血流不全が疑われた指に対しインドシアニングリーン蛍光造影法による循環動態評価を行い救指しえた 1 例 Usefulness of Indocyanine Green ( ICG ) Angiography Imaging for Evaluating Impaired Digital Circulation

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著者

    • 佐々木 薫 SASAKI Kaoru
    • 筑波大学医学医療系形成外科 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
    • 川井 啓太 KAWAI Keita
    • 筑波大学医学医療系形成外科 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
    • 相原 有希子 AIHARA Yukiko
    • 筑波大学医学医療系形成外科 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
    • 足立 孝二 ADACHI Koji
    • 筑波大学医学医療系形成外科 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
    • 関堂 充 SEKIDO Mitsuru
    • 筑波大学医学医療系形成外科 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba

抄録

Recently, indocyanine green ( ICG ) fluorescence angiography imaging is often used in many kinds of surgical cases for a variety of purposes, but it is rarely used to evaluate digital blood flow. In this report, we demonstrate the usefulness of ICG fluorescence for evaluation of blood flow in a case of impaired digital circulation in a 31-year old man. The impaired circulation occurred during revision surgery for multiple finger amputation injury. Although it was difficult to judge the need for immediate revascularization, we could diagnose the clinical blood flow condition by ICG fluorescence. As a result, emergency surgery for revascularization was performed, and the finger was saved. Conventional methods for evaluation of finger blood flow require comprehensive judgement based on many clinical factors, such as skin color, skin temperature, elasticity, capillary refilling, and the pin prick test, but this comprehensive judgment is sometimes difficult because it is impossible to quantify these clinical findings. ICG fluorescence can visualize blood flow directly, which gives it an advantage over other visualization methods. However, because ICG infusion is invasive, its use for monitoring blood flow should be limited. In addition, when we evaluate finger blood flow, the affected limb should be kept elevated.

収録刊行物

  • 日本マイクロサージャリー学会会誌

    日本マイクロサージャリー学会会誌 30(2), 69-74, 2017

    日本マイクロサージャリー学会

各種コード

  • NII論文ID(NAID)
    130006825323
  • 本文言語コード
    JPN
  • ISSN
    0916-4936
  • データ提供元
    J-STAGE 
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