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术中实时血液动力学在使用吲哚菁绿和近红外胸腔镜下肺隔离症。

Intraoperative real-time hemodynamics in intralobar pulmonary sequestration using indocyanine green and near-infrared thoracoscopy.

机构信息

Department of Cardiovascular and Thoracic Surgery, Faculty and Graduate School of Medicine, Hokkaido University, Kita-15, Nishi-7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2021 Feb;69(2):383-387. doi: 10.1007/s11748-020-01459-3. Epub 2020 Aug 6.

DOI:10.1007/s11748-020-01459-3
PMID:32761512
Abstract

A 33-year-old man with left pulmonary sequestration was admitted to our hospital. We planned left basilar segmentectomy to preserve the lung function, using indocyanine green (ICG) and near-infrared thoracoscopy. The intravenous (IV) administration of ICG (0.1 mg/kg) showed the distribution of fluorescence from the aberrant arteries, blood flow blockage from the aberrant arteries after they were divided, and the superior-basal boundary after the pulmonary artery and vein were divided. In adult patients with intralobar pulmonary sequestration, ICG and near-infrared thoracoscopic techniques are useful to confirm abnormal hemodynamics and demonstrate a safe and successful basilar segmentectomy.

摘要

一位 33 岁男性患者,因左肺隔离症入院。为了保留肺功能,我们计划采用吲哚菁绿(ICG)和近红外胸腔镜行左基底段切除术。静脉注射 ICG(0.1mg/kg)后,显示荧光从异常动脉分布,异常动脉阻断后血流阻断,肺动脉和静脉分离后的上基底边界。在成人肺隔离症患者中,ICG 和近红外胸腔镜技术有助于明确异常血流动力学,并证实基底段切除术安全、成功。

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Sublobar resection utilizing near-infrared thoracoscopy with intravenous indocyanine green for intralobar pulmonary sequestration: a case report and literature review.利用近红外胸腔镜联合静脉注射吲哚菁绿进行肺叶内肺隔离症的肺段下切除术:病例报告及文献综述
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