| Autor: |
Lisa Toft Jensen, Tine Engberg Damsgaard, Christian T. Bonde, Elisabeth Lauritzen, Rikke Bredgaard |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Lauritzen, E, Bredgaard, R, Bonde, C, Jensen, L T & Damsgaard, T E 2022, ' Indocyanine green angiography in breast reconstruction: a narrative review ', Annals of Breast Surgery, vol. 6, 6 . https://doi.org/10.21037/abs-21-25 |
| Popis: |
Sufficient tissue perfusion is important in achieving a successful breast reconstruction to provide the patient with an acceptable result in terms of shape, size, symmetry and possible sensation. Indocyanine green angiography (ICG-A) is a well-known imaging modality which can be applied to visualize the per-operative tissue perfusion assisting the surgeon in intraoperative decision making, flap design and trimming. The consequence of using per-operative ICG-A is reported to correlate with a decreased rate of complications and loss of reconstruction; thus, this technique may be a valuable intraoperative assessment tool for the breast reconstructive surgeon. This paper aims to provide a review of the recent knowledge on the use of ICG-A in breast reconstructive procedures. In addition, an evaluation of the favorable application in implant-based reconstruction, oncoplastic techniques and autologous breast reconstruction. The technique is presented with clinical examples illustrated by per-operative videos, photos and assessment of perfusion to provide the reader with a broader perspective on the application and use of ICG-A. There is a need for further standardization of the per-operative application and perfusion assessment using ICG-A in the field of breast reconstruction, also exploring the use of ICG-A in assessment of postoperative monitoring, microvascular anastomoses and venous insufficiency. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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