ICG Fluorescence Imaging and Navigation Surgery by Mitsuo Kusano, Norihiro Kokudo, Masakazu Toi, Masaki Kaibori

By Mitsuo Kusano, Norihiro Kokudo, Masakazu Toi, Masaki Kaibori

This e-book offers a complete evaluate and outlook for the way forward for indocyanine eco-friendly (ICG) fluorescence navigation surgical procedure, that's attracting scientific curiosity as a secure and no more invasive method not just in detecting cerebral vessels, coronary arteries, and biliary timber, but additionally in making a choice on sentinel lymph nodes in melanoma. The ebook starts off with the features of ICG and photodynamic cameras/endoscopes, through designated descriptions of the purposes of ICG fluorescence imaging in a number of parts similar to ocular surgical procedure, neurosurgery, cardiovascular surgical procedure, and cosmetic surgery. It additionally covers determining sentinel lymph nodes in breast melanoma in addition to cancers of the gastrointestinal tract, and gives important info for hepato-biliary-pancreatic surgeons, resembling making a choice on tattooing of liver segments and bile leakage. Written totally via specialists of their respective parts, ICG Fluorescence Imaging and Navigation Surgery bargains a necessary source for surgeons working on cancers and vascular problems within the mind and cardiovascular structures and in plastic surgery.

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Sample text

The CCD camera has sensitivity in the visible to near-infrared wavelength domain, and the camera lens and optimal filter are built into a camera unit. Four switches on the camera unit allow handheld control over the infrared LED, white LED, and color image/fluorescence imaging. Connection of a remote control device (Fig. 4) allows control over infrared LED, white LED, selection of color image/fluorescence image, control of color display, contrast, and brightness, and equipment setup. Focus control is provided by turning the camera head.

In bypass surgery, the patency of blood flow from the graft was observed. In carotid endarterectomy, the precise stenosis area or residual stenosis was observed before or after surgery. In removal of arteriovenous malformation, the feeding arteries, draining veins, and the nidus were clearly demonstrated. In tumor surgery, tumor-related vessels, normal brain parenchyma vessels, bridging veins, and tumor margin infiltration were observed. These findings obtained using ICG-VAG were useful to achieve these surgeries safely and completely without complications associated with the use of ICG-VAG.

Ferroli P, Acerbi F, Tringali G et al (2011) Venous sacrifice in neurosurgery: new insights from venous indocyanine green videoangiography. J Neurosurg 115:18–23 53. Litvack ZN, Zada G, Laws ER Jr (2012) Indocyanine green fluorescence endoscopy for visual differentiation of pituitary tumor from surrounding structures. J Neurosurg 116:935–941 54. Woitzik J, Pe~ na-Tapia PG, Schneider UC et al (2006) Cortical perfusion measurement by indocyaninegreen videoangiography in patients undergoing hemicraniectomy for malignant stroke.

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