A systematic review of the use of near-infrared fluorescence imaging in patients with peripheral artery disease

Hoven, Pim van den; Ooms, Sophie; Manen, Labrinus van; Bogt, Koen E.A. van der; Schaik, Jan van; Hamming, Jaap F.; Vahrmeijer, Alexander L.; Vorst, Joost R. van der; Mieog, J. Sven D.

doi:10.1016/j.jvs.2018.11.023

Cited by 32 publications

(19 citation statements)

References 41 publications

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“…[10][11][12][13] Quantitative fluorescence parameters are categorized in time-dependent and fluorescence intensity-related that have already been investigated during reconstructive, vascular, and intestinal surgery in several studies. 7,10,[13][14][15] For bowel surgery, fluorescence parameters have mainly been correlated to the occurrence of anastomotic leakage and have to our knowledge not yet been described in patients with mesenteric resection, in which collateral vessels provide perfusion to the affected bowel segment. It has been suggested that a smaller fluorescence inflow slope (arterial inflow) and a low F max are important predictors for poor vascular perfusion.…”

Section: Discussionmentioning

confidence: 99%

Quantitative dynamic near-infrared fluorescence imaging using indocyanine green for analysis of bowel perfusion after mesenteric resection

et al. 2021

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. Significance: Near-infrared (NIR) fluorescence imaging using indocyanine green (ICG) has proven to be a feasible application for real-time intraoperative assessment of tissue perfusion, although quantification of NIR fluorescence signals is pivotal for standardized assessment of tissue perfusion. Aim: Four patients are described with possible compromised bowel perfusion after mesenteric resection. Based on these patients we want to emphasize the difficulties in the quantification of NIR fluorescence imaging for perfusion analysis. Approach: During image-guided fluorescence assessment, 5 mg of ICG ( ) was intravenously administered by the anesthesiologist. NIR fluorescence imaging was done with the open camera system of Quest Medical Imaging. Fluorescence data taken from the regions of interest (bowel at risk, transition zone of bowel at risk and adjacent normally perfused bowel, and normally perfused reference bowel) were quantitatively analyzed after surgery for fluorescence intensity-and perfusion time-related parameters. Results: Bowel perfusion, as assessed clinically by independent surgeons based on NIR fluorescence imaging, resulted in different treatment strategies, three with excellent clinical outcome, but one with a perfusion related complication. Post-surgery quantitative analysis of fluorescence dynamics showed different patterns in the affected bowel segment compared to the unaffected reference segments for the four patients. Conclusions: Similar intraoperative fluorescence results could lead to different surgical treatment strategies, which demonstrated the difficulties in interpretation of uncorrected fluorescence signals. Real-time quantification and standardization of NIR fluorescence perfusion imaging could probably aid surgeons in the nearby future.

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Section: Discussionmentioning

confidence: 99%

Quantitative dynamic near-infrared fluorescence imaging using indocyanine green for analysis of bowel perfusion after mesenteric resection

et al. 2021

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“…While its use in areas of multiple fields of surgery has been described for decades, it has seen somewhat of a renaissance in recent years as an adjunct tool for evaluation of perfusion and viability in bowel, 62 skin flaps, 63 and CLI with tissue loss. 64 The implementation of ICG angiography (ICGA) for evaluating perfusion can largely be thought of in two discrete uses: subjective and objective data. 65 It is important to understand the difference in these uses when utilizing the technology, as implementing it for one purpose may restrict or preclude its use for the other.…”

Section: Indocyanine Green Angiographymentioning

confidence: 99%

Section: Modalities For the Assessment Of Foot Perfusionmentioning

confidence: 99%

Assessment of foot perfusion: Overview of modalities, review of evidence, and identification of evidence gaps

Rogers¹,

Montero-Baker

Biswas³

et al. 2020

Vasc Med

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Patients with critical limb ischemia have nonhealing wounds and/or ischemic rest pain and are at high risk for amputation and mortality. Accurate evaluation of foot perfusion should help avoid unnecessary amputation, guide revascularization strategies, and offer efficient surveillance for patency. Our aim is to review current modalities of assessing foot perfusion in the context of the practical clinical management of patients with critical limb ischemia.

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“…For patients with peripheral arterial disease (PAD), NIRF imaging can be used for the assessment of regional tissue perfusion. Described applications of NIRF imaging in patients with PAD include (1) diagnosis, (2) the measuring of the effect of revascularization procedures, and (3) the assessment of tissue viability following amputation surgery [ 2 ]. In cardiac interventions, the use of NIRF imaging has allowed for the real-time assessment of graft patency, with applications in transplantation surgery providing a diagnostic tool for the assessment of kidney microperfusion, for example [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Perfusion Parameters in Near-Infrared Fluorescence Imaging with Indocyanine Green: A Systematic Review of the Literature

Goncalves

Hoven

Schaik

et al. 2021

Life

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(1) Background: Near-infrared fluorescence imaging is a technique capable of assessing tissue perfusion and has been adopted in various fields including plastic surgery, vascular surgery, coronary arterial disease, and gastrointestinal surgery. While the usefulness of this technique has been broadly explored, there is a large variety in the calculation of perfusion parameters. In this systematic review, we aim to provide a detailed overview of current perfusion parameters, and determine the perfusion parameters with the most potential for application in near-infrared fluorescence imaging. (2) Methods: A comprehensive search of the literature was performed in Pubmed, Embase, Medline, and Cochrane Review. We included all clinical studies referencing near-infrared perfusion parameters. (3) Results: A total of 1511 articles were found, of which, 113 were suitable for review, with a final selection of 59 articles. Near-infrared fluorescence imaging parameters are heterogeneous in their correlation to perfusion. Time-related parameters appear superior to absolute intensity parameters in a clinical setting. (4) Conclusions: This literature review demonstrates the variety of parameters selected for the quantification of perfusion in near-infrared fluorescence imaging.

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A systematic review of the use of near-infrared fluorescence imaging in patients with peripheral artery disease

Cited by 32 publications

References 41 publications

Quantitative dynamic near-infrared fluorescence imaging using indocyanine green for analysis of bowel perfusion after mesenteric resection

Quantitative dynamic near-infrared fluorescence imaging using indocyanine green for analysis of bowel perfusion after mesenteric resection

Assessment of foot perfusion: Overview of modalities, review of evidence, and identification of evidence gaps

Perfusion Parameters in Near-Infrared Fluorescence Imaging with Indocyanine Green: A Systematic Review of the Literature

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