Intraoperative angiography with indocyanine green injection for precise localization and resection of small bowel bleeding

Kawachi, Jun; Ogino, Hidemitsu; Shimoyama, Rai; Ichita, Chikamasa; Isogai, Naoko; Murata, Takaaki; Miyake, Katsuhisa; Nishida, Tomoki; Fukai, Ryuta; Kashiwagi, Hirokazu

doi:10.1002/ams2.549

Cited by 6 publications

(2 citation statements)

References 30 publications

(44 reference statements)

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“…After appropriate investigation, the patients were taken to a hybrid operating room, and a microcatheter was placed as close as possible to the bleeding site. After laparotomy, ICG was injected through the microcatheter, and the bleeding segment of the bowel was identified grossly without the use of fluorescence imaging, followed by resection of the affected segment ( 95 ).…”

Section: Colon Surgerymentioning

confidence: 99%

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Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Khalaf,

Abdelrahman,

El-Menyar

et al. 2024

Front. Surg.

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For decades, indocyanine green (ICG) has been available for medical and surgical use. The indications for ICG use in surgery have expanded where guided surgery directed by fluorescence and near-infrared fluorescent imaging offers numerous advantages. Recently, surgeons have reported using ICG operative navigation in the emergency setting, with fluorescent cholangiography being the most common procedure. The utility of ICG also involves real-time perfusion assessment, such as ischemic organs and limbs. The rising use of ICG in surgery can be explained by the ICG's rapid technological evolution, accuracy, ease of use, and great potential to guide precision surgical diagnosis and management. The review aims to summarize the current literature on the uses of ICG in emergency general surgery. It provides a comprehensive and practical summary of the use of ICG, including indication, route of administration, and dosages. To simplify the application of ICG, we subdivided its use into anatomical mapping and perfusion assessment. Anatomical mapping includes the biliary tree, ureters, and bowel. Perfusion assessment includes bowel, pancreas, skin and soft tissue, and gonads. This review provides a reference to emergency general surgeons to aid in implementing ICG in the emergency setting for more enhanced and safer patient care.

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Section: Colon Surgerymentioning

confidence: 99%

“…However, ICG angiography is initially useful in assessing gonadal perfusion after detorsion and can potentially affect the operative decision. A summary of pertaining literature on perfusion assessment using ICG is provided in Table 2 ( 35 , 56 , 80 – 92 , 94 , 95 , 97 , 100 , 101 , 103 – 115 ).…”

Section: Less Common Uses Of Icgmentioning

confidence: 99%

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Khalaf,

Abdelrahman,

El-Menyar

et al. 2024

Front. Surg.

View full text Add to dashboard Cite

show abstract

Application of fluorescence-guided surgery in the acute care setting: a systematic literature review

Fransvea,

Fico,

Puccioni

et al. 2023

Langenbecks Arch Surg

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Usefulness of indocyanine green fluorescence-guided small intestinal bleeding site identification in small bowel resection: a report of two cases and literature review

Aso

Yagi

Yamada

et al. 2023

Clin J Gastroenterol

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Intraoperative angiography with indocyanine green injection for precise localization and resection of small bowel bleeding

Abstract: Localization of the small bowel bleeding site with intraoperative angiography and indocyanine green injection.

Cited by 6 publications

References 30 publications

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Application of fluorescence-guided surgery in the acute care setting: a systematic literature review

Usefulness of indocyanine green fluorescence-guided small intestinal bleeding site identification in small bowel resection: a report of two cases and literature review

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