Utility of Indocyanine Green Angiography in Arterial Selection during Free Flap Harvest in Patients with Severe Peripheral Vascular Disease

Indocyanine green angiography (SPY) was used to guide arterial selection for an anterolateral thigh free flap in the setting of severe peripheral vascular disease. SPY technology serves as a novel and sensitive intraoperative tool to predict decreased tissue perfusion from vessel sacrifice for flap...

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Detalles Bibliográficos
Autores principales: Maxwell, Anne K., Deleyiannis, Frederic W.-B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Ideas and Innovations
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5096544/
https://www.ncbi.nlm.nih.gov/pubmed/27826489
http://dx.doi.org/10.1097/GOX.0000000000001097
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author Maxwell, Anne K.
Deleyiannis, Frederic W.-B.
author_facet Maxwell, Anne K.
Deleyiannis, Frederic W.-B.
author_sort Maxwell, Anne K.
collection PubMed
description Indocyanine green angiography (SPY) was used to guide arterial selection for an anterolateral thigh free flap in the setting of severe peripheral vascular disease. SPY technology serves as a novel and sensitive intraoperative tool to predict decreased tissue perfusion from vessel sacrifice for flap harvest. Change in SPY time parameters measuring superficial blood flow distal to the donor site while temporarily intraoperatively clamping different possible arterial pedicles can optimize free flap design to avoid iatrogenic critical limb ischemia.
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spelling pubmed-50965442016-11-08 Utility of Indocyanine Green Angiography in Arterial Selection during Free Flap Harvest in Patients with Severe Peripheral Vascular Disease Maxwell, Anne K. Deleyiannis, Frederic W.-B. Plast Reconstr Surg Glob Open Ideas and Innovations Indocyanine green angiography (SPY) was used to guide arterial selection for an anterolateral thigh free flap in the setting of severe peripheral vascular disease. SPY technology serves as a novel and sensitive intraoperative tool to predict decreased tissue perfusion from vessel sacrifice for flap harvest. Change in SPY time parameters measuring superficial blood flow distal to the donor site while temporarily intraoperatively clamping different possible arterial pedicles can optimize free flap design to avoid iatrogenic critical limb ischemia. Wolters Kluwer Health 2016-10-25 /pmc/articles/PMC5096544/ /pubmed/27826489 http://dx.doi.org/10.1097/GOX.0000000000001097 Text en Copyright © 2016 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Ideas and Innovations
Maxwell, Anne K.
Deleyiannis, Frederic W.-B.
Utility of Indocyanine Green Angiography in Arterial Selection during Free Flap Harvest in Patients with Severe Peripheral Vascular Disease
title Utility of Indocyanine Green Angiography in Arterial Selection during Free Flap Harvest in Patients with Severe Peripheral Vascular Disease
title_full Utility of Indocyanine Green Angiography in Arterial Selection during Free Flap Harvest in Patients with Severe Peripheral Vascular Disease
title_fullStr Utility of Indocyanine Green Angiography in Arterial Selection during Free Flap Harvest in Patients with Severe Peripheral Vascular Disease
title_full_unstemmed Utility of Indocyanine Green Angiography in Arterial Selection during Free Flap Harvest in Patients with Severe Peripheral Vascular Disease
title_short Utility of Indocyanine Green Angiography in Arterial Selection during Free Flap Harvest in Patients with Severe Peripheral Vascular Disease
title_sort utility of indocyanine green angiography in arterial selection during free flap harvest in patients with severe peripheral vascular disease
topic Ideas and Innovations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5096544/
https://www.ncbi.nlm.nih.gov/pubmed/27826489
http://dx.doi.org/10.1097/GOX.0000000000001097
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