A case of scalp avulsion with prolonged ischemic time: indocyanine green angiography can aid in predicting replant survival

BACKGROUND: Microsurgical replantation has become the most favorable treatment option for scalp avulsion. However, the accurate prediction of postoperative replant viability remains challenging. CASE PRESENTATION: In this article, we showed that (indocyanine green angiography, ICGA) can provide a mu...

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Autores principales: Huang, Xin, Wang, Zhichao, Liu, Caiyue, Gu, Shuchen, Gao, Yashan, Xu, Xiangwen, Zan, Tao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6900851/
https://www.ncbi.nlm.nih.gov/pubmed/31867403
http://dx.doi.org/10.1186/s41038-019-0171-2
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author Huang, Xin
Wang, Zhichao
Liu, Caiyue
Gu, Shuchen
Gao, Yashan
Xu, Xiangwen
Zan, Tao
author_facet Huang, Xin
Wang, Zhichao
Liu, Caiyue
Gu, Shuchen
Gao, Yashan
Xu, Xiangwen
Zan, Tao
author_sort Huang, Xin
collection PubMed
description BACKGROUND: Microsurgical replantation has become the most favorable treatment option for scalp avulsion. However, the accurate prediction of postoperative replant viability remains challenging. CASE PRESENTATION: In this article, we showed that (indocyanine green angiography, ICGA) can provide a much more precise prediction of replant necrosis than conventional clinical assessment in a rare case of complete scalp avulsion with prolonged ischemia time. CONCLUSION: Clinical assessment of replant survival may be misleading in cases of complex tissue injuries and prolonged ischemic stress. This case provides insight into the promising utility of ICGA as an important adjuvant tool to better assess tissue perfusion and viability in scalp avulsion and possibly other types of replantation.
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spelling pubmed-69008512019-12-20 A case of scalp avulsion with prolonged ischemic time: indocyanine green angiography can aid in predicting replant survival Huang, Xin Wang, Zhichao Liu, Caiyue Gu, Shuchen Gao, Yashan Xu, Xiangwen Zan, Tao Burns Trauma Case Report BACKGROUND: Microsurgical replantation has become the most favorable treatment option for scalp avulsion. However, the accurate prediction of postoperative replant viability remains challenging. CASE PRESENTATION: In this article, we showed that (indocyanine green angiography, ICGA) can provide a much more precise prediction of replant necrosis than conventional clinical assessment in a rare case of complete scalp avulsion with prolonged ischemia time. CONCLUSION: Clinical assessment of replant survival may be misleading in cases of complex tissue injuries and prolonged ischemic stress. This case provides insight into the promising utility of ICGA as an important adjuvant tool to better assess tissue perfusion and viability in scalp avulsion and possibly other types of replantation. BioMed Central 2019-12-09 /pmc/articles/PMC6900851/ /pubmed/31867403 http://dx.doi.org/10.1186/s41038-019-0171-2 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Huang, Xin
Wang, Zhichao
Liu, Caiyue
Gu, Shuchen
Gao, Yashan
Xu, Xiangwen
Zan, Tao
A case of scalp avulsion with prolonged ischemic time: indocyanine green angiography can aid in predicting replant survival
title A case of scalp avulsion with prolonged ischemic time: indocyanine green angiography can aid in predicting replant survival
title_full A case of scalp avulsion with prolonged ischemic time: indocyanine green angiography can aid in predicting replant survival
title_fullStr A case of scalp avulsion with prolonged ischemic time: indocyanine green angiography can aid in predicting replant survival
title_full_unstemmed A case of scalp avulsion with prolonged ischemic time: indocyanine green angiography can aid in predicting replant survival
title_short A case of scalp avulsion with prolonged ischemic time: indocyanine green angiography can aid in predicting replant survival
title_sort case of scalp avulsion with prolonged ischemic time: indocyanine green angiography can aid in predicting replant survival
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6900851/
https://www.ncbi.nlm.nih.gov/pubmed/31867403
http://dx.doi.org/10.1186/s41038-019-0171-2
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