Indocyanine Green Angiography Overpredicts Necrosis? (PRS)

Indocyanine Green Angiography Overpredicts Necrosis? (PRS)

Journal club provides detailed summaries and engages in insightful discussions on the benefits and limitations of important plastic surgery publications.

Summary Card

Level of Evidence: Case Series

This study compares indocyanine green (ICG) angiography and multispectral reflectance imaging (MSRI) to determine tissue viability in breast reconstruction surgery patients.

The study found that ICG angiography overpredicted postoperative necrosis in comparison to MSRI. MSRI accurately predicted viability in almost all patients, while ICG angiography incorrectly predicted necrosis in many cases.

The study suggests that MSRI may be a better option for plastic surgeons in determining the likelihood of postoperative necrosis.

George RE, Elwood ET, Jones GE. Indocyanine Green Angiography Overpredicts Postoperative Necrosis Compared to Multispectral Reflectance Imaging. Plast Reconstr Surg. 2023 Mar 1;151(3):412e-419e. doi: 10.1097/PRS.0000000000009917. Epub 2022 Nov 22. PMID: 36730439.

MSRI device used is Kent Snapshot. The senior author is the medical director of plastic surgery for Kent Imaging.

Article Reviewer
Mr Chad Chang FRCS (Plast)


Key Point

The article compares MSRI and ICG angiography for tissue perfusion assessment in breast reconstruction surgery. The authors suggest that angiography may overpredict tissue necrosis, while MSRI is a non-invasive method that can analyze tissue oxygenation without any tracer or dye.

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