Intraoperative laser angiography using the SPY system: review of the literature and recommendations for use.
Intraoperative laser angiography using the SPY system: review of the literature and recommendations for use.
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DOI：
10.1186/1750-1164-7-1
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发表时间：
2013-01-07
期刊：
影响因子：
--
通讯作者：
Zenn MR
中科院分区：
文献类型：
--
作者：
Gurtner GC;Jones GE;Neligan PC;Newman MI;Phillips BT;Sacks JM;Zenn MR
组织灌注不足是重建手术后早期并发症的关键因素。准确可靠的术中组织灌注评估对于减少并发症和改善临床结局至关重要。临床判断是最常用的评估血液供应的方法，但单独使用时，并不总是完全可靠的。已经评估了各种其他方法，包括多普勒设备、组织血氧测定和荧光素等。然而，没有一个得到广泛接受。最近，术中使用吲哚菁绿色的激光血管造影术被引入重建手术。这种血管成像技术提供了与临床结果相关的组织灌注的实时评估，并可用于指导手术决策。虽然这项技术已经在其他领域使用了几十年，但外科医生可能没有意识到它在重建手术中用于灌注评估的实用性。召集了一组在术中激光血管造影方面具有丰富经验的专家，以确定灌注评估中的关键问题，审查可用的方法，并提出在重建手术中使用该技术的初步建议。
Inadequate tissue perfusion is a key contributor to early complications following reconstructive procedures. Accurate and reliable intraoperative evaluation of tissue perfusion is critical to reduce complications and improve clinical outcomes. Clinical judgment is the most commonly used method for evaluating blood supply, but when used alone, is not always completely reliable. A variety of other methodologies have been evaluated, including Doppler devices, tissue oximetry, and fluorescein, among others. However, none have achieved widespread acceptance. Recently, intraoperative laser angiography using indocyanine green was introduced to reconstructive surgery. This vascular imaging technology provides real-time assessment of tissue perfusion that correlates with clinical outcomes and can be used to guide surgical decision making. Although this technology has been used for decades in other areas, surgeons may not be aware of its utility for perfusion assessment in reconstructive surgery. A group of experts with extensive experience with intraoperative laser angiography convened to identify key issues in perfusion assessment, review available methodologies, and produce initial recommendations for the use of this technology in reconstructive procedures.