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DOI: 10.1055/s-0043-1777068
Predicting Nipple Necrosis with a “Lights-on” Indocyanine Green Imaging System: A Report of Two Patients
Autoren
Funding This study received National Institutes of Health (NIH) grant funding (Project ID: IDAAI6254, Reference number: K20-001).The research reported was supported by the National Cancer Institute of the NIH under award numbers R43CA206754 and R44CA206754.Authors S.J., T.S., T.K., A.U., and C.L. are employed by OnLume Surgical.
Abstract
Nipple–areolar complex (NAC) necrosis is a devastating complication in nipple-sparing mastectomies (NSMs) that significantly impacts patient's quality of life. The use of fluorescence angiography for intraoperative assessment of mastectomy skin flap perfusion in NSM has been successfully described and can be utilized to help guide surgical decision-making. Recently, a novel fluorescence-guided surgical imager was developed, OnLume Avata System (OnLume Surgical, Madison, WI), which provides intraoperative evaluation of vascular perfusion in ambient light. In this case report, we describe the use of OnLume fluorescence-guided surgery technology to help aid in clinical decision-making for two breast reconstruction cases with concern for intraoperative nipple hypoperfusion.
Keywords
fluorescence imaging - intraoperative - ambient light compatible - breast reconstruction - nipple necrosisAuthors' Contributions
Conceptualization: E.C.S., S.J., C.L., S.O.P.
Funding acquisition: A.U.
Methodology: E.C.S., S.J., S.P.M., S.O.P.
Writing - original draft: E.C.S.
Writing - review & editing: E.C.S., S.P.M., S.J., T.S., T.K., A.U., C.L., S.O.P.
Ethical Approval
IRB approval and subject consent was obtained prior to patient data collection (ID: 2020-0906).
Patient Consent
Informed consent was obtained from both patients to utilize clinical photos and information for this manuscript.
Publikationsverlauf
Eingereicht: 09. Mai 2023
Angenommen: 23. Oktober 2023
Artikel online veröffentlicht:
04. April 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical Publishers, Inc.
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