Indocyanine Green Angiography in Breast Reconstruction: Utility, Limitations, and Search for Standardization

Overview

Journal Plast Reconstr Surg Glob Open

Specialty General Surgery

Date 2020 Jun 16

PMID 32537350

Citations 15

Authors

Ariel C Johnson

Salih Colakoglu

Tae W Chong

David W Mathes

Affiliations

Soon will be listed here.

Abstract

Methods: A comprehensive literature search of articles pertaining to ICGA in breast reconstruction surgery was performed. The overall findings of the articles are outlined here by surgical procedure: skin-sparing and nipple-sparing mastectomy, implant-based reconstruction, and autologous reconstruction.

Results: Overall, there were 133 articles reviewed, describing the use of ICGA in breast reconstruction surgery. We found that ICGA can provide valuable information that aids in flap design, anastomotic success, and perfusion assessment. We also included example photographs and videos of ICGA use at our institution.

Conclusions: ICGA can reduce postoperative tissue loss and aid in intraoperative flap design and inset. Despite the benefits of ICGA, its technical use and interpretation have yet to be standardized, limiting its widespread acceptance.

Citing Articles

The Utility of Indocyanine Green Near-Infrared Fluoroangiographyin Assessing Mastectomy Skin Flap Perfusion.

Azzena G, Brambullo T, Ricci F, Pandis L, Marchet A, Vindigni V J Clin Med. 2024; 13(23).

PMID: 39685730 PMC: 11642667. DOI: 10.3390/jcm13237270.

Current status of autologous breast reconstruction in Argentina.

Angrigiani C, Rancati A, Spinelli E, Barbosa K, Dorr J, Rancati A Gland Surg. 2024; 13(10):1814-1822.

PMID: 39544967 PMC: 11558297. DOI: 10.21037/gs-23-296.

Breast Reconstruction in Patients with Prior Breast Augmentation: Searching for the Optimal Reconstructive Option.

Tedeschi P, Elia R, Gurrado A, Nacchiero E, Angelelli A, Testini M Medicina (Kaunas). 2024; 60(10).

PMID: 39459450 PMC: 11509533. DOI: 10.3390/medicina60101663.

The Utility of Indocyanine Green Angiography in Breast Reconstruction to Detect Mastectomy Skin Flap Necrosis and Free Flap Perfusion: An Umbrella Review.

Fadell N, Laurent F, Sanka S, Ochoa E, Yaeger L, Li X Bioengineering (Basel). 2024; 11(10).

PMID: 39451401 PMC: 11505175. DOI: 10.3390/bioengineering11101025.

Mastectomy Skin Flap Perfusion Assessment Prior to Breast Reconstruction: A Narrative Review.

Oradan A, Georgescu A, Ilie-Ene A, Corpodean A, Juncan T, Muntean M J Pers Med. 2024; 14(9).

PMID: 39338200 PMC: 11433613. DOI: 10.3390/jpm14090946.

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