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Cirugía Plástica Ibero-Latinoamericana

versión On-line ISSN 1989-2055versión impresa ISSN 0376-7892


OTORMIN, Gabriel; NOVELLO, Gabriela; GAMBINI, Juan Pablo  y  JURI, Héctor José. Evaluation of flap perfusion with green indocyanine. Cir. plást. iberolatinoam. [online]. 2018, vol.44, n.3, pp.303-309. ISSN 1989-2055.

Background and Objective

Green indocyanine (ICG) is a dye used together with portable infrared (NIR) cameras for the evaluation of tissue perfusion.

Our objective is to know the green pigment of indocyaninea and its utility in Plastic Surgery to assess tissue perfusion during the confection of flaps.


Three clinical cases are described in which different types of flaps were composed. The administration of ICG 0.5 mg/kg via peripheral was performed during the intraoperative, and by means of an ICG detection system, tissue perfusion images were obtained.


The intraoperative evaluation using ICG allowed identification of the main pedicle flap, assess its most important characteristics and tortuous, as well as evaluate real-time perfusion of the flap to ensure its vitality and ruling out the presence of potential intraoperative complications.


The study of ICG allows accurate and reliable intraoperative assessment of the tissue perfusion, allowing reduction of complications and improving surgical outcome.

Palabras clave : Green indocyanine; Tissue perfusion; Flaps.

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