[Application Progress of Indocyanine Green Angiography in Breast Reconstruction]

Overview

Journal Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi

Specialty General Surgery

Date 2018 Nov 13

PMID 30417626

Citations 3

Authors

Zeyang Liu

Dajiang Song

Zan Li

Xiaowei Peng

Bo Zhou

Chunliu Lu

Wen Peng

Yan Ou

Huangxing Mao

Hui Li

Affiliations

Soon will be listed here.

Abstract

Objective: To summarize the application progress of indocyanine green (ICG) angiography in breast reconstruction.

Methods: The literature about the application of ICG angiography in breast reconstruction was reviewed and analyzed, including its history, chemical composition, principles, usages, and attentions.

Results: ICG is a kind of fluorescent substance used in medical diagnosis and various surgical fields, especially in intraoperative vascular angiography. ICG angiography and SPY system are gradually applied in breast reconstruction, including both prosthesis/tissue expander reconstruction and autologous reconstruction. Compared to clinical judgment, portable Doppler devices, tissue oximetry, and fluorescein angiography, ICG angiography obviously has more benefits and usages.

Conclusion: ICG angiography can reveal the perfusion of flaps during the operation instantly and accurately, which refines the intraoperative strategy in order to decrease the incidence of flap-related complications. Besides, it has some economic benefits to some extent.

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[Multivariable analysis for flap-related complications in autologous breast reconstruction and economic analysis of intraoperative indocyanine green angiography].

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[Application progress of indocyanine green angiography in lymphedema].

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References

Holm C, Mayr M, Hofter E, Dornseifer U, Ninkovic M . Assessment of the patency of microvascular anastomoses using microscope-integrated near-infrared angiography: a preliminary study. Microsurgery. 2009; 29(7):509-14. DOI: 10.1002/micr.20645. View

Desai N, Miwa S, Kodama D, Koyama T, Cohen G, Pelletier M . A randomized comparison of intraoperative indocyanine green angiography and transit-time flow measurement to detect technical errors in coronary bypass grafts. J Thorac Cardiovasc Surg. 2006; 132(3):585-94. DOI: 10.1016/j.jtcvs.2005.09.061. View

Chattha A, Bucknor A, Chen A, Lee B, Lin S . Indocyanine Green Angiography Use in Breast Reconstruction: A National Analysis of Outcomes and Cost in 110,320 Patients. Plast Reconstr Surg. 2017; 141(4):825-832. DOI: 10.1097/PRS.0000000000004195. View

Schlosser S, Wirth R, Plock J, Serov A, Banic A, Erni D . Application of a new laser Doppler imaging system in planning and monitoring of surgical flaps. J Biomed Opt. 2010; 15(3):036023. DOI: 10.1117/1.3449598. View

Diep G, Hui J, Marmor S, Cunningham B, Choudry U, Portschy P . Postmastectomy Reconstruction Outcomes After Intraoperative Evaluation with Indocyanine Green Angiography Versus Clinical Assessment. Ann Surg Oncol. 2016; 23(12):4080-4085. DOI: 10.1245/s10434-016-5466-y. View

Wheeler H, Cranston W, Meltzer J . Hepatic uptake and biliary excretion of indocyanine green in the dog. Proc Soc Exp Biol Med. 1958; 99(1):11-4. DOI: 10.3181/00379727-99-24229. View

CHERRICK G, Stein S, Leevy C, Davidson C . Indocyanine green: observations on its physical properties, plasma decay, and hepatic extraction. J Clin Invest. 1960; 39:592-600. PMC: 293343. DOI: 10.1172/JCI104072. View

Kanuri A, Liu A, Guo L . Whom should we SPY? A cost analysis of laser-assisted indocyanine green angiography in prevention of mastectomy skin flap necrosis during prosthesis-based breast reconstruction. Plast Reconstr Surg. 2014; 133(4):448e-454e. DOI: 10.1097/PRS.0000000000000025. View

Keller A . A new diagnostic algorithm for early prediction of vascular compromise in 208 microsurgical flaps using tissue oxygen saturation measurements. Ann Plast Surg. 2009; 62(5):538-43. DOI: 10.1097/SAP.0b013e3181a47ce8. View

10.

Flower R, Hochheimer B . Clinical infrared absorption angiography of the choroid. Am J Ophthalmol. 1972; 73(3):458-9. DOI: 10.1016/0002-9394(72)90079-7. View

11.

Azuma R, Morimoto Y, Masumoto K, Nambu M, Takikawa M, Yanagibayashi S . Detection of skin perforators by indocyanine green fluorescence nearly infrared angiography. Plast Reconstr Surg. 2008; 122(4):1062-1067. DOI: 10.1097/PRS.0b013e3181858bd2. View

12.

Quilichini J, Le Masurier P, Guihard T . [Increasing the reliability of SIEA flap using peroperative fluorescent angiography with indocyanine green in breast reconstruction]. Ann Chir Plast Esthet. 2010; 55(6):531-8. DOI: 10.1016/j.anplas.2010.08.003. View

13.

Fox I, Wood E . Indocyanine green: physical and physiologic properties. Proc Staff Meet Mayo Clin. 1960; 35:732-44. View

14.

Pons G, Masia J, Loschi P, Nardulli M, Duch J . A case of donor-site lymphoedema after lymph node-superficial circumflex iliac artery perforator flap transfer. J Plast Reconstr Aesthet Surg. 2013; 67(1):119-23. DOI: 10.1016/j.bjps.2013.06.005. View

15.

Scheider A, Schroedel C . High resolution indocyanine green angiography with a scanning laser ophthalmoscope. Am J Ophthalmol. 1989; 108(4):458-9. DOI: 10.1016/s0002-9394(14)73325-2. View

16.

Gurtner G, Jones G, Neligan P, Newman M, Phillips B, Sacks J . Intraoperative laser angiography using the SPY system: review of the literature and recommendations for use. Ann Surg Innov Res. 2013; 7(1):1. PMC: 3558356. DOI: 10.1186/1750-1164-7-1. View

17.

Komorowska-Timek E, Gurtner G . Intraoperative perfusion mapping with laser-assisted indocyanine green imaging can predict and prevent complications in immediate breast reconstruction. Plast Reconstr Surg. 2010; 125(4):1065-1073. DOI: 10.1097/PRS.0b013e3181d17f80. View

18.

Phillips B, Lanier S, Conkling N, Wang E, Dagum A, Ganz J . Intraoperative perfusion techniques can accurately predict mastectomy skin flap necrosis in breast reconstruction: results of a prospective trial. Plast Reconstr Surg. 2012; 129(5):778e-788e. DOI: 10.1097/PRS.0b013e31824a2ae8. View

19.

Zhou B, Zhou X, Li Z, Peng X, Yang L, Lu C . [Application of indocyanine green-based fluorescent angiography in autologous tissue breast reconstruction]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018; 32(4):491-494. PMC: 8414334. DOI: 10.7507/1002-1892.201708048. View

20.

Moyer H, Losken A . Predicting mastectomy skin flap necrosis with indocyanine green angiography: the gray area defined. Plast Reconstr Surg. 2012; 129(5):1043-1048. DOI: 10.1097/PRS.0b013e31824a2b02. View