgery

    Erdogan K, Mammadkhanli O, Abbasoglu B, Bayatli E, Ozden M, Bozkurt M

    2023 Jan

    Efficacy of utilizing both 3-dimensional multimodal fusion image and intra-arterial indocyanine green videoangiography in cerebral arteriovenous malformation surgery
    Link to Publication

    Original article (single-center, n=12)

    World Neurosurgery

    Shimada K, Miyake K, Yamaguchi I, Sogabe S, Korai M, Kanematsu Y, Takagi Y

    2022 Aug

    Role of indocyanine green with FLOW 800 in removal of hidden arteriovenous malformations
    Link to Publication

    Systematic review and case series (retrospective, single-center, n=14)

    World Neurosurgery

    Grzyb CC, Church EW

    2021 Jun

    Multimodality management in bAVM surgery - recent experience from international cerebrovascular fellowship
    Link to Publication

    Original article (retrospective, single-center, n=11)

    Medical Archives

    Ahmetspahic A, Burazerovic E, Hajdarpasic E, Dzurlic A, Omerhodzic I, Sefo H, Kato Y

    2020 Sep

    Preservation of coexisting normal superior petrosal vein in the microsurgical treatment of superior petrosal sinus dural arteriovenous fistulas assisted by indocyanine green video angiography
    Link to Publication

    Original article (retrospective, single-center, n=12)

    World Neurosurgery

    Sun L, Ren J, Wang L, Li J, He C, Ye M, Li G, Zhang H

    2020 Aug

    Hemodynamic changes in superficial arteriovenous malformation surgery measured by intraoperative ICG fluorescence videoangiography with FLOW 800 software
    Link to Publication

    Original article (retrospective, single-center, n=17)

    Chinese Neurosurgical Journal

    Ye X, Wang L, Li MT, Chen XL, Wang H, Ma L, Wang R, Zhang Y, Cao Y, Zhao YL, Zhang D, Wang S

    2019 Dec

    Application of indocyanine green during arteriovenous malformation surgery: evidence, techniques, and practical pearls
    Link to Publication

    Review

    Frontiers in Surgery

    Foster CH, Morone PJ, Tomlinson SB, Cohen-Gadol AA

  • 2025 Aug

    Clinical and hemodynamic outcomes of side-to-side anastomosis in superficial temporal artery-middle cerebral artery bypass for adult patients with moyamoya disease: a prospective cohort study
    Link to Publication

    Original article (prospective, single-center, n=50)

    Frontiers in Neurology

    Shi Z, Deng Z, Chen X, Wu L, Li W, Wang J, Liu Y, Zhang D, Wang Y, Hang C, Yang Y

    2025 Jun

    Diagnostic values of the “To and Fro” conflict sign on intraoperative indocyanine green video angiography as a warning sign of the focal cerebral hyperperfusion and watershed shift phenomenon after superficial temporal artery-middle cerebral artery bypass for adult patients with moyamoya disease
    Link to Publication

    Original article (retrospective, single-center, n=97)

    Cerebrovascular Diseases

    Tashiro R, Fujimura M, Nishizawa T, Tominaga K, Kanoke A, Endo H

    2024 Nov

    The significance of postbypass blood flow model in side to side bypass for moyamoya disease in predicting postoperative cerebral hyperperfusion syndrome
    Link to Publication

    Original article (retrospective, single-center, n=153)

    Frontiers in Neurology

    Wan G, Hu M, Yu J, Xin C, Tao T, Quan W, Chen J, Zhang J.

    2024 Oct

    Cerebral hemodynamic plasticity related to potential compensatory self-recirculation network in moyamoya disease: an observational study
    Link to Publication

    Original article (prospective, single-center, n=63)

    Scientific Reports

    Cao, Lei; Yuan, Xiaoli; Dong, Yang; Wang, Zeming; Guo, Mengguo; Li, Dongpeng; Wang, Hao; Zhu, Lingyun; Yang, Bo; Li, Hongwei

    2024 Aug

    Assessing superficial temporal artery-middle cerebral artery anastomosis patency using FLOW 800 hemodynamics
    Link to Publication

    Original article (retrospective, single-center, n=39)

    Journal of Neurosurgery

    Sangwon KL, Nguyen M, Wiggan DD, Negash B, Alber DA, Liu XC, Liu A, Rabbin-Birnbaum C, Sharashidze V, Baranoski J, Raz E, Shapiro M, Rutledge C, Nelson PK, Riina H, Russin J, Oermann EK, Nossek E

    2024 Jun

    Individualised evaluation based on pathophysiology for moyamoya vasculopathy: application in surgical revascularisation
    Link to Publication

    Original article (prospective, multicenter, n=375)

    Stroke and Vascular Neurology

    Zhang X, Lei Y, Su J, Gao C, Li Y, Feng R, Xia D, Gao P, Gu Y, Mao Y

    2023 Oct

    Application of intraarterial superselective indocyanine green angiography in bypass surgery for adult moyamoya disease
    Link to Publication

    Original article (single-center, n=20)

    Frontiers in Neurology

    Ni H, Wu Y, Zhou C, Li X, Zhou S, Lan W, Zhang Z, Huang Y, Wang H, Lin J

    2023 Oct

    The value of indocyanine green-FLOW800 in microvasculature for predicting cerebral hyperperfusion syndrome in moyamoya disease patients
    Link to Publication

    Original article (retrospective, single-center, n=31)

    Scientific Reports

    Guo Z, Yan Z, Qu F, Cheng D, Wang C, Feng Y

    2022 Jan

    Application of FLOW 800 in extracranial-to-intracranial bypass surgery for moyamoya disease
    Link to Publication

