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The Role of ICG Angiography in Decision Making About Skin-Sparing in Pediatric Acute Trauma

BACKGROUND: Indocyanine green (ICG) angiography has proven useful in assessing skin flap perfusion in plastic and reconstructive surgeries. This research aimed to explore its role in decision making about skin-sparing in children's acute trauma. METHODS: A total of 19 patients suffering with ac...

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Autores principales: Han, Tao, Sun, Buhao, Wang, Weidong, Cui, Jie, Shen, Weimin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967320/
https://www.ncbi.nlm.nih.gov/pubmed/35372153
http://dx.doi.org/10.3389/fped.2022.851270
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author Han, Tao
Sun, Buhao
Wang, Weidong
Cui, Jie
Shen, Weimin
author_facet Han, Tao
Sun, Buhao
Wang, Weidong
Cui, Jie
Shen, Weimin
author_sort Han, Tao
collection PubMed
description BACKGROUND: Indocyanine green (ICG) angiography has proven useful in assessing skin flap perfusion in plastic and reconstructive surgeries. This research aimed to explore its role in decision making about skin-sparing in children's acute trauma. METHODS: A total of 19 patients suffering with acute trauma from January 2019 to September 2021 were retrospectively assessed. Both ICG angiography and clinical judgment were performed to evaluate skin tissue viability. The intraoperative decisions for each case depended on the specific condition of the traumatic wound, including tissue perfusion, skin defect area, and location of the wound. Postoperative vascular imaging software was used to quantify the tissue perfusion, and the duration of postoperative follow-up was from 6 to 18 months. RESULTS: Among them, 18 (94.7%) patients experienced treatments according to ICG angiography and did not develop postoperative necrosis. One case with right forearm trauma suffered from partial necrosis. Hypertrophic scar and local infection were the independent complications, which were managed by symptomatic treatment. CONCLUSION: ICG angiography may reduce the risk of postoperative necrosis and renders a promising adjunctive technique for surgeons to make reasonable decisions in skin sparing in acute pediatric trauma.
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spelling pubmed-89673202022-03-31 The Role of ICG Angiography in Decision Making About Skin-Sparing in Pediatric Acute Trauma Han, Tao Sun, Buhao Wang, Weidong Cui, Jie Shen, Weimin Front Pediatr Pediatrics BACKGROUND: Indocyanine green (ICG) angiography has proven useful in assessing skin flap perfusion in plastic and reconstructive surgeries. This research aimed to explore its role in decision making about skin-sparing in children's acute trauma. METHODS: A total of 19 patients suffering with acute trauma from January 2019 to September 2021 were retrospectively assessed. Both ICG angiography and clinical judgment were performed to evaluate skin tissue viability. The intraoperative decisions for each case depended on the specific condition of the traumatic wound, including tissue perfusion, skin defect area, and location of the wound. Postoperative vascular imaging software was used to quantify the tissue perfusion, and the duration of postoperative follow-up was from 6 to 18 months. RESULTS: Among them, 18 (94.7%) patients experienced treatments according to ICG angiography and did not develop postoperative necrosis. One case with right forearm trauma suffered from partial necrosis. Hypertrophic scar and local infection were the independent complications, which were managed by symptomatic treatment. CONCLUSION: ICG angiography may reduce the risk of postoperative necrosis and renders a promising adjunctive technique for surgeons to make reasonable decisions in skin sparing in acute pediatric trauma. Frontiers Media S.A. 2022-03-15 /pmc/articles/PMC8967320/ /pubmed/35372153 http://dx.doi.org/10.3389/fped.2022.851270 Text en Copyright © 2022 Han, Sun, Wang, Cui and Shen. 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 Pediatrics
Han, Tao
Sun, Buhao
Wang, Weidong
Cui, Jie
Shen, Weimin
The Role of ICG Angiography in Decision Making About Skin-Sparing in Pediatric Acute Trauma
title The Role of ICG Angiography in Decision Making About Skin-Sparing in Pediatric Acute Trauma
title_full The Role of ICG Angiography in Decision Making About Skin-Sparing in Pediatric Acute Trauma
title_fullStr The Role of ICG Angiography in Decision Making About Skin-Sparing in Pediatric Acute Trauma
title_full_unstemmed The Role of ICG Angiography in Decision Making About Skin-Sparing in Pediatric Acute Trauma
title_short The Role of ICG Angiography in Decision Making About Skin-Sparing in Pediatric Acute Trauma
title_sort role of icg angiography in decision making about skin-sparing in pediatric acute trauma
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967320/
https://www.ncbi.nlm.nih.gov/pubmed/35372153
http://dx.doi.org/10.3389/fped.2022.851270
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