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EMEA ICG Dosing for Thoracoscopic Segmentectomy (VATS)

  • Intro:

    Indocyanine green (ICG) fluorescence imaging is increasingly used in thoracoscopic segmentectomy (VATS) to identify intersegmental planes, localize pulmonary nodules, and assess surgical margins. Precise delineation of segmental anatomy is critical in lung-sparing procedures, and ICG enables real-time visualization without the limitations of conventional inflation techniques.

    ICG-based near-infrared imaging has demonstrated high accuracy in defining anatomical boundaries and improving intraoperative navigation, supporting more precise and minimally invasive lung resections.

    In the EMEA region, standardized dosing and timing protocols help ensure consistent fluorescence imaging and enhance surgical precision in thoracic procedures.
  • Sección:
    • Tabla:
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        Region of interest

        , Contenido:

        Verification of anatomic segment borders

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        Dose

        , Contenido:

        0.15 mg/kg

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        Route

        , Contenido:

        I.V.*

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        Injection time

        , Contenido:

        Intra-operatively

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        First ICG detection

        , Contenido:

        10-25sec after peripheral injection

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        ICG Duration

        , Contenido:

        30-120 sec

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        Camera requirements

        , Contenido:

        Laparoscope, NIR light source camera

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        References  (full ref details at end of this guide doc)

        , Contenido:

        19. 2018, Pischik et al.,

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Use of FIGS in Lung Surgery

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  • Congreso: 9th Annual Meeting - Miami 2024
  • Título del video: Use of FIGS in Lung Surgery
  • Speakers: Fernando M. Safdie, MD
  • Youtube/Vimeo link: https://vimeo.com/923850051?share=copy
  • Date: 2024-02-25
Use of FIGS in Lung Surgery Fernando M. Safdie, MD 9th Annual ISFGS Meeting - Miami 2024

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Intraoperative fluorescent Imaging during CABG surgery

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  • Título del video: Intraoperative fluorescent Imaging during CABG surgery
  • Speakers: Derek Muehrcke
  • Descripción: Coronary Artery Bypass grafts are the first step during Cardiac surgery. This video demonstrates every step leading up to the surgery and how ICG is used to help to detect any unexpected complications within the first minute and a half of surgery. Once these complications are rectified the patient shows improved outcomes and their hospital costs are lowered a shortened recovery time.
  • Youtube/Vimeo link: https://youtu.be/NbSy_3uk2xU?si=b0O0HaMC9UfZVh_H
  • Date: 2021-03-16
Intraoperative fluorescent Imaging during CABG surgery Coronary Artery Bypass grafts are the first step during Cardiac surgery. This video demonstrates every step leading up to the surgery and how ICG is used to help to detect any unexpected complications within the first minute and a half of surgery. Once these complications are rectified the patient shows improved outcomes and their hospital costs are lowered a shortened recovery time.

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A novel imaging technology to assess tissue oxygen saturation and its correlation with indocyanine green in the gastric conduit during thoracic esophagectomy

Abstract Background Anastomotic leakage in esophagectomy is a serious complication, and assessing blood perfusion in the conduit can help minimize this risk. Indocyanine green is the most widely used method to assess tissue blood flow; however, this technique has disadvantages. Evaluating tissue oxygen saturation in the gastric conduit during thoracic esophagectomy compared with indocyanine green blood perfusion assessment addresses these disadvantages and can be performed easily and repeatedly. Methods This was a prospective study of patients with esophageal cancer...