    Video article (single-center, n=3)

    Neurosurgical Focus Video

    Yim B, Gauden AJ, Steinberg GK

    2020 Oct

    Decreased cortical perfusion in areas with blood-brain barrier dysfunction in moyamoya disease
    Link to Publication

    Original article (prospective, single-ceter, n=25)

    Acta Neurochirurgica

    Lu X, Huang Y, Zhou P, Hui P, Wang Z

    2020 Aug

    Evaluation of hemodynamic change by indocyanine green-FLOW 800 videoangiography mapping: prediction of hyperperfusion syndrome in patients with moyamoya disease
    Link to Publication

    Original article (retrospective, single-center, n=62)

    Oxidative Medicine and Cellular Longevity

    Zhang X, Ni W, Feng R, Li Y, Lei Y, Xia D, Gao P, Yang S, Gu Y

    2020 Aug

    Indocyanine green videoangiography for recipient vessel stratification in superficial temporal artery-middle cerebral artery bypass surgery
    Link to Publication

    Original article (retrospective, n=60)

    Journal of Neurosurgery

    Goldberg J, Vajkoczy P, Hecht N

    2020 Jul

    Matching selection of donor-recipient vessels in revascularization surgery effectively reduce the incidence of postoperative hyperperfusion syndrome in adult moyamoya disease: a retrospective comparison study
    Link to Publication

    Original article (retrospective, single-center, n=216)

    Cerebrovascular Diseases

    Hu; Zeng X, Su K, Tian X, Chen J; Zhang

  • 2025 Oct

    NIR indocyanine-white light overlay visualization for neuro-oto-vascular preservation during anterior transpetrosal approaches: a technical note
    Link to Publication

    Original article (prospective, single-center, n=1))

    Journal of Clinical Medicine

    Tariciotti L, Rodas A, De Andrade E Jr, Revuelta Barbero JM, Zohdy YM, Soriano R, Vuncannon JR, Maldonado J, Lohana S, DiMeco F, Garzon-Muvdi T, Reyes C, Solares CA, Pradilla G

    2025 Apr

    Microvascular cortical dynamics in minimal invasive deep-seated brain tumour surgery
    Link to Publication

    Original article (prospective, single-center, n=35)

    Cancers

    Lavrador JP, Wroe-Wright O, Marchi F, Elhag A, O'Keeffe A, De La Fuente P, Soumpasis C, Cardia A, Mirallave-Pescador A, Díaz-Baamonde A, Mosquera JS, Coiteiro D, Jewell S, Strong A, Gullan R, Ashkan K, Vergani F, Vasan AK, Bhangoo R

    2025 Feb

    Tubular retractor-assisted minimally invasive parafascicular approach for dermoid cyst
    Link to Publication

    Original article (single-center, n=1)

    Journal of Surgical Case Reports

    Lee KS, Kalyal N, Mthunzi E, Marchi F, Elhag A, Bodi I, Bhangoo R, Vergani F, Ashkan K, Gullan R, Lavrador JP

    2025 Jan

    Intraoperative indocyanine green (ICG) videoangiography in spinal hemangioblastoma surgery - helpful tool or unnecessary?
    Link to Publication

    Original article (retrospective, single-center, n=39)

    Clinical Neurology and Neurosurgery

    Klingler JH, Gizaw C, Blaß BI, Hohenhaus R, Neidert N, Neumann-Haefelin E, Kotsis F, Grauvogel J, Scheiwe C, Beck J

    2024 Dec

    Intraoperative real-time near-infrared image-guided surgery to identify necrotic tissues
    Link to Publication

    Original article (prospective, single-center, n=4)

    Operative Neurosurgery

    Fujiwara E, Muto J, Murayama K, Yamada S, Hirose Y

    2022 Apr

    Utility of indocyanine green videoangiography with FLOW 800 analysis in brain tumour resection as a venous protection technique
    Link to Publication

    Original article (retrospective, n=23)

    BMC Surgery

    Sun Y, Wang Z, Jiang F, Yang X, Tan X, Chen Z, Liu Y, Zhu Y, Wang Z, Chen G

  • 2025 Jun

    Fluorescence guidance in glioma surgery: a narrative review of current evidence and the drive towards objective margin differentiation
    Link to Publication

    Review

    Cancers

    Elliot M, Ségaud S, Lavrador JP, Vergani F, Bhangoo R, Ashkan K, Xie Y, Stasiuk GJ, Vercauteren T, Shapey J

    2024 Oct

    Enlightening the invisible: applications, limits and perspectives of intraoperative fluorescence in neurosurgery
    Link to Publication

    Review

    Brain and Spine

    Cossu G, Le Van T, Kerherve L, Houidi SA, Morlaix E, Bonneville F, Chapon R, Baland O, Cao C, Lleu M, Farah W, El Cadhi A, Beaurain J, Picart T, Xu B, Berhouma M

    2024 May

    Advances in intraoperative imaging for vascular neurosurgery
    Link to Publication

    Review

    Neuroimaging Clinics of North America

    Fritch C, Church E, Wilkinson DA

    2019 Nov

    Applications of microscope-integrated indocyanine green videoangiography in cerebral revascularization procedures
    Link to Publication

    Review

    Frontiers in Surgery

    Cavallo C, Gandhi S, Zhao X, Belykh E, Valli D, Nakaji P, Preul MC, Lawton MT

    2014 Sep

    Indocyanine green video-angiography in neurosurgery: a glance beyond vascular applications
    Link to Publication

    Systematic review

    Clinical Neurology and Neurosurgery

    Scerrati A, Della Pepa GM, Conforti G, Sabatino G, Puca A, Albanese A, Maira G, Marchese E, Esposito G


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