TY - JOUR
T1 - Intraoperative laser angiography using the SPY system
T2 - Review of the literature and recommendations for use
AU - Gurtner, Geoffrey C.
AU - Jones, Glyn E.
AU - Neligan, Peter C.
AU - Newman, Martin I.
AU - Phillips, Brett T.
AU - Sacks, Justin M.
AU - Zenn, Michael R.
N1 - Funding Information:
Funding for the consensus development process was provided by LifeCell Corporation, Branchburg, NJ. Dr. Geoffrey C. Gurtner is a consultant for LifeCell Corp. Dr. Glyn E. Jones is a consultant for LifeCell Corp. Dr. Peter C. Neligan has nothing to disclose. Dr. Martin I. Newman is a consultant for LifeCell Corp. Dr. Brett T. Phillips has nothing to disclose. Dr. Justin M. Sacks is a consultant/speaker for LifeCell Corp. Dr. Michael R. Zenn is a consultant for LifeCell Corp and Novadaq Technologies.
PY - 2013/1/7
Y1 - 2013/1/7
N2 - Inadequate tissue perfusion is a key contributor to early complications following reconstructive procedures. Accurate and reliable intraoperative evaluation of tissue perfusion is critical to reduce complications and improve clinical outcomes. Clinical judgment is the most commonly used method for evaluating blood supply, but when used alone, is not always completely reliable. A variety of other methodologies have been evaluated, including Doppler devices, tissue oximetry, and fluorescein, among others. However, none have achieved widespread acceptance. Recently, intraoperative laser angiography using indocyanine green was introduced to reconstructive surgery. This vascular imaging technology provides real-time assessment of tissue perfusion that correlates with clinical outcomes and can be used to guide surgical decision making. Although this technology has been used for decades in other areas, surgeons may not be aware of its utility for perfusion assessment in reconstructive surgery. A group of experts with extensive experience with intraoperative laser angiography convened to identify key issues in perfusion assessment, review available methodologies, and produce initial recommendations for the use of this technology in reconstructive procedures.
AB - Inadequate tissue perfusion is a key contributor to early complications following reconstructive procedures. Accurate and reliable intraoperative evaluation of tissue perfusion is critical to reduce complications and improve clinical outcomes. Clinical judgment is the most commonly used method for evaluating blood supply, but when used alone, is not always completely reliable. A variety of other methodologies have been evaluated, including Doppler devices, tissue oximetry, and fluorescein, among others. However, none have achieved widespread acceptance. Recently, intraoperative laser angiography using indocyanine green was introduced to reconstructive surgery. This vascular imaging technology provides real-time assessment of tissue perfusion that correlates with clinical outcomes and can be used to guide surgical decision making. Although this technology has been used for decades in other areas, surgeons may not be aware of its utility for perfusion assessment in reconstructive surgery. A group of experts with extensive experience with intraoperative laser angiography convened to identify key issues in perfusion assessment, review available methodologies, and produce initial recommendations for the use of this technology in reconstructive procedures.
KW - Flap
KW - Indocyanine green
KW - Laser angiography
KW - Microsurgery
KW - Near infrared
KW - Necrosis
KW - Perfusion assessment
KW - Reconstructive surgery
KW - SPY
UR - http://www.scopus.com/inward/record.url?scp=84871860032&partnerID=8YFLogxK
U2 - 10.1186/1750-1164-7-1
DO - 10.1186/1750-1164-7-1
M3 - Review article
C2 - 23289664
AN - SCOPUS:84871860032
VL - 7
JO - Annals of Surgical Innovation and Research
JF - Annals of Surgical Innovation and Research
SN - 1750-1164
IS - 1
M1 - 1
ER -