Evaluation of the efficacy and concordance of indocianine color green angiography in oncoplastic and reconstructive surgery of the breast. Preliminary results of the gBREAST-22 prospective study

• Published in: Cirugia española (English ed.)
• Main Authors: Acea-Nebril, Benigno, García-Novoa, Alejandra, Rodríguez-Rojo, Sergio, Díaz-Carballada, Carlota, Bouzón-Alejandro, Alberto
• Format: Journal Article
• Language: English
• Published: Spain 18-09-2024
• Subjects: Verde de indocianina; Angiography; Mastectomía preservadora de piel y pezón; Skin Necrosis; Cirugía oncoplástica; Angiografía; Skin and Nipple-Skin Sparing Mastectomy; Indocyanine Color Green; Necrosis cutánea; Oncoplastic Surgery
• ISSN: 2173-5077

During oncoplastic procedures, the vascularization and perfusion of the skin flaps is modified, thus increasing the possibility of skin necrosis. The objective of this study is to evaluate the effectiveness of indocyanine color green angiography (ICG-A) to determine intraoperative skin necrosis after oncoplastic surgery or skin-sparing or nipple-skin sparing mastectomy (NSSM).
Prospective observational study to evaluate the sensitivity, specificity and positive and negative predictive values ​​of the ICG-A in women with high-risk breast cancer.
98 women and 156 breasts were included in the study. A total of 20 women (20.4%) presented an image of ischemia in the ICG-A. 21 women (21.4%) presented ischemic events in the postoperative period, 71.4% of these events had been detected in the third ICG-A. Three of these patients (3.1%) presented a serious complication that required reintervention. The sensitivity and specificity of the A-VIC was 71.4% and 93.5%, respectively.
ICG-A has high specificity and negative predictive value for detecting areas of low perfusion. In breast units with highly complex surgery, it can be useful to plan extreme surgeries and identify skin areas of low perfusion.