Hamamatsu PDE

Plastic Surgical Applications of ICG

Eric Sturgis Free Flap Perfusion, Free Flaps, General and Transplant Surgery, Hamamatsu PDE, ICG Fluorescence, ICG Perfusion, Microsurgery, Plastic Surgery, Reconstructive Surgery

Laser-induced fluorescence of indocyanine green: plastic surgical applications

This article explores the usefulness of ICG fluorescence in the evaluation of pedicle flaps, monitoring of free tissue transfer and replants, as well as the objective determination of burn depth. The authors found that in addition to normal assessment methods (clinical observation), ICG fluorescence provides invaluable information to the plastic surgeon for the developing an efficient surgery plan. For determining burn depth, the authors wrote that ICG made it possible to objectively differentiate burn wounds that require excision and grafting and those that do not. For pedicle flaps, the authors found that a 1999 paper published in the Annals of Plastic Surgery suggested that the information taken from ICG imaging leads to accurate predictions about flap survival.

Bibliographic information

Holm, C., Mayr, M., Tegeler, J., Becker, A., Pfieffer, U., & Muhlbauer, W. (2003). Laser-induced fluorescence of indocyanine green: plastic surgical applications. European Journal of Plastic Surgery26, 19-35. doi: 10.1007/s00238-003-0466-0

PubMed Full Article


Using ICG to Research how Ointments and Dressings can Effect Healing in Burn Wounds

Eric Sturgis Hamamatsu PDE, ICG Fluorescence, ICG Perfusion, Plastic Surgery, Reconstructive Surgery, Surgical Videos, Wound Management

The influence of dressings and ointments on the qualitative and quantitative evaluation of burn wounds by ICG video-angiography: an experimental setup

This was a study involving burn victims that utilized ICG fluorescence to determine whether or not certain dressings and ointments were preventing angiogenesis. Reserachers found that indeed certain dressings and ointments caused a significant decrease in perfusion.

Bibliographic information:

Haslik, W., Kamolz, L. P., Winter, W., Meissl, G., & Frey, M. (2003). The influence of dressings and ointments on the qualitative and quantitative evaluation of burn wounds by ICG video-angiography: an experimental setup. Journal of the International Society for Burn Injuries30, 232-235.

PubMed Abstract


ICG Fluorescence and the Prediction of Flap Necrosis

Eric Sturgis Anastomosis, Free Flap Perfusion, Free Flaps, General and Transplant Surgery, Hamamatsu PDE, ICG Fluorescence, ICG Perfusion, Microsurgery, Microvascular, Plastic Surgery, Reconstructive Surgery

Prediction of flap necrosis with laser induced indocyanine green fluorescence in a rat model.
In this study, German researchers from Rechts der Isar Hospital in Munich used a rat model and ICG fluorescence to determine what level of perfusion gave good indication of future flap necrosis. In areas that would become necrotic they found that the perfusion rate was less than 25% than that of the surrounding area.

Bibliographic information:

Giunta, R. E., Holzbach, T., Taskov, C., Holm, P. S., Brill, T., Busch, R., Gansbacher, B., & Biemer, E. (2005). Prediction of flap necrosis with laser induced indocyanine green fluorescence in a rat model. Department of Plastic and Reconstructive Surgery, Munchen, Germany.

Download Article


PDE in the Plastic and Reconstructive Journal

Sara Sturgis Anastomosis, Free Flap Perfusion, Free Flaps, General and Transplant Surgery, Hamamatsu PDE, ICG Fluorescence, ICG Perfusion, Microsurgery, Plastic Surgery, Reconstructive Surgery

Detection of Skin Perforators by Indocyanin Green Fluorescence Nearly Infrared Angiography
This article studies the effectiveness of Green Fluorescence near-infrared angiography in identifying perforator vessels for use in island flap procedures. The Hamamatsu PDE camera was used for the angiographies. The authors found that the PDE was effective in helping to identify perforator vessels up to a depth of 2 cm below skin surface. Vessels were identified prior to raising the flaps. Compared with the Conventional angiography, magnetic resonance angiography,computed tomographic angiography, ultrasonic Doppler flowmetry, laser Doppler imaging, and recovery-enhanced thermography, the PDE was found to identify perforators more precisely and at a higher resolution with less background noise.

Bibliographic information:
Azuma, Ryuichi; Morimoto, Yuji; Masumoto, Kazuma; Nambu, Masaki; Takikawa, Megumi; Yanagibayashi, Satoshi; Yamamoto, Naoto; Kikuchi, Makoto; and Kiyosawa, Tomoharu. “Detection of Skin Perforators by Indocyanin Green Fluorescence Nearly Infrared Angiography” Plastic and Reconstructive Journal. Volume 122, Number 4. October 2008. Pages 1062-1067.

Download Article


if ( get_post_meta($post->ID, 'footer_widget_check', true) != 'on' ) { get_sidebar('footer'); } ?>