Laser-Assisted Indocyanine Green Angiography and DIEP Breast Reconstruction

Francisco, Ben S.; Kerr-Valentic, Mahlon A.; Agarwal, Jayant P.

doi:10.1097/prs.0b013e3181cb67a9

Cited by 39 publications

(30 citation statements)

References 4 publications

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“…[21][22][23][24][25][26][27][28][29][30] Our early experience with DIEP flaps following abdominal suction lipectomy was complicated by relatively high rates of partial flap loss and fat necrosis. Indocyanine green has many desirable characteristics for intraoperative use.…”

Section: Discussionmentioning

confidence: 99%

“…[21][22][23][24][25][26][27][28][29][30] Because of its ability to aid in flap design and elevation, and determining areas of adequate perfusion, we have since used laser angiography in DIEP flap cases when prior abdominal suction lipectomy has been performed. [21][22][23][24][25][26][27][28][29][30] Because of its ability to aid in flap design and elevation, and determining areas of adequate perfusion, we have since used laser angiography in DIEP flap cases when prior abdominal suction lipectomy has been performed.…”

mentioning

confidence: 99%

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Indocyanine Green Laser Angiography Improves Deep Inferior Epigastric Perforator Flap Outcomes following Abdominal Suction Lipectomy

Casey

Connolly

Nanda

et al. 2015

Plastic and Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Indocyanine Green Laser Angiography Improves Deep Inferior Epigastric Perforator Flap Outcomes following Abdominal Suction Lipectomy

Casey

Connolly

Nanda

et al. 2015

Plastic and Reconstructive Surgery

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“…Multiple modalities have been used clinically and described in the literature, including various Doppler devices, computed tomography angiography (CTA), magnetic resonance angiography (MRA), tissue oximetry, and fluorescein, among others (Table 1) [1,8,9,11,12,14,16-52]. …”

Section: Introductionmentioning

confidence: 99%

“…More recently, the technology was adopted for use in cardiac [59,60], vascular [61,62], and transplant surgery [63]. Over the last decade, surgeons have applied the technology to plastic reconstructive surgical procedures, demonstrating clinical utility [1,11,12,16,22,52]. …”

Section: Introductionmentioning

confidence: 99%

Intraoperative laser angiography using the SPY system: review of the literature and recommendations for use

et al. 2013

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Inadequate tissue perfusion is a key contributor to early complications following reconstructive procedures. Accurate and reliable intraoperative evaluation of tissue perfusion is critical to reduce complications and improve clinical outcomes. Clinical judgment is the most commonly used method for evaluating blood supply, but when used alone, is not always completely reliable. A variety of other methodologies have been evaluated, including Doppler devices, tissue oximetry, and fluorescein, among others. However, none have achieved widespread acceptance. Recently, intraoperative laser angiography using indocyanine green was introduced to reconstructive surgery. This vascular imaging technology provides real-time assessment of tissue perfusion that correlates with clinical outcomes and can be used to guide surgical decision making. Although this technology has been used for decades in other areas, surgeons may not be aware of its utility for perfusion assessment in reconstructive surgery. A group of experts with extensive experience with intraoperative laser angiography convened to identify key issues in perfusion assessment, review available methodologies, and produce initial recommendations for the use of this technology in reconstructive procedures.

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“…However, areas of ischemia leading to necrosis can prove difficult to clinically assess. We review our experience with laser angiography as a predictor of mastectomy skin flap necrosis (1)(2)(3)(4)(5).…”

mentioning

confidence: 99%

Laser Angiography as a Predictor of Mastectomy Flap Necrosis after Breast Reconstruction

Murray¹,

Jones²,

Elwood³

et al. 2011

Plastic and Reconstructive Surgery

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Laser-Assisted Indocyanine Green Angiography and DIEP Breast Reconstruction

Cited by 39 publications

References 4 publications

Indocyanine Green Laser Angiography Improves Deep Inferior Epigastric Perforator Flap Outcomes following Abdominal Suction Lipectomy

Indocyanine Green Laser Angiography Improves Deep Inferior Epigastric Perforator Flap Outcomes following Abdominal Suction Lipectomy

Intraoperative laser angiography using the SPY system: review of the literature and recommendations for use

Laser Angiography as a Predictor of Mastectomy Flap Necrosis after Breast Reconstruction

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