A case of scalp avulsion with prolonged ischemic time:indocyanine green angiography can aid in predicting replant survival  

作　　者：Xin Huang Zhichao Wang Caiyue Liu Shuchen Gu Yashan Gao Xiangwen Xu Tao Zan 

机构地区：[1]Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai JiaoTong University School of Medicine,639 Zhizaoju Road,Shanghai 200011,People’s Republic of China [2]Plastic and Reconstructive Surgery,Changzheng Hospital,Navy Military Medical University,Shanghai,People’s Republic of China

出　　处：《Burns & Trauma》2019年第1期330-334,共5页烧伤与创伤（英文）

基　　金：supported by grants from the National Natural Science Foundation of China(81772086,8170120);the Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant(20161424);Shanghai Sailing Program(16YF1403500,17YF1401900);China Postdoctoral Science Foundation(2018 M630449).

摘　　要：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.

关 键 词：Scalp avulsion Tissue perfusion Indocyanine green angiography Microsurgical replantation ICGA 

分 类 号：R49[医药卫生—康复医学]