Indocyanine green angiography assisted amputation for acute management of frostbite of the lower extremity: A technique guide and case study

Frostbite is a common pathology seen in cold weather climates directly affecting peripheral tissues which at times can result in necrosis. While frostbite can be managed with rewarming, awaiting demarcation, and delayed surgical intervention. Indocyanine green angiography (IGA), makes use of a dye i...

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Main Authors: Garrett Wireman, DPM, ATC, Alexander Schultz, DPM, Anthony Brando, DPM, Nicholas Laco, DPM
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Foot & Ankle Surgery: Techniques, Reports & Cases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667396724000193
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author Garrett Wireman, DPM, ATC
Alexander Schultz, DPM
Anthony Brando, DPM
Nicholas Laco, DPM
author_facet Garrett Wireman, DPM, ATC
Alexander Schultz, DPM
Anthony Brando, DPM
Nicholas Laco, DPM
author_sort Garrett Wireman, DPM, ATC
collection DOAJ
description Frostbite is a common pathology seen in cold weather climates directly affecting peripheral tissues which at times can result in necrosis. While frostbite can be managed with rewarming, awaiting demarcation, and delayed surgical intervention. Indocyanine green angiography (IGA), makes use of a dye injection to evaluate the perfusion to an area of tissue. While the use of IGA has been used in the evaluation of major plastic surgery, vascular, and transplant procedures its use has not been studied in the usage of amputation planning to assess pedal perfusion. This is a proposed technique guide on the use of IGA in the planning of amputation secondary to frostbite injury. Results from this case show that the use of IGA was beneficial in establishing the proper amputation level to have the patient heal without major issue or have a need for additional procedures.
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spelling doaj.art-cf1f859dd6024d688a61bfb24609a9ea2024-04-11T04:42:11ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672024-01-0142100379Indocyanine green angiography assisted amputation for acute management of frostbite of the lower extremity: A technique guide and case studyGarrett Wireman, DPM, ATC0Alexander Schultz, DPM1Anthony Brando, DPM2Nicholas Laco, DPM3Podiatric Medicine and Surgery, Department of Orthopedics, University of Louisville, Louisville, KY, USA; Corresponding author.Podiatric Medicine and Surgery, Department of Orthopedics, University of Louisville, Louisville, KY, USAPodiatric Medicine and Surgery, Department of Orthopedics, University of Louisville, Louisville, KY, USADepartment of Orthopedics, University of Louisville, Louisville, KY, USAFrostbite is a common pathology seen in cold weather climates directly affecting peripheral tissues which at times can result in necrosis. While frostbite can be managed with rewarming, awaiting demarcation, and delayed surgical intervention. Indocyanine green angiography (IGA), makes use of a dye injection to evaluate the perfusion to an area of tissue. While the use of IGA has been used in the evaluation of major plastic surgery, vascular, and transplant procedures its use has not been studied in the usage of amputation planning to assess pedal perfusion. This is a proposed technique guide on the use of IGA in the planning of amputation secondary to frostbite injury. Results from this case show that the use of IGA was beneficial in establishing the proper amputation level to have the patient heal without major issue or have a need for additional procedures.http://www.sciencedirect.com/science/article/pii/S2667396724000193FrostbiteAmputationAngiographyIndocyanine greenFoot and ankleBurn injury
spellingShingle Garrett Wireman, DPM, ATC
Alexander Schultz, DPM
Anthony Brando, DPM
Nicholas Laco, DPM
Indocyanine green angiography assisted amputation for acute management of frostbite of the lower extremity: A technique guide and case study
Foot & Ankle Surgery: Techniques, Reports & Cases
Frostbite
Amputation
Angiography
Indocyanine green
Foot and ankle
Burn injury
title Indocyanine green angiography assisted amputation for acute management of frostbite of the lower extremity: A technique guide and case study
title_full Indocyanine green angiography assisted amputation for acute management of frostbite of the lower extremity: A technique guide and case study
title_fullStr Indocyanine green angiography assisted amputation for acute management of frostbite of the lower extremity: A technique guide and case study
title_full_unstemmed Indocyanine green angiography assisted amputation for acute management of frostbite of the lower extremity: A technique guide and case study
title_short Indocyanine green angiography assisted amputation for acute management of frostbite of the lower extremity: A technique guide and case study
title_sort indocyanine green angiography assisted amputation for acute management of frostbite of the lower extremity a technique guide and case study
topic Frostbite
Amputation
Angiography
Indocyanine green
Foot and ankle
Burn injury
url http://www.sciencedirect.com/science/article/pii/S2667396724000193
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