The Use of Fluorescence Angiography to Assess Wound Bed Preparation and Tissue Viability
CASE REPORT: A 61-year-old man, with peripheral arterial disease (PAD) and a history of hypertension, benign prostatic hyperplasia, carotid stenosis, and gastroesophageal reflux disease, presented with an arterial wound on his left leg. The wound measured 3 cm x 2.8 cm x 0.2 cm and had been present for 6 months. At the visit, his ankle-brachial index was recorded at 0.52. The patient had an angioplasty to the left leg following a vascular consult, but this still resulted in slow wound healing. Indocyanine green fluorescence angiography (FA) exam at preoperative debridement showed devitalized tendon and tissue. All compromised tissue was surgically removed, with post debridement FA showing adequately perfused tissue. A decellularized dermal graft then was applied to the wound bed to facilitate wound closure. The patient went onto full wound closure by 7 weeks following graft application.
CONCLUSIONS: With the use of FA in the operating room, tissue viability was visualized in postoperative debridement. This demonstrated that the wound bed was acceptable for graft placement and led to a shorter time to wound healing for a problematic wound.
CITATION
Cole W, Serena TE. The use of fluorescence angiography to assess wound bed preparation and tissue viability. Poster presented at: Symposium on Advanced Wound Care Fall; November 2-4, 2018; Las Vegas, NV.
Product: LUNA (Stryker, Kalamazoo, MI); and DermaCell (Stryker)
This abstract was not subject to the WOUNDS peer-review process.
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