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J Neurol Surg A Cent Eur Neurosurg
DOI: 10.1055/a-2175-3295
Technical Note

Experience Using Gentian Violet-Free Dyes for Tissue Visualization

Fumihiro Matano
1   Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan
,
Yasuo Murai
1   Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan
,
Yohei Nounaka 
1   Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan
,
Tadashi Higuchi
1   Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan
,
Riku Mihara
1   Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan
,
Koshiro Isayama
1   Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan
,
Akio Morita
1   Department of Neurological Surgery, Nippon Medical School, Tokyo, Japan
› Author Affiliations Funding None.
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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.

Keywords

anastomosis - dye - gentian violet


Publication History

Received: 09 April 2023

Accepted: 11 September 2023

Accepted Manuscript online:
13 September 2023

Article published online:
24 January 2024

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