Authors: Dmytro Klymenko 1; Ivana Slívová 1; Lubomír Martínek 2; Peter Ihnát 2 Authors‘ workplace: Centrum dětské chirurgie, a traumatologie, Fakultní nemocnice Ostrava 1; Chirurgická klinika, Fakultní nemocnice Ostrava 2 Published in: Čes-slov Pediat 2025; 80 (6): 299-303. Category: doi: https://doi.org/10.55095/CSPediatrie2025/013
Fluorescence angiography with indocyanine green (ICG) represents a novel technology that has the potential to markedly enhance surgical outcomes, particularly in the context of gastrointestinal abdominal surgery. The available data suggest that ICG may also be advantageously used in paediatric patients undergoing gastrointestinal procedures, including surgery for necrotising enterocolitis, oesophageal atresia or gastrointestinal reconstruction.
The pharmacological properties of ICG include rapid elimination, safety with proper dosing and minimal risk of adverse effects. Nevertheless, the paucity of data pertaining to the utilisation of ICG in paediatric gastrointestinal surgery thus far indicates a necessity for further research aimed at establishing standardised dosing regimens and indications. This article provides an overview of the technical and pharmacological aspects of ICG, its clinical application, and the prospects for further development of perioperative fluorescence angiography.
fluorescence angiography – indocyanine green – intestinal anastomosis – dehiscence of anastomosis – necrotizing enterocolitis – anorectal malformation – Hirschsprung's disease
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