Shtarbanov Petko, Luo Nianhe, Yassin Ahmed, Nikkhah Dariush
Division of Surgery and Interventional Science, University College London, London, United Kingdom.
UCL Medical School, University College London, London, United Kingdom.
JPRAS Open. 2024 Oct 16;42:329-333. doi: 10.1016/j.jpra.2024.10.001. eCollection 2024 Dec.
Indocyanine green (ICG) fluorescence angiography has emerged as an intraoperative method to accurately assess real-time tissue vascularity, perfusion and anastomotic patency in flap surgery. We illustrate a complex case of elbow reconstruction in an elderly patient with a free anterolateral thigh flap, which relied on intraoperative ICG to evaluate the flap pedicle and map the site of arterial occlusion. Supermicrosurgical instrumentation was employed to perform complex perforator-to-perforator anastomosis following resection of the vascular site of the lesion. These unique applications in a patient of known surgical risk enabled immediate flap salvage, and after 6 months postoperatively, the flap remained healthy with adequate wound healing.
吲哚菁绿（ICG）荧光血管造影已成为一种术中方法，用于在皮瓣手术中准确评估实时组织血管情况、灌注及吻合口通畅性。我们展示了一例老年患者采用游离股前外侧皮瓣进行肘部重建的复杂病例，该病例依靠术中ICG评估皮瓣蒂部并确定动脉闭塞部位。在切除病变的血管部位后，采用超显微外科器械进行复杂的穿支对穿支吻合。在这位已知手术风险的患者中，这些独特的应用使得皮瓣得以即时挽救，术后6个月，皮瓣保持健康，伤口愈合良好。
