Indocyanine green-based fluorescent angiography in breast reconstruction
Identifieur interne : 000452 ( Pmc/Curation ); précédent : 000451; suivant : 000453Indocyanine green-based fluorescent angiography in breast reconstruction
Auteurs : Matthew Griffiths ; Michael P. Chae ; Warren Matthew RozenSource :
- Gland Surgery [ 2227-684X ] ; 2016.
Abstract
Fluorescent angiography (FA) has been useful for assessing blood flow and assessing tissue perfusion in ophthalmology and other surgical disciplines for decades. In plastic surgery, indocyanine green (ICG) dye-based FA is a relatively novel imaging technology with high potential in various applications. We review the various FA detector systems currently available and critically appraise its utility in breast reconstruction.
A review of the published English literature dating from 1950 to 2015 using databases, such as PubMed, Medline, Web of Science, and EMBASE was undertaken.
In comparison to the old fluorescein dye, ICG has a superior side effect profile and can be accurately detected by various commercial devices, such as SPY Elite (Novadaq, Canada), FLARE (Curadel LLC, USA), PDE-Neo (Hamamatsu Photonics, Japan), Fluobeam 800 (Fluoptics, France), and IC-View (Pulsion Medical Systems AG, Germany). In breast reconstruction, ICG has established as a safer, more accurate tracer agent, in lieu of the traditional blue dyes, for detection of sentinel lymph nodes with radioactive isotopes (99m-Technetium). In prosthesis-based breast reconstruction, intraoperative assessment of the mastectomy skin flap to guide excision of hypoperfused areas translates to improved clinical outcomes. Similarly, in autologous breast reconstructions, FA can be utilized to detect poorly perfused areas of the free flap, evaluate microvascular anastomosis for patency, and assess SIEA vascular territory for use as an alternative free flap with minimal donor site morbidity.
ICG-based FA is a novel, useful tool for various applications in breast reconstruction. More studies with higher level of evidence are currently lacking to validate this technology.
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DOI: 10.3978/j.issn.2227-684X.2016.02.01
PubMed: 27047782
PubMed Central: 4791345
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Indocyanine green-based fluorescent angiography in breast reconstruction</title><author><name sortKey="Griffiths, Matthew" sort="Griffiths, Matthew" uniqKey="Griffiths M" first="Matthew" last="Griffiths">Matthew Griffiths</name></author><author><name sortKey="Chae, Michael P" sort="Chae, Michael P" uniqKey="Chae M" first="Michael P." last="Chae">Michael P. Chae</name></author><author><name sortKey="Rozen, Warren Matthew" sort="Rozen, Warren Matthew" uniqKey="Rozen W" first="Warren Matthew" last="Rozen">Warren Matthew Rozen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27047782</idno><idno type="pmc">4791345</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4791345</idno><idno type="RBID">PMC:4791345</idno><idno type="doi">10.3978/j.issn.2227-684X.2016.02.01</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000452</idno><idno type="wicri:Area/Pmc/Curation">000452</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Indocyanine green-based fluorescent angiography in breast reconstruction</title><author><name sortKey="Griffiths, Matthew" sort="Griffiths, Matthew" uniqKey="Griffiths M" first="Matthew" last="Griffiths">Matthew Griffiths</name></author><author><name sortKey="Chae, Michael P" sort="Chae, Michael P" uniqKey="Chae M" first="Michael P." last="Chae">Michael P. Chae</name></author><author><name sortKey="Rozen, Warren Matthew" sort="Rozen, Warren Matthew" uniqKey="Rozen W" first="Warren Matthew" last="Rozen">Warren Matthew Rozen</name></author></analytic><series><title level="j">Gland Surgery</title><idno type="ISSN">2227-684X</idno><idno type="eISSN">2227-8575</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Fluorescent angiography (FA) has been useful for assessing blood flow and assessing tissue perfusion in ophthalmology and other surgical disciplines for decades. In plastic surgery, indocyanine green (ICG) dye-based FA is a relatively novel imaging technology with high potential in various applications. We review the various FA detector systems currently available and critically appraise its utility in breast reconstruction.</p></sec><sec><title>Methods</title><p>A review of the published English literature dating from 1950 to 2015 using databases, such as PubMed, Medline, Web of Science, and EMBASE was undertaken.</p></sec><sec><title>Results</title><p>In comparison to the old fluorescein dye, ICG has a superior side effect profile and can be accurately detected by various commercial devices, such as SPY Elite (Novadaq, Canada), FLARE (Curadel LLC, USA), PDE-Neo (Hamamatsu Photonics, Japan), Fluobeam 800 (Fluoptics, France), and IC-View (Pulsion Medical Systems AG, Germany). In breast reconstruction, ICG has established as a safer, more accurate tracer agent, in lieu of the traditional blue dyes, for detection of sentinel lymph nodes with radioactive isotopes (<sup>99m</sup>-Technetium). In prosthesis-based breast reconstruction, intraoperative assessment of the mastectomy skin flap to guide excision of hypoperfused areas translates to improved clinical outcomes. Similarly, in autologous breast reconstructions, FA can be utilized to detect poorly perfused areas of the free flap, evaluate microvascular anastomosis for patency, and assess SIEA vascular territory for use as an alternative free flap with minimal donor site morbidity.