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Near-Infrared Fluorescence Imaging with Intravenous Indocyanine Green Method in Segmentectomy for Infants with Congenital Pulmonary Airway Malformation

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Topic overview

This study demonstrates that near-infrared fluorescence imaging with intravenous ICG safely and effectively identifies lung segment boundaries during thoracoscopic segmentectomy in infants with CPAM. All 19 procedures were completed successfully without ICG-related complications, with excellent outcomes and no recurrence at 1-year follow-up.

Key takeaways

  • Near-infrared fluorescence imaging with IV indocyanine green safely identifies intersegmental planes during infant CPAM segmentectomy
  • All 19 consecutive cases (median age 5.12 months) completed successfully with no ICG-related complications or conversions
  • Low-dose ICG provides accurate demarcation comparable to inflation-deflation technique with mean operative time 88 minutes
  • Short hospital stay (4 days average) and excellent 1-year outcomes with no recurrence support adoption in pediatric thoracoscopic surgery
  • This represents first reported series validating NIRF-ICG method specifically for infant population with congenital lung malformations

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How to cite: GlobalCastMD. Near-Infrared Fluorescence Imaging with Intravenous Indocyanine Green Method in Segmentectomy for Infants with Congenital Pulmonary Airway Malformation. GlobalCastMD Medical Library. 2024-03-07. https://dev.library.globalcastmd.com/article/8412?via_space=staycurrentmd

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