期刊
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
卷 26, 期 1, 页码 59-65出版社
THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0029-1244805
关键词
Intraoperative imaging; near-infrared fluorescence angiography; microsurgery; perforator flap; indocyanine green
类别
资金
- National Institutes of Health [R01-EB-005805, R01-CA-115296]
- NATIONAL CANCER INSTITUTE [R01CA115296] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING [R01EB005805] Funding Source: NIH RePORTER
Despite recent advances in perforator flap reconstruction, there can be significant variability in vessel size and location. Although preoperative evaluation may provide valuable information, real-time intraoperative methods have the potential to provide the greatest benefit. Our laboratory has developed the Fluorescence-Assisted Resection and Exploration (FLARE (TM)) near-infrared (NIR) fluorescence imaging system for intraoperative visualization of details of the underlying vasculature. The FLARE (TM) system uses indocyanine green, a safe and reliable NIR fluorophore already FDA-approved for other indications. The system has been optimized in large-animal models for the identification of perforator size, location, and perfusion and has also been translated to the clinic for use during breast reconstruction after mastectomy. In this article, we review our preclinical and clinical data, as well as literature describing the use of similar NIR fluorescence imaging systems in plastic and reconstructive surgery.
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