Academic Journal
Delphi survey of intercontinental experts to identify areas of consensus on the use of indocyanine green angiography for tissue perfusion assessment during plastic and reconstructive surgery
| Title: | Delphi survey of intercontinental experts to identify areas of consensus on the use of indocyanine green angiography for tissue perfusion assessment during plastic and reconstructive surgery |
|---|---|
| Authors: | Rutger M. Schols, Fernando Dip, Emanuele Lo Menzo, Nicholas T. Haddock, Luis Landin, Bernard T. Lee, Paloma Malagón, Jaume Masia, David W. Mathes, Maurice Y. Nahabedian, Peter C. Neligan, Martin I. Newman, Brett T. Phillips, Gemma Pons, Tim Pruimboom, Shan Shan Qiu, Lucas M. Ritschl, Warren M. Rozen, Michael Saint-Cyr, Seung Yong Song, René R.W.J. van der Hulst, Mark L. Venturi, Apinut Wongkietkachorn, Takumi Yamamoto, Kevin P. White, Raul J. Rosenthal |
| Contributors: | Universitat Autònoma de Barcelona, Rutger M Schols, Fernando Dip, Emanuele Lo Menzo, Nicholas T Haddock, Luis Landin, Bernard T Lee, Paloma Malagón, Jaume Masia, David W Mathes, Maurice Y Nahabedian, Peter C Neligan, Martin I Newman, Brett T Phillips, Gemma Pons, Tim Pruimboom, Shan Shan Qiu, Lucas M Ritschl, Warren M Rozen, Michael Saint-Cyr, Seung Yong Song, René R W J van der Hulst, Mark L Venturi, Apinut Wongkietkachorn, Takumi Yamamoto, Kevin P White, Raul J Rosenthal, Song, Seung Yong |
| Source: | Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona SURGERY r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau Institut dInvestigació Biomèdica Sant Pau (IIB Sant Pau) |
| Publisher Information: | Elsevier BV, 2022. |
| Publication Year: | 2022 |
| Subject Terms: | Indocyanine Green, Plastic Surgery Procedures* / methods, indocyanine green, Reconstructive Surgical Procedures/methods, Breast Neoplasms, Angiography/methods, perfusion, 03 medical and health sciences, 0302 clinical medicine, Humans, angiography, human, procedures, Reconstructive Surgical Procedures, Mastectomy, breast tumor, Angiography, mastectomy, Plastic Surgery Procedures, Angiography / methods, reconstructive surgery, ddc, 3. Good health, Perfusion, female, Female |
| Description: | In recent years, indocyanine green angiography (ICG-A) has been used increasingly to assist tissue perfusion assessments during plastic and reconstructive surgery procedures, but no guidelines exist regarding its use. We sought to identify areas of consensus and non-consensus among international experts on the use of ICG-A for tissue-perfusion assessments during plastic and reconstructive surgery.A two-round, online Delphi survey was conducted of 22 international experts from four continents asking them to vote on 79 statements divided into five modules: module 1 = patient preparation and contraindications (n = 11 statements); module 2 = ICG administration and camera settings (n = 17); module 3 = other factors impacting perfusion assessments (n = 10); module 4 = specific indications, including trauma debridement (n = 9), mastectomy skin flaps (n = 6), and free flap reconstruction (n = 8); and module 5 = general advantages and disadvantages, training, insurance coverage issues, and future directions (n = 18). Consensus was defined as ≥70% inter-voter agreement.Consensus was reached on 73/79 statements, including the overall value, advantages, and limitations of ICG-A in numerous surgical settings; also, on the dose (0.05 mg/kg) and timing of ICG administration (∼20-60 seconds preassessment) and best camera angle (61-90o) and target-to-tissue distance (20-30 cm). However, consensus also was reached that camera angle and distance can vary, depending on the make of camera, and that further research is necessary to technically optimize this imaging tool. The experts also agreed that ambient light, patient body temperature, and vasopressor use impact perfusion assessments.ICG-A aids perfusion assessments during plastic and reconstructive surgery and should no longer be considered experimental. It has become an important surgical tool. |
| Document Type: | Article |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 0039-6060 |
| DOI: | 10.1016/j.surg.2022.04.015 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/36427930 https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=15720 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85142940615&doi=10.1016/j.surg.2022.04.015&partnerID=40&md5=1a6a5e0508d40687a10f917b377617e6 https://mediatum.ub.tum.de/1771180 |
| Rights: | CC BY NC ND |
| Accession Number: | edsair.doi.dedup.....df93546712925e3c28a2ff84e072efa3 |
| Database: | OpenAIRE |
| ISSN: | 00396060 |
|---|---|
| DOI: | 10.1016/j.surg.2022.04.015 |