ArticleFrontiers in surgery2019
Enhancing Safety in Reconstructive Microsurgery Using Intraoperative Indocyanine Green Angiography.
Article in Frontiers in surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed, 63 citations in OpenAlex.
- Exploring perfusion limits in pedicled perforator propeller flaps via intraoperative indocyanine green angiography.JPRAS open · 2026Article
- Article
- Lighting Up the Dark: Indocyanine Green Angiography for Assessing Free Flap Autonomization After Late Arteriovenous Loop Thrombosis.Plastic and reconstructive surgery. Global open · 2026Article
- Interdisciplinary reconstructions of the forearm and hand.Innovative surgical sciences · 2026Article
- Coverage of necrosis after secondary cranioplasty using a latissimus dorsi muscle flap.Journal of surgical case reports · 2026Article
- Post-operative monitoring of tissue perfusion in murine skin flaps using enhanced thermal imaging.Biomedical optics express · 2025Article
- Microvascular decompression of trigeminal nerve through endoscopic retrosigmoid keyhole approach: Anatomical considerations of the trigeminocerebellar artery, technical pearls, and pitfalls.Surgical neurology international · 2025Article
- Perfusion Mapping of Flaps Using Indocyanine Green Fluorescence Angiography and Laser Speckle Contrast Imaging.Plastic and reconstructive surgery. Global open · 2024Article
- The Impact of Technical Innovations and Donor-Site Mesh Repair on Autologous Abdominal-Based Breast Reconstruction-A Retrospective Analysis.Journal of clinical medicine · 2024Article
- Successful replantation of an avulsed frontal scalp through microvascular anastomoses of only one artery and one vein: a case report.Archives of craniofacial surgery · 2024Article
- How to Treat a Cyclist's Nodule?-Introduction of a Novel, ICG-Assisted Approach.Journal of clinical medicine · 2024Article
- Intraoperative Blood Flow Analysis of Free Flaps with Arteriovenous Loops for Autologous Microsurgical Reconstruction.Journal of clinical medicine · 2023Article
- Indocyanine green fluorescence angiography: A critical intra-operative assessment tool to aid decision making in complex hand trauma.Trauma case reports · 2023Article
- Correlation between Indocyanine Green Fluorescence Angiography and Laser Speckle Contrast Imaging in a Flap Model.Plastic and reconstructive surgery. Global open · 2023Article
- [The conjoined latissimus dorsi and parascapular free flap for reconstruction of extensive soft tissue defects].Operative Orthopadie und Traumatologie · 2023Review
- Role of Indocyanine Green Angiography in Free Flap Surgery: A Comparative Outcome Analysis of a Single-Center Large Series of 877 Consecutive Free Flaps.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2023Article
- Interdisciplinary Surgical Therapy of Extremity Soft-Tissue Sarcomas: A Personalized Resection and Reconstruction Algorithm.Journal of personalized medicine · 2023Article
- Vascular Mapping for Abdominal-Based Breast Reconstruction: A Comprehensive Review of Current and Upcoming Imaging Modalities.Eplasty · 2023Review
- Intraoperative Blood Flow Analysis of DIEP vs. ms-TRAM Flap Breast Reconstruction Combining Transit-Time Flowmetry and Microvascular Indocyanine Green Angiography.Journal of personalized medicine · 2022Article
- Does indocyanine green fluorescence angiography impact the intraoperative choice of procedure in free vascularized medial femoral condyle grafting for scaphoid nonunions?Frontiers in surgery · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Intraoperative assessing and postoperative monitoring of the viability of free flaps is of high relevance in reconstructive microsurgery. Today different methods for the evaluation of tissue perfusion are known. Indocyanine Green angiography is an emerging technique among plastic surgeons with a broad scope of applications especially in microsurgical free flap transfer. We demonstrate the value and clinical application of this technique based on representative selected cases where Indocyanine Green angiography was used in microsurgical free flap transfers from different anatomic donor sites during the operation. Hereby perforator selection, flap tailoring, changes of blood flow and patency of anastomoses was judged and decision making was based on the angiographic findings. This method has proven to be valid, reproducible and easy to use. The application is not limited to the evaluation of skin perfusion, but is also applicable to muscle tissue or chimeric or composite flaps. Reliable judgement is especially given for the extent of arterially perfused tissue following complete flap dissection. Moreover, this real-time angiography revealed a high sensitivity for the detection of poorly perfused flap areas, thus supporting the conventional clinical judgement and reducing complications. In summary Indocyanine Green angiography has the potential to reduce flap related complications and to contribute to enhancing and extending the possibilities of free flap surgery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.