Fluorescent indocyanine green angiography: preliminary results in microsurgery monitoring.
Fiche publication
Date publication
juillet 2019
Journal
Journal of stomatology, oral and maxillofacial surgery
Auteurs
Membres identifiés du Cancéropôle Est :
Pr ZWETYENGA Narcisse
Tous les auteurs :
Moris V, Cristofari S, Stivala A, Lehre B, Gengler C, Rabuel V, Srouji A, Zwetyenga N, Guilier D
Lien Pubmed
Résumé
Pedicled flaps and free-tissue transfer flaps are used routinely to reconstruct hard and soft tissue defects in head and neck, limb, hand, thoracic and abdominopelvic reconstructive surgery. But failure remains a constant concern, particularly in free-tissue transfers. Usually failure is due to blood supply compromise. Indocyanine green (ICG), a fluorescent dye is a suitable tracer for vessel perfusion. The objective of this study is to evaluate the fluorescent indocyanine green angiography (FA ICG) in free flaps procedures. Materiel and methods: Patients who had microsurgical flap reconstruction were included during the study period in a single center. The FA ICG was used at specific times. Intra-veinous injections of 0.1 mg/kg of INFRACYANINE® (concentration 2.5 mg/mL) were done intraoperatively. The Fluobeam® device programmed on sensitivity and mapping to interpret the data, was used. These different injections allowed to checked skin paddle perforators vessels, osseous perforators vessels, arterial and venous patency after anastomosis and the cutaneous, muscular and osseous perfusion.
Mots clés
Fluorescent indocyanine green angiography, Free flap, Monitoring, head and neck reconstruction, non invasive, pedagogical tool
Référence
J Stomatol Oral Maxillofac Surg. 2019 Jul 18;: