Safety and effectiveness of indocyanine-green fluorescence imaging for evaluating non-occlusive mesenteric ischemia

Ishiyama, Yasuhiro; Harada, Tatunosuke; Amiki, Manabu; Ito, Shingo

doi:10.1016/j.asjsur.2022.05.033

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…There was no difference in outcomes regarding reoperation related to intestinal necrosis or 30-day mortality. ICG FA changed the operation in a major way in three patients and had them revise the resection line in six patients ( 82 ). In a case report by Nitori et al ICG FA aided the decision in avoiding a jejunal resection with no post-operative adverse outcome in a patient with NOMI ( 83 ).…”

Section: Colon Surgerymentioning

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.

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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%

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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Usefulness of fluorescence imaging with indocyanine green for evaluation of bowel perfusion in the urgency setting: a systematic review and meta-analysis

Rizzo,

Vallicelli,

Ansaloni

et al. 2024

International Journal of Surgery

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Introduction: Fluorescence imaging with indocyanine (ICG) has been extensively utilized to assess bowel perfusion in oncologic surgery. In the emergency setting there are many situations in which bowel perfusion assessment is required. Large prospective studies or RCTs evaluating feasibility, safety and utility of ICG in the emergency setting are lacking. The primary aim is to assess the usefulness of ICG for evaluation of bowel perfusion in the emergency setting. Materials and Methods: The manuscript was drafted following the recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA). A systematic literature search was carried out through Pubmed, Scopus, and the ISI Web of Science. Assessment of included study using the methodological index for non-randomized studies (MINORS) was calculated. The meta-analysis was carried out in line with recommendations from the Cochrane Collaboration and Meta-analysis of Observational Studies in Epidemiology guidelines, and the Mantel–Haenszel random effects model was used to calculate effect sizes. Results: 10,093 papers were identified. 84 were reviewed in full-text, and 78 were excluded: 64 were case reports; 10 were reviews without original data; 2 were letters to the editor; and 2 contained unextractable data. Finally, six studies22-27 were available for quality assessment and quantitative synthesis. The probability of reoperation using ICG fluorescence angiography resulted similar to the traditional assessment of bowel perfusion with a RD was -0.04 (95% CI:-0.147 to 0.060). The results were statistically significant P=0.029, although the heterogeneity was not negligible with a 59.9% of the I2 index. No small study effect or publication bias were found Conclusions: This first metanalysis on the use of IGC fluorescence for ischemic bowel disease showed that this methodology is a safe and feasible tool in the assessment of bowel perfusion in the emergency setting. This topic should be further investigated in high quality studies.

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Safety and effectiveness of indocyanine-green fluorescence imaging for evaluating non-occlusive mesenteric ischemia

Cited by 2 publications

References 5 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

Usefulness of fluorescence imaging with indocyanine green for evaluation of bowel perfusion in the urgency setting: a systematic review and meta-analysis

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