Assessment of Microcirculation of an Axial Skin Flap Using Indocyanine Green Fluorescence Angiography

A Comparison of Free Autologous Breast Reconstruction with and without the Use of Laser-Assisted Indocyanine Green Angiography

“…35 In the 1990s, animal and then later human studies were described using this technology in the assessment of flaps. 36,37 For this reason, the literature review performed in our analysis has included eight publications looking at laser-assisted indocyanine green angiography in the assessment of free autologous tissue transfer. Nevertheless, our sample size of 152 breasts in the subgroup analysis using laser-assisted indocyanine green angiography provides for a robust cost-effectiveness analysis as demonstrated by our sensitivity analysis.…”

Intraoperative indocyanine green fluorescence angiography to predict wound complications in complex ventral hernia repair

“…Although used in ophthalmology for over 30 years, its role in evaluating circulation gained further attention by plastic and reconstructive surgeons with the innovation of ICG laser-induced fluorescence angiography (ICG-FA) as a new method of evaluating tissue perfusion in animal models [12,13]. Initial experiences in humans in the late 1990s demonstrated that perfusion mapping with ICG-FA correlated with poor circulation and was sensitive for identifying potential areas of skin breakdown in patients undergoing reconstructive procedures [14][15][16].…”

Determination of a Perfusion Threshold in Experimental Perforator Flap Surgery Using Indocyanine Green Angiography

“…After the demonstration of its utility in skin flap perfusion, it has subsequently been used to predict the viability of axial pattern pedicled flaps such as groin and forehead flaps and correlate areas of poor perfusion with histological signs of necrosis. 8,10,26 It has also been shown to dictate poor flap perfusion as well as identify thrombosis in free flaps. 12,13,27 ICG angiography has also been invaluable in identifying malperfusion in mastectomy skin flaps before breast reconstruction.…”