</p></sec><sec><title>Conclusions</title><p>ICG-based FA is a novel, useful tool for various applications in breast reconstruction. More studies with higher level of evidence are currently lacking to validate this technology.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Gland Surg</journal-id><journal-id journal-id-type="iso-abbrev">Gland Surg</journal-id><journal-id journal-id-type="publisher-id">GS</journal-id><journal-title-group><journal-title>Gland Surgery</journal-title></journal-title-group><issn pub-type="ppub">2227-684X</issn><issn pub-type="epub">2227-8575</issn><publisher><publisher-name>AME Publishing Company</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27047782</article-id><article-id pub-id-type="pmc">4791345</article-id><article-id pub-id-type="publisher-id">gs-05-02-133</article-id><article-id pub-id-type="doi">10.3978/j.issn.2227-684X.2016.02.01</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Indocyanine green-based fluorescent angiography in breast reconstruction</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Griffiths</surname><given-names>Matthew</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Chae</surname><given-names>Michael P.</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Rozen</surname><given-names>Warren Matthew</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><aff><target id="aff1" target-type="aff"><sup>1</sup></target>St Andrew’s Centre for Plastic Surgery and Burns, Broomfield Hospital, Mid Essex Hospital Services NHS Trust, Chelmsford, Essex CM1 7ET,<country>UK</country>;<target id="aff2" target-type="aff"><sup>2</sup></target>Department of Surgery, School of Clinical Science at Monash Health, Faculty of Medicine, Monash University, Monash Medical Centre, Clayton 3168, Victoria,<country>Australia</country>;<target id="aff3" target-type="aff"><sup>3</sup></target>Monash University Plastic and Reconstructive Surgery Group (Peninsula Clinical School), Peninsula Health, Frankston, Victoria 3199,<country>Australia</country></aff></contrib-group><author-notes><fn id="afn1"><p><italic>Contributions:</italic> (I) Conception and design: All authors; (II) Administrative support: WM Rozen; (III) Provision of study materials or patients: M Griffiths; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: All authors; (IV) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.</p></fn><corresp id="cor1"><italic>Correspondence to:</italic> Matthew Griffiths, MD, FRCS (Plast). St Andrew’s Centre for Plastic Surgery and Burns, Broomfield Hospital, Mid Essex Hospital Services NHS Trust, Chelmsford, Essex CM1 7ET, UK. Email: <email xlink:href="Matgriffiths@hotmail.com">Matgriffiths@hotmail.com</email>.</corresp></author-notes><pub-date pub-type="epub-ppub"><month>4</month><year>2016</year></pub-date><pmc-comment>Fake ppub date generated by PMC from publisher
pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><month>4</month><year>2016</year></pub-date><volume>5</volume><issue>2</issue><fpage>133</fpage><lpage>149</lpage><history><date date-type="received"><day>09</day><month>12</month><year>2015</year></date><date date-type="accepted"><day>05</day><month>1</month><year>2016</year></date></history><permissions><copyright-statement>2016 Gland Surgery. All rights reserved.</copyright-statement><copyright-year>2016</copyright-year><copyright-holder>Gland Surgery.</copyright-holder></permissions><abstract><sec><title>Background</title><p>Fluorescent angiography (FA) has been useful for assessing blood flow and assessing tissue perfusion in ophthalmology and other surgical disciplines for decades. In plastic surgery, indocyanine green (ICG) dye-based FA is a relatively novel imaging technology with high potential in various applications. We review the various FA detector systems currently available and critically appraise its utility in breast reconstruction.</p></sec><sec><title>Methods</title><p>A review of the published English literature dating from 1950 to 2015 using databases, such as PubMed, Medline, Web of Science, and EMBASE was undertaken.</p></sec><sec><title>Results</title><p>In comparison to the old fluorescein dye, ICG has a superior side effect profile and can be accurately detected by various commercial devices, such as SPY Elite (Novadaq, Canada), FLARE (Curadel LLC, USA), PDE-Neo (Hamamatsu Photonics, Japan), Fluobeam 800 (Fluoptics, France), and IC-View (Pulsion Medical Systems AG, Germany). In breast reconstruction, ICG has established as a safer, more accurate tracer agent, in lieu of the traditional blue dyes, for detection of sentinel lymph nodes with radioactive isotopes (<sup>99m</sup>-Technetium). In prosthesis-based breast reconstruction, intraoperative assessment of the mastectomy skin flap to guide excision of hypoperfused areas translates to improved clinical outcomes. Similarly, in autologous breast reconstructions, FA can be utilized to detect poorly perfused areas of the free flap, evaluate microvascular anastomosis for patency, and assess SIEA vascular territory for use as an alternative free flap with minimal donor site morbidity.</p></sec><sec><title>Conclusions</title><p>ICG-based FA is a novel, useful tool for various applications in breast reconstruction. More studies with higher level of evidence are currently lacking to validate this technology.</p></sec></abstract><kwd-group kwd-group-type="author"><title>Keywords: </title><kwd>Fluorescent angiography (FA)</kwd><kwd>indocyanine green (ICG)</kwd><kwd>fluorescein</kwd><kwd>sentinel lymph node biopsy</kwd><kwd>mastectomy skin flap</kwd><kwd>perfusion</kwd><kwd>anastomotic patency</kwd><kwd>superficial inferior epigastric artery flap (SIEA flap)</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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