ArticlePlastic and reconstructive surgery. Global open2020
Indocyanine Green Angiography in Breast Reconstruction: Utility, Limitations, and Search for Standardization.
Article in Plastic and reconstructive surgery. Global open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Litigation meets evidence: a novel approach to understanding preventable complications in breast reconstruction.BMC surgery · 2025Pooled it
- Indocyanine Green Angiography Reduces Ischemic Complications in Immediate Implant-Based Breast Reconstruction: A Systematic Review and Meta-analysis.Aesthetic plastic surgery · 2026Article
- Risk factors and predictive models for fat necrosis in DIEP flap breast reconstruction: A systematic review.JPRAS open · 2026Review
- Predictors of Complications in Prophylactic Mastectomy and Direct-to-Implant Breast Reconstruction: A Retrospective, Single-Center Study.Journal of clinical medicine · 2026Article
- Cross-software comparison shows strong agreement for quantitative indocyanine green fluorescence angiography in reconstructive surgery.Frontiers in surgery · 2026Article
- Indocyanine Green Angiography to Predict Complications in Subcutaneous Mastectomy: A Single-Center Experience.Journal of personalized medicine · 2025Article
- Using ICG to Streamline Perforator Selection in DIEP Flap Reconstruction: Retrospective cohort study of outcomes in our first one hundred flaps.JPRAS open · 2025Article
- Article
- Application of Indocyanine Green Angiography for Perfusion Assessment of Buccal Myomucosal Flaps.Plastic and reconstructive surgery. Global open · 2025Article
- The Utility of Indocyanine Green Near-Infrared Fluoroangiographyin Assessing Mastectomy Skin Flap Perfusion.Journal of clinical medicine · 2024Article
- Current status of autologous breast reconstruction in Argentina.Gland surgery · 2024Review
- The Utility of Indocyanine Green Angiography in Breast Reconstruction to Detect Mastectomy Skin Flap Necrosis and Free Flap Perfusion: An Umbrella Review.Bioengineering (Basel, Switzerland) · 2024Review
- Breast Reconstruction in Patients with Prior Breast Augmentation: Searching for the Optimal Reconstructive Option.Medicina (Kaunas, Lithuania) · 2024Article
- Mastectomy Skin Flap Perfusion Assessment Prior to Breast Reconstruction: A Narrative Review.Journal of personalized medicine · 2024Review
- Tissue perfusion in DIEP flaps using Indocyanine Green Fluorescence Angiography, Hyperspectral imaging, and Thermal imaging.JPRAS open · 2024Article
- Postmastectomy dual-plane submuscular-subcutaneous implant-based reconstruction: a series of 100 consecutive patients.Updates in surgery · 2024Article
- Evolution of Indocyanine Green Fluorescence in Breast and Axilla Surgery: An Australasian Experience.Life (Basel, Switzerland) · 2024Review
- Building Complex Autologous Breast Reconstruction Program: A Preliminary Experience.Journal of clinical medicine · 2023Article
- Superb Microvascular Imaging at Evaluation of Nonvisible Buried De-epitelized Flap Vascularization in Breast Reconstruction.The Eurasian journal of medicine · 2023Article
- Evaluation of Intraoperative Anastomotic Patency with Angiography in Microsurgical Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
During reconstructive breast surgery, intraoperative assessment of tissue perfusion has been solely based on subjective clinical judgment. However, in the last decade, intraoperative indocyanine green angiography (ICGA) has become an influential tool to visualize blood flow to the tissue of interest. This angiography technique produces real-time blood flow information to provide an objective assessment of tissue perfusion.
methodsA comprehensive literature search of articles pertaining to ICGA in breast reconstruction surgery was performed. The overall findings of the articles are outlined here by surgical procedure: skin-sparing and nipple-sparing mastectomy, implant-based reconstruction, and autologous reconstruction.
resultsOverall, there were 133 articles reviewed, describing the use of ICGA in breast reconstruction surgery. We found that ICGA can provide valuable information that aids in flap design, anastomotic success, and perfusion assessment. We also included example photographs and videos of ICGA use at our institution.
conclusionsICGA can reduce postoperative tissue loss and aid in intraoperative flap design and inset. Despite the benefits of ICGA, its technical use and interpretation have yet to be standardized, limiting its widespread acceptance.
Identifiers
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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.