Indocyanine Green Fluorescence Angiography of the Transverse Cervical Arterial Supply to Clavicle Flaps: An Anatomical Study

Muangsiri, Pichtat; Tanjapatkul, Rungkit; Sriswadpong, Papat; Jomkoh, Pojanan; Jirawatnotai, Supasid

doi:10.1177/01945998211000432

Cited by 4 publications

(4 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Using indocyanine green in the study of breast vascularization could provide information on breast vascularization, without interfering with or altering the anatomy or deep vascularization. [23,24].…”

Section: Discussionmentioning

confidence: 99%

Breast Vascularization and Its Implication in Breast Reduction and Mastopexy Surgery: Anatomical Study

Salas-López,

Morgado-Águila,

López-de-Celis

et al. 2024

JPM

View full text Add to dashboard Cite

(1) Background: Breast reduction is one of the most frequently performed plastic surgeries in women worldwide. The Wise pattern breast reduction is one of the most frequent skin designs for this surgery. One key point of the surgery is to preserve a well-vascularized NAC by using different surgical pedicles. This study aims to test and update the anatomical knowledge of breast vascularization, the topographic and anatomical basis of the different surgical vascular pedicles, and the differences between the right and left sides. (2) Methods: A descriptive observational anatomical study was carried out on 15 breasts from 10 cryopreserved body donors. A dissection was performed by quadrants to know the affected arteries’ origin in the different patterns. (3) Results: The largest and most frequently dissected internal mammary perforator artery was in the second intercostal space. A total of 44.9% of the dissected perforators are located in the upper inner quadrant, compared to 53.5% in the lower quadrants. (4) Conclusions: The upper inner quadrant alone has the most arterial perforators. In contrast, the sum of the two lower quadrants represents the greatest vascularization of the breast, with a small difference between both.

show abstract

Section: Discussionmentioning

confidence: 99%

Breast Vascularization and Its Implication in Breast Reduction and Mastopexy Surgery: Anatomical Study

Salas-López,

Morgado-Águila,

López-de-Celis

et al. 2024

JPM

View full text Add to dashboard Cite

show abstract

“…In cadaveric studies the feasibility of ICG to penetrate cancellous (endosteal) portion of bone through penetrating periosteal capillaries has been shown [21][22][23]. NIRF with ICG should therefore allow adequate assessment of bone perfusion.…”

Section: Discussionmentioning

confidence: 99%

“…These networks are connected through small capillaries. This intricate network allows sustained bone perfusion even when the nutrient artery providing the endosteal perfusion is lost, injured or not included in a bone flap [23,28]. With this model Gitajn et al (2020) and Elliot et al (2019) extrapolated several parameters and concluded that a combination of LBP and LPF values had a 90% sensitivity, 88% specificity and 89% accuracy in diagnosing injured porcine bone.…”

Section: Discussionmentioning

confidence: 99%

Near-Infrared Fluorescence with Indocyanine Green to Assess Bone Perfusion: A Systematic Review

Michi

Madu

Winters

et al. 2022

Life

View full text Add to dashboard Cite

Background: Adequate perfusion of a bone flap is essential for successful reconstruction of osseous defects. Unfortunately, complications related to inadequate bone perfusion are common. Near-infrared fluorescence (NIRF) imaging enables intraoperative visualization of perfusion. NIRF has been investigated in reconstructive surgery to aid the surgeon in clinical perioperative assessment of soft tissue perfusion. However, little is known on the beneficial use of NIRF to assess bone perfusion. Therefore, the aim of this review was to search for studies evaluating NIRF to assess bone perfusion. Methods: A systematic review, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline, was performed. Studies up to October 2021 were included. We extracted data regarding the study population, size and design, reported objective fluorescence parameters and the methodology used for fluorescence imaging and processing. Results: Ten articles were included. Studies reported unevenly on the protocol used for NIRF imaging. Five studies reported objective parameters. Absolute and relative perfusion parameters and parameters derived from maximum fluorescence were reported. The clinical significance of these parameters has not been evaluated in humans. Conclusion: The evidence on bone perfusion as measured with NIRF is limited. More clinical studies are required.

show abstract

“…To verify the cuboid blood supply, we used a widespread procedure consisting of injecting ICG to perform a fluorescence angiography. 16 The proximal cut end of the DPA was cannulated with a 24-gauge plastic tip peripheral venous catheter. The flap was irrigated with warm saline to repair any leakage.…”

Section: Methodsmentioning

confidence: 99%

Cuboid Bone for Distal Radius Reconstruction: An Anatomical Cadaver Study

Alvedro-Ruiz,

Trapero-Ovejero,

Ferràs-Tarragó

et al. 2024

J Wrist Surg

View full text Add to dashboard Cite

Background The cuboid bone (CB) of the foot has been suggested as a potential source of autologous reconstruction of the distal radius (DR). This study sought to examine the feasibility of harvesting the CB as a vascularized bone transfer for DR reconstruction. Purposes We evaluated the feasibility of a vascularized bone transfer of the CB by performing the flap dissection, analyzing its pedicle and demonstrating its perfusion using indocyanine green (ICG) fluorescence angiography. Methods Ten feet from five fresh-frozen cadaver specimens were dissected. The lateral tarsal artery (LTA) mean diameter, length, and emerging point were described. The CB mean length and the mean length of the bone segment harvested were reported. ICG injection was used to demonstrate its blood supply. Results The average length of the pedicle was 68.26 ± 3.12 mm. The mean diameter was 1.43 ± 0.15 mm. The CB had a mean anterior–posterior length of 40.81 ± 5.05 mm. The harvested bone had a mean length of 15.05 ± 2.03 mm. All CBs showed enhancement after ICG injection. Conclusion The CB presented reasonable anatomical similarities with the DR and a long and consistent pedicle with an adequate blood supply observed during ICG injection. Clinical Relevance This study supports the possibility of using the CB as a vascularized bone transfer for autologous reconstruction of the articular surface of the DR. Further study is warranted.

show abstract

Indocyanine Green Fluorescence Angiography of the Transverse Cervical Arterial Supply to Clavicle Flaps: An Anatomical Study

Cited by 4 publications

References 40 publications

Breast Vascularization and Its Implication in Breast Reduction and Mastopexy Surgery: Anatomical Study

Breast Vascularization and Its Implication in Breast Reduction and Mastopexy Surgery: Anatomical Study

Near-Infrared Fluorescence with Indocyanine Green to Assess Bone Perfusion: A Systematic Review

Cuboid Bone for Distal Radius Reconstruction: An Anatomical Cadaver Study

Contact Info

Product

Resources

About