학술논문

A case of scalp avulsion with prolonged ischemic time: indocyanine green angiography can aid in predicting replant survival
Document Type
article
Source
Burns & Trauma, Vol 7, Iss 1, Pp 1-5 (2019)
Subject
Scalp avulsion
Tissue perfusion
Indocyanine green angiography
Microsurgical replantation
ICGA
Medicine
Language
English
ISSN
2321-3876
Abstract
Abstract Background Microsurgical replantation has become the most favorable treatment option for scalp avulsion. However, the accurate prediction of postoperative replant viability remains challenging. Case presentation In this article, we showed that (indocyanine green angiography, ICGA) can provide a much more precise prediction of replant necrosis than conventional clinical assessment in a rare case of complete scalp avulsion with prolonged ischemia time. Conclusion Clinical assessment of replant survival may be misleading in cases of complex tissue injuries and prolonged ischemic stress. This case provides insight into the promising utility of ICGA as an important adjuvant tool to better assess tissue perfusion and viability in scalp avulsion and possibly other types of replantation.