scholarly journals Indocyanine green fluorescence in the assessment of the quality of the pedicled intercostal muscle flap: a pilot study†

2013 ◽  
Vol 44 (1) ◽  
pp. e77-e81 ◽  
Author(s):  
Cezary Piwkowski ◽  
Piotr Gabryel ◽  
Łukasz Gąsiorowski ◽  
Paweł Zieliński ◽  
Dawid Murawa ◽  
...  
Keyword(s):  
Pilot Study ◽  
Indocyanine Green ◽  
Muscle Flap ◽  
Intercostal Muscle ◽  
Green Fluorescence ◽  
Indocyanine Green Fluorescence ◽  
Intercostal Muscle Flap

scholarly journals Indocyanine green fluorescence/thermography evaluation of intercostal muscle flap vascularization

2018 ◽  
Vol 9 (12) ◽  
pp. 1631-1637 ◽  
Author(s):  
Nobutaka Kawamoto ◽  
Takashi Anayama ◽  
Hironobu Okada ◽  
Kentaro Hirohashi ◽  
Ryohei Miyazaki ◽  
...  
Keyword(s):  
Indocyanine Green ◽  
Muscle Flap ◽  
Intercostal Muscle ◽  
Green Fluorescence ◽  
Indocyanine Green Fluorescence ◽  
Intercostal Muscle Flap

The role of indocyanine green fluorescence in bronchopleural fistula prevention

2019 ◽  
Vol 28 (1) ◽  
pp. 68-70
Author(s):  
Piotr Gabryel ◽  
Cezary Piwkowski ◽  
Łukasz Gąsiorowski ◽  
Pawel Zieliński
Keyword(s):  
Indocyanine Green ◽  
Bronchopleural Fistula ◽  
Muscle Flap ◽  
Proximal Part ◽  
Suture Line ◽  
Green Fluorescence ◽  
Bronchial Stump ◽  
Indocyanine Green Fluorescence ◽  
Secondary Intention ◽  
Intercostal Muscle Flap

A 57-year-old woman with non-small-cell lung cancer qualified for pneumonectomy. At the start of the surgery, a pedicled intercostal muscle flap was harvested. Indocyanine green fluorescence revealed ischemia in the distal part of the flap. After pneumonectomy, the ischemic portion of the muscle was removed and the well-perfused proximal part was sutured to the bronchial stump. Reassessment with indocyanine green showed good perfusion of the flap. The postoperative period was uneventful, but follow-up bronchoscopy revealed bronchial suture line dehiscence with the muscle flap separating the bronchial lumen from the postpneumonectomy space. The bronchial stump healed spontaneously by secondary intention.

Pilot study using intraoperative fluorescence angiography during arteriovenous hemodialysis access surgery

2018 ◽  
Vol 20 (2) ◽  
pp. 175-183
Author(s):  
Susanne Regus ◽  
Felix Klingler ◽  
Werner Lang ◽  
Alexander Meyer ◽  
Veronika Almási-Sperling ◽  
...  
Keyword(s):  
Pilot Study ◽  
Indocyanine Green ◽  
Arteriovenous Fistula ◽  
Fluorescence Angiography ◽  
Hemodialysis Access ◽  
Green Fluorescence ◽  
Indocyanine Green Fluorescence ◽  
Access Surgery ◽  
Indocyanine Green Fluorescence Angiography ◽  
Intraoperative Fluorescence

Introduction: In this pilot study, we used indocyanine green fluorescence angiography during hemodialysis access surgery. The aim was to evaluate its relevance as a diagnostic tool to visualize changes in hand microperfusion. Patients and methods: In this prospective single-center study, 47 adult patients (33 male, 14 female) with renal disease (24 preemptive, 23 endstage) were enrolled. Surgical creation of an arteriovenous fistula was performed (22 forearm, 25 upper arm). Microperfusion of the ipsilateral hand and fingers was evaluated intraoperatively using indocyanine green fluorescence angiography. We compared the cumulated microperfusion parameters ingress (In) and ingress rate (InR) before and after opening of the anastomosis. To compare the dimension of microcirculatory decline, we calculated the ratios of the parameters (RatioIn and RatioInR) after to those before anastomosis opening. Results: The cumulated microperfusion parameters In and InR showed a significant decrease after completion of anastomosis and declamping. This effect has been seen in all patients for the hand and for each finger consecutively. During follow-up (mean 4.6, range 3–11 months), 5 patients (10.6%) complained about hemodialysis access–induced distal ischemia. The ratio of intraoperative microperfusion in those five hemodialysis access–induced ischemia patients was significantly lower compared to asymptomatic patients (RatioIn 0.23 vs 0.58, p = 0.001, and RatioInR 0.25 vs 0.62, p = 0.003). Conclusion: Intraoperative fluorescence angiography could visualize the deterioration of ipsilateral hand microperfusion after surgical creation of an arteriovenous fistula. It seems to be a promising tool to detect patients at risk for hemodialysis access–induced distal ischemia early in the peri- or even intraoperative stage.

scholarly journals The Use of Indocyanine Green Fluorescence Angiography in Pediatric Surgery: A Systematic Review and Narrative Analysis

2021 ◽  
Vol 9 ◽  
Author(s):  
Annie Le-Nguyen ◽  
Maeve O'Neill Trudeau ◽  
Philippe Dodin ◽  
Mark R. Keezer ◽  
Christophe Faure ◽  
...  
Keyword(s):  
Systematic Review ◽  
Indocyanine Green ◽  
Pediatric Patients ◽  
Surgical Patients ◽  
Fluorescence Angiography ◽  
Narrative Synthesis ◽  
Green Fluorescence ◽  
Indocyanine Green Fluorescence ◽  
Indocyanine Green Fluorescence Angiography

Purpose: Indocyanine green fluorescence angiography (ICG-FA) is a validated non-invasive imaging technique used to assess tissue vascularization and guide intraoperative decisions in many surgical fields including plastic surgery, neurosurgery, and general surgery. While this technology is well-established in adult surgery, it remains sparsely used in pediatric surgery. Our aim was to systematically review and provide an overview of all available evidence on the perioperative use of indocyanine green fluorescence angiography in pediatric surgical patients.Methods: We conducted a systematic review with narrative synthesis in conformity with the PRISMA guidelines using PubMed, Medline, All EBM Reviews, EMBASE, PsycINFO, and CINAHL COMPLETE databases to identify articles describing the perioperative use of ICG-FA in pediatric patients. Two independent authors screened all included articles for eligibility and inclusion criteria. We extracted data on study design, demographics, surgical indications, indocyanine green dose, and perioperative outcomes. We developed a risk of bias assessment tool to evaluate the methodological quality of included studies.Results: Of 1,031 articles retrieved, a total of 64 articles published between 2003 and 2020 were included reporting on 664 pediatric patients. Most articles were case reports and case series (n = 36; 56%). No adverse events related to ICG-FA were reported in the included articles. Risk of bias was high. We did not conduct a meta-analysis given the heterogeneous nature of the populations, interventions, and outcome measures. A narrative synthesis is presented.Conclusion: Indocyanine green fluorescence angiography is a safe imaging technology and its use is increasing rapidly in pediatric surgical specialties. However, the quality of evidence supporting this trend currently appears low. Case-control and randomized trials are needed to determine the adequate pediatric dose and to confirm the potential benefits of ICG-FA in pediatric surgical patients.Systematic Review Registration: This study was registered on Prospero a priori, identifier: CRD42020151981.

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