Pestana Ivo A, Coan Brian, Erdmann Detlev, Marcus Jeffrey, Levin L Scott, Zenn Michael R
Durham, N.C. From Duke University Medical Center.
Plast Reconstr Surg. 2009 Apr;123(4):1239-1244. doi: 10.1097/PRS.0b013e31819e67c1.
Soft-tissue and bony reconstruction with free-tissue transfer is one of the most versatile tools available to the reconstructive surgeon. Determination of flap perfusion and early detection of vascular compromise with prompt correction remain critical in free-tissue transfer success. The aim of this report is to describe the utility of laser-assisted indocyanine green fluorescent dye angiography in free-tissue transfer reconstruction.
From October of 2007 to March of 2008, 27 nonrandomized, nonconsecutive patients underwent surgical free flaps in conjunction with intraoperative Novadaq SPY fluorescent angiography.
Twenty-seven patients underwent 29 free-tissue transfers. There was one partial flap loss in this group requiring operative revision. No complications attributable to indocyanine green fluorescent dye administration were noted. Imaging procedures (including dye administration) added minimal additional time to the operative time and anesthesia, and assisted in intraoperative decision-making.
Novadaq's SPY fluorescent angiography system provides simple and efficient intraoperative real-time surface angiographic imaging. This technology places control of vascular anastomosis evaluation and flap perfusion in the hands of the surgeon intraoperatively in a visual manner that is easy to use and is helpful in surgical decision-making.
游离组织移植进行软组织和骨重建是重建外科医生可用的最多功能的工具之一。在游离组织移植成功中，确定皮瓣灌注并早期检测血管受损并迅速纠正仍然至关重要。本报告的目的是描述激光辅助吲哚菁绿荧光染料血管造影在游离组织移植重建中的应用。
2007年10月至2008年3月，27例非随机、非连续患者在术中使用Novadaq SPY荧光血管造影进行了游离皮瓣手术。
27例患者接受了29次游离组织移植。该组中有1例皮瓣部分丢失，需要手术修复。未发现与吲哚菁绿荧光染料给药相关的并发症。成像程序（包括染料给药）在手术时间和麻醉时间上增加的额外时间极少，并有助于术中决策。
Novadaq的SPY荧光血管造影系统提供简单有效的术中实时表面血管造影成像。这项技术使外科医生能够在术中以一种易于使用的视觉方式控制血管吻合评估和皮瓣灌注，有助于手术决策。
