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Case Report: The Second Near-Infrared Window Indocyanine Green Angiography in Giant Mediastinal Tumor Resection

Giant mediastinal tumors are often accompanied by the abundant blood supply and have an unclear border with adjacent vessels, making surgical resection difficult. Failure to distinguish the complex vessels during the operation often results in vascular injury or hemorrhage, which severely increases...

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Autores principales: Mi, Jiahui, Liu, Ganwei, Lu, Liyang, Yang, Feng, Zhao, Hui, Li, Yun, Jiang, Guanchao, Yang, Fan, Hu, Zhenhua, Zhou, Jian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8961726/
https://www.ncbi.nlm.nih.gov/pubmed/35360420
http://dx.doi.org/10.3389/fsurg.2022.852372
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author Mi, Jiahui
Liu, Ganwei
Lu, Liyang
Yang, Feng
Zhao, Hui
Li, Yun
Jiang, Guanchao
Yang, Fan
Hu, Zhenhua
Zhou, Jian
author_facet Mi, Jiahui
Liu, Ganwei
Lu, Liyang
Yang, Feng
Zhao, Hui
Li, Yun
Jiang, Guanchao
Yang, Fan
Hu, Zhenhua
Zhou, Jian
author_sort Mi, Jiahui
collection PubMed
description Giant mediastinal tumors are often accompanied by the abundant blood supply and have an unclear border with adjacent vessels, making surgical resection difficult. Failure to distinguish the complex vessels during the operation often results in vascular injury or hemorrhage, which severely increases the operation time and perioperative risk. At present, surgeons can only determine the vessel's location and course by preoperative imaging and intraoperative exploration in visible light. Therefore, we report a case of a giant anterosuperior mediastinal tumor resection assisted by near-infrared (NIR) indocyanine green (ICG) angiography. Furthermore, we applied the second near-infrared window (NIR-II, 1,000–1,700 nm) to detect the fluorescence signals in the clinic for the first time. The NIR-II window is able to explore deeper tissues in centimeters and obtain higher resolution in millimeters than the traditional first near-infrared window (NIR-I, 700–900 nm). Finally, NIR-II ICG angiography shows the clear location and course of the vessels, which can help surgeons reduce unnecessary blood vessel injury and increase the safety of mediastinal tumor resection.
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spelling pubmed-89617262022-03-30 Case Report: The Second Near-Infrared Window Indocyanine Green Angiography in Giant Mediastinal Tumor Resection Mi, Jiahui Liu, Ganwei Lu, Liyang Yang, Feng Zhao, Hui Li, Yun Jiang, Guanchao Yang, Fan Hu, Zhenhua Zhou, Jian Front Surg Surgery Giant mediastinal tumors are often accompanied by the abundant blood supply and have an unclear border with adjacent vessels, making surgical resection difficult. Failure to distinguish the complex vessels during the operation often results in vascular injury or hemorrhage, which severely increases the operation time and perioperative risk. At present, surgeons can only determine the vessel's location and course by preoperative imaging and intraoperative exploration in visible light. Therefore, we report a case of a giant anterosuperior mediastinal tumor resection assisted by near-infrared (NIR) indocyanine green (ICG) angiography. Furthermore, we applied the second near-infrared window (NIR-II, 1,000–1,700 nm) to detect the fluorescence signals in the clinic for the first time. The NIR-II window is able to explore deeper tissues in centimeters and obtain higher resolution in millimeters than the traditional first near-infrared window (NIR-I, 700–900 nm). Finally, NIR-II ICG angiography shows the clear location and course of the vessels, which can help surgeons reduce unnecessary blood vessel injury and increase the safety of mediastinal tumor resection. Frontiers Media S.A. 2022-03-11 /pmc/articles/PMC8961726/ /pubmed/35360420 http://dx.doi.org/10.3389/fsurg.2022.852372 Text en Copyright © 2022 Mi, Liu, Lu, Yang, Zhao, Li, Jiang, Yang, Hu and Zhou. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Mi, Jiahui
Liu, Ganwei
Lu, Liyang
Yang, Feng
Zhao, Hui
Li, Yun
Jiang, Guanchao
Yang, Fan
Hu, Zhenhua
Zhou, Jian
Case Report: The Second Near-Infrared Window Indocyanine Green Angiography in Giant Mediastinal Tumor Resection
title Case Report: The Second Near-Infrared Window Indocyanine Green Angiography in Giant Mediastinal Tumor Resection
title_full Case Report: The Second Near-Infrared Window Indocyanine Green Angiography in Giant Mediastinal Tumor Resection
title_fullStr Case Report: The Second Near-Infrared Window Indocyanine Green Angiography in Giant Mediastinal Tumor Resection
title_full_unstemmed Case Report: The Second Near-Infrared Window Indocyanine Green Angiography in Giant Mediastinal Tumor Resection
title_short Case Report: The Second Near-Infrared Window Indocyanine Green Angiography in Giant Mediastinal Tumor Resection
title_sort case report: the second near-infrared window indocyanine green angiography in giant mediastinal tumor resection
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8961726/
https://www.ncbi.nlm.nih.gov/pubmed/35360420
http://dx.doi.org/10.3389/fsurg.2022.852372
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