title: Use of indocyanine green fluorescent dye video angiography in orthopaedic trauma: a pilot study.
abstract: There is no literature describing the use of indocyanine green angiography in orthopaedic trauma. This study describes four cases in which the novel application of laser-assisted indocyanine green angiography (LA-ICGA) was used to assist surgical decision making in orthopaedic trauma. It is an observational, retrospective case series of four primary trauma patients in which LA-ICGA was used to qualitatively evaluate tissue perfusion in the intraoperative setting. Poor perfusion on LA-ICGA was associated with negative clinical outcome, including progression to necrosis or amputation. LA-ICGA provides an assessment of soft tissue perfusion that may be correlated to tissue prognosis. It is safe for patient use, can be used at the bedside or intraoperatively, and allows for multiple repeat assessments within a short period. This technology holds promise for more widespread use in orthopaedic trauma, especially in controversial fields, such as defining the threshold for amputation versus reconstruction.
authors.affiliation: Department of Orthopedics, William Beaumont Army Medical Center, El Paso, Texas. andrew.cleveland86@gmail.com.
authors.forename: Andrew
authors.initials: A
authors.lastname: Cleveland
authors.forename: Amr
authors.initials: A
authors.lastname: Abdelgawad
authors.forename: Jonathan
authors.initials: J
authors.lastname: Cook
authors.forename: Miguel
authors.initials: M
authors.lastname: Pirela-Cruz
mesh_terms: D000293:Adolescent; D000328:Adult; D000792:Angiography / Q000379:methods; D004396:Coloring Agents; D050723:Fractures, Bone / Q000000981:diagnostic imaging*; D006801:Humans; D007208:Indocyanine Green; D007869:Leg Injuries / Q000000981:diagnostic imaging*; D008297:Male; D010865:Pilot Projects
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green