Harnessing Indocyanine Green Fluorescence for Checking Intraoperative Patency of Splenorenal Shunt for Extrahepatic Portal Venous Obstruction
This case report discusses intraoperative indocyanine green (ICG) fluorescence angiography to confirm the patency of a proximal splenorenal shunt in an 11-year-old patient with extrahepatic portal venous obstruction. The patient, managed previously with endoscopic sclerotherapy and propranolol, expe...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-03-01
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| Series: | Journal of Indian Association of Pediatric Surgeons |
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| Online Access: | https://journals.lww.com/10.4103/jiaps.jiaps_232_24 |
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| author | Anjan Kumar Dhua Vishesh Jain Devendra Kumar Yadav Prabudh Goel Sandeep Agarwala |
| author_facet | Anjan Kumar Dhua Vishesh Jain Devendra Kumar Yadav Prabudh Goel Sandeep Agarwala |
| author_sort | Anjan Kumar Dhua |
| collection | DOAJ |
| description | This case report discusses intraoperative indocyanine green (ICG) fluorescence angiography to confirm the patency of a proximal splenorenal shunt in an 11-year-old patient with extrahepatic portal venous obstruction. The patient, managed previously with endoscopic sclerotherapy and propranolol, experienced recurrent gastrointestinal bleeding, necessitating surgical intervention. A proximal splenorenal shunt was created following splenectomy, and portal pressures dropped significantly from 33 to 14 mmHg postshunt creation. ICG was injected intraoperatively to assess shunt patency, and fluorescence imaging using the Olympus VISERA ELITE III system confirmed proper blood flow through the shunt. This technique and portal pressure measurements validated the patency without using Doppler ultrasound. ICG angiography offers a reliable alternative for intraoperative vascular assessment, expanding its application in pediatric surgery. This report underscores the novelty of using ICG in pediatric shunt surgeries and its potential in various shunt procedures. |
| format | Article |
| id | doaj-art-78b74b5ce3e54ad795f83aab6e0cd104 |
| institution | DOAJ |
| issn | 0971-9261 1998-3891 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Association of Pediatric Surgeons |
| spelling | doaj-art-78b74b5ce3e54ad795f83aab6e0cd1042025-08-20T03:03:34ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912025-03-0130225725910.4103/jiaps.jiaps_232_24Harnessing Indocyanine Green Fluorescence for Checking Intraoperative Patency of Splenorenal Shunt for Extrahepatic Portal Venous ObstructionAnjan Kumar DhuaVishesh JainDevendra Kumar YadavPrabudh GoelSandeep AgarwalaThis case report discusses intraoperative indocyanine green (ICG) fluorescence angiography to confirm the patency of a proximal splenorenal shunt in an 11-year-old patient with extrahepatic portal venous obstruction. The patient, managed previously with endoscopic sclerotherapy and propranolol, experienced recurrent gastrointestinal bleeding, necessitating surgical intervention. A proximal splenorenal shunt was created following splenectomy, and portal pressures dropped significantly from 33 to 14 mmHg postshunt creation. ICG was injected intraoperatively to assess shunt patency, and fluorescence imaging using the Olympus VISERA ELITE III system confirmed proper blood flow through the shunt. This technique and portal pressure measurements validated the patency without using Doppler ultrasound. ICG angiography offers a reliable alternative for intraoperative vascular assessment, expanding its application in pediatric surgery. This report underscores the novelty of using ICG in pediatric shunt surgeries and its potential in various shunt procedures.https://journals.lww.com/10.4103/jiaps.jiaps_232_24extrahepatic portal venous obstructionfluorescence angiographyindocyanine greenpediatric surgerysplenorenal shuntvascular patency |
| spellingShingle | Anjan Kumar Dhua Vishesh Jain Devendra Kumar Yadav Prabudh Goel Sandeep Agarwala Harnessing Indocyanine Green Fluorescence for Checking Intraoperative Patency of Splenorenal Shunt for Extrahepatic Portal Venous Obstruction Journal of Indian Association of Pediatric Surgeons extrahepatic portal venous obstruction fluorescence angiography indocyanine green pediatric surgery splenorenal shunt vascular patency |
| title | Harnessing Indocyanine Green Fluorescence for Checking Intraoperative Patency of Splenorenal Shunt for Extrahepatic Portal Venous Obstruction |
| title_full | Harnessing Indocyanine Green Fluorescence for Checking Intraoperative Patency of Splenorenal Shunt for Extrahepatic Portal Venous Obstruction |
| title_fullStr | Harnessing Indocyanine Green Fluorescence for Checking Intraoperative Patency of Splenorenal Shunt for Extrahepatic Portal Venous Obstruction |
| title_full_unstemmed | Harnessing Indocyanine Green Fluorescence for Checking Intraoperative Patency of Splenorenal Shunt for Extrahepatic Portal Venous Obstruction |
| title_short | Harnessing Indocyanine Green Fluorescence for Checking Intraoperative Patency of Splenorenal Shunt for Extrahepatic Portal Venous Obstruction |
| title_sort | harnessing indocyanine green fluorescence for checking intraoperative patency of splenorenal shunt for extrahepatic portal venous obstruction |
| topic | extrahