Intraoperative laser angiography using the SPY system: Review of the literature and recommendations for use

Geoffrey C. Gurtner, Glyn E. Jones, Peter C. Neligan, Martin I. Newman, Brett T. Phillips, Justin M. Sacks, Michael R. Zenn

Research output: Contribution to journalReview article

Abstract

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.

Original languageEnglish
Article number1
JournalAnnals of Surgical Innovation and Research
Volume7
Issue number1
DOIs
StatePublished - Jan 7 2013
Externally publishedYes

Keywords

  • Flap
  • Indocyanine green
  • Laser angiography
  • Microsurgery
  • Near infrared
  • Necrosis
  • Perfusion assessment
  • Reconstructive surgery
  • SPY

Fingerprint Dive into the research topics of 'Intraoperative laser angiography using the SPY system: Review of the literature and recommendations for use'. Together they form a unique fingerprint.

  • Cite this