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[APPLICATION VALUE OF INDOCYANINE GREEN ANGIOGRAPHY IN FLAP RECONSTRUCTIVE SURGERY].

Abstract

OBJECTIVE

To investigate the utility of indocyanine green angiography in flap reconstructive surgery and possibility of decrease the complications.

METHODS

Indocyanine green angiography was performed on 14 patients undergoing flap reconstructive surgery between February and December 2014 to evaluate the blood perfusion of the flap and to adjust the operation plan. Of 14 cases, 2 were male and 12 were female, aged 23-58 years (mean, 35.5 years); 11 flaps were used for breast reconstruction [including 3 free deep inferior epigastric antery perforator (DIEP) flaps, 4 pedicled transverse rectus abdominis myocutaneous flaps (TRAM), 2 pedicled TRAM and free TRAM, and 2 pedicled latissimus dorsi myocutaneous flaps and prosthesis], 1 pedicled latissimus dorsi myocutaneous flap for repairing chest wall defect, 1 pedicled profunda artery perforator (PAP) flap for upper leg defect, and 1 pedicled descending genicular artery perforator flap for knee defect. The size of the flaps ranged from 9 cm x 6 cm to 26 cm x 12 cm.

RESULTS

A total of 32 indocyanine green angiography were performed. There was no adverse reactions to the infusion of indocyanine green. The surgery management was adjusted according to results of indocyanine green angiography findings in 5 of 14 cases. The distal part of flap were discarded because of poor perfusion in 3 cases (1 DIEP flap, 1 TRAM, and 1 PAP flap) and the other 2 cases (pedicled TRAM) needed additional free anastomosis to ensure sufficient blood supply (pedicled TRAM and free TRAM); the other flaps were harvested according to preoperative plan and repaired defect successfully. The mean follow-up was 5 months (range, 1-9 months). The other flaps survived without infection or fat necrosis except 1 PAP flap with distal necrosis.

CONCLUSION

Intraoperative indocyanine green angiography can provide real-time information of flap perfusion and then the operation plan can be adjusted in time to ensure the flap survival.

Authors

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Pub Type(s)

Journal Article

Language

chi

PubMed ID

26750010

Citation

Yang, Kai, et al. "[APPLICATION VALUE of INDOCYANINE GREEN ANGIOGRAPHY in FLAP RECONSTRUCTIVE SURGERY]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 29, no. 9, 2015, pp. 1113-6.
Yang K, Mu L, Liu Y, et al. [APPLICATION VALUE OF INDOCYANINE GREEN ANGIOGRAPHY IN FLAP RECONSTRUCTIVE SURGERY]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2015;29(9):1113-6.
Yang, K., Mu, L., Liu, Y., Peng, Z., & Li, G. (2015). [APPLICATION VALUE OF INDOCYANINE GREEN ANGIOGRAPHY IN FLAP RECONSTRUCTIVE SURGERY]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 29(9), pp. 1113-6.
Yang K, et al. [APPLICATION VALUE of INDOCYANINE GREEN ANGIOGRAPHY in FLAP RECONSTRUCTIVE SURGERY]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2015;29(9):1113-6. PubMed PMID: 26750010.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [APPLICATION VALUE OF INDOCYANINE GREEN ANGIOGRAPHY IN FLAP RECONSTRUCTIVE SURGERY]. AU - Yang,Kai, AU - Mu,Lan, AU - Liu,Yan, AU - Peng,Zhe, AU - Li,Guangxue, PY - 2016/1/12/entrez PY - 2016/1/12/pubmed PY - 2016/7/13/medline SP - 1113 EP - 6 JF - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery JO - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi VL - 29 IS - 9 N2 - OBJECTIVE: To investigate the utility of indocyanine green angiography in flap reconstructive surgery and possibility of decrease the complications. METHODS: Indocyanine green angiography was performed on 14 patients undergoing flap reconstructive surgery between February and December 2014 to evaluate the blood perfusion of the flap and to adjust the operation plan. Of 14 cases, 2 were male and 12 were female, aged 23-58 years (mean, 35.5 years); 11 flaps were used for breast reconstruction [including 3 free deep inferior epigastric antery perforator (DIEP) flaps, 4 pedicled transverse rectus abdominis myocutaneous flaps (TRAM), 2 pedicled TRAM and free TRAM, and 2 pedicled latissimus dorsi myocutaneous flaps and prosthesis], 1 pedicled latissimus dorsi myocutaneous flap for repairing chest wall defect, 1 pedicled profunda artery perforator (PAP) flap for upper leg defect, and 1 pedicled descending genicular artery perforator flap for knee defect. The size of the flaps ranged from 9 cm x 6 cm to 26 cm x 12 cm. RESULTS: A total of 32 indocyanine green angiography were performed. There was no adverse reactions to the infusion of indocyanine green. The surgery management was adjusted according to results of indocyanine green angiography findings in 5 of 14 cases. The distal part of flap were discarded because of poor perfusion in 3 cases (1 DIEP flap, 1 TRAM, and 1 PAP flap) and the other 2 cases (pedicled TRAM) needed additional free anastomosis to ensure sufficient blood supply (pedicled TRAM and free TRAM); the other flaps were harvested according to preoperative plan and repaired defect successfully. The mean follow-up was 5 months (range, 1-9 months). The other flaps survived without infection or fat necrosis except 1 PAP flap with distal necrosis. CONCLUSION: Intraoperative indocyanine green angiography can provide real-time information of flap perfusion and then the operation plan can be adjusted in time to ensure the flap survival. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/26750010/[APPLICATION_VALUE_OF_INDOCYANINE_GREEN_ANGIOGRAPHY_IN_FLAP_RECONSTRUCTIVE_SURGERY]_ L2 - https://medlineplus.gov/plasticandcosmeticsurgery.html DB - PRIME DP - Unbound Medicine ER -