ePlasty: Vol. 19
Indocyanine Green Laser Angiography in the Setting of Tumescence
Erica Y. Xue, MD, Jerette J. Schultz, MD, Paul J. Therattil, MD, Jonathan D. Keith, MD, and Mark S. Granick, MD

Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark

Correspondence: mgranickmd@rutgers.edu
Keywords: angiography, epinephrine, indocyanine green, SPY, tumescent

Objective: Indocyanine green laser angiography utilizes fluorescent dye to assess tissue perfusion in real time. While various studies have recommended against the concurrent use of indocyanine green angiography with vasoconstrictors, few studies have described the intraoperative effect of tumescent wetting solutions on indocyanine green angiography and its subsequent impact on scan interpretation and clinical decision-making. Methods: A retrospective medical record review was performed for cases in which indocyanine green angiography was utilized to assess an area where epinephrine-based tumescent solution had been used. Results: The authors report 2 cases that utilized epinephrine-based tumescent solution along with intraoperative indocyanine green angiography assessment of the region. The first case was a bilateral reduction mammoplasty, whereas the second case was a nipple-sparing mastectomy with immediate tissue expander r .......