Plastic and Reconstructive Surgery, Global Open (Sep 2017)
Visualization of Skin Perfusion by Indocyanine Green Fluorescence Angiography—A Feasibility Study
- Johannes Steinbacher, MD,
- Hidehiko Yoshimatsu, MD,
- Stefan Meng, MD,
- Ulrike M. Hamscha, MD,
- Chun-Sheng Chan, MD,
- Wolfgang J. Weninger, MD,
- Chieh-Tsai Wu, MD,
- Ming-Huei Cheng, MD, MBA, FACS,
- Chieh-Han John Tzou, MD
Affiliations
- Johannes Steinbacher, MD
- From the *Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria; †Trauma Center Meidling, Austrian Workers’ Compensation Board, Vienna, Austria; ‡Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; §Department of Radiology, Kaiser-Franz-Josef-Hospital, Vienna, Austria; ¶Division of Neurosurgery, Department of Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; ‖Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Center for Tissue Engineering, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and **Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
- Hidehiko Yoshimatsu, MD
- From the *Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria; †Trauma Center Meidling, Austrian Workers’ Compensation Board, Vienna, Austria; ‡Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; §Department of Radiology, Kaiser-Franz-Josef-Hospital, Vienna, Austria; ¶Division of Neurosurgery, Department of Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; ‖Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Center for Tissue Engineering, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and **Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
- Stefan Meng, MD
- From the *Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria; †Trauma Center Meidling, Austrian Workers’ Compensation Board, Vienna, Austria; ‡Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; §Department of Radiology, Kaiser-Franz-Josef-Hospital, Vienna, Austria; ¶Division of Neurosurgery, Department of Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; ‖Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Center for Tissue Engineering, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and **Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
- Ulrike M. Hamscha, MD
- From the *Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria; †Trauma Center Meidling, Austrian Workers’ Compensation Board, Vienna, Austria; ‡Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; §Department of Radiology, Kaiser-Franz-Josef-Hospital, Vienna, Austria; ¶Division of Neurosurgery, Department of Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; ‖Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Center for Tissue Engineering, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and **Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
- Chun-Sheng Chan, MD
- From the *Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria; †Trauma Center Meidling, Austrian Workers’ Compensation Board, Vienna, Austria; ‡Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; §Department of Radiology, Kaiser-Franz-Josef-Hospital, Vienna, Austria; ¶Division of Neurosurgery, Department of Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; ‖Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Center for Tissue Engineering, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and **Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
- Wolfgang J. Weninger, MD
- From the *Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria; †Trauma Center Meidling, Austrian Workers’ Compensation Board, Vienna, Austria; ‡Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; §Department of Radiology, Kaiser-Franz-Josef-Hospital, Vienna, Austria; ¶Division of Neurosurgery, Department of Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; ‖Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Center for Tissue Engineering, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and **Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
- Chieh-Tsai Wu, MD
- From the *Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria; †Trauma Center Meidling, Austrian Workers’ Compensation Board, Vienna, Austria; ‡Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; §Department of Radiology, Kaiser-Franz-Josef-Hospital, Vienna, Austria; ¶Division of Neurosurgery, Department of Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; ‖Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Center for Tissue Engineering, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and **Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
- Ming-Huei Cheng, MD, MBA, FACS
- From the *Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria; †Trauma Center Meidling, Austrian Workers’ Compensation Board, Vienna, Austria; ‡Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; §Department of Radiology, Kaiser-Franz-Josef-Hospital, Vienna, Austria; ¶Division of Neurosurgery, Department of Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; ‖Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Center for Tissue Engineering, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and **Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
- Chieh-Han John Tzou, MD
- From the *Division of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria; †Trauma Center Meidling, Austrian Workers’ Compensation Board, Vienna, Austria; ‡Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan; §Department of Radiology, Kaiser-Franz-Josef-Hospital, Vienna, Austria; ¶Division of Neurosurgery, Department of Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; ‖Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Center for Tissue Engineering, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and **Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
- DOI
- https://doi.org/10.1097/GOX.0000000000001455
- Journal volume & issue
-
Vol. 5,
no. 9
p. e1455
Abstract
Summary:. Plastic and reconstructive surgery relies on the knowledge of angiosomes in the raising of microsurgical flaps. Growing interest in muscle-sparing perforator flaps calls for reliable methods to assess the clinical feasibility of new donor sites in anatomical studies. Several injection techniques are known for the evaluation of vascular territories. Indocyanine green–based fluorescence angiography has found wide application in the clinical assessment of tissue perfusion. In this article, the use of indocyanine green–based fluorescence angiography for the assessment of perforasomes in anatomical studies is described for the first time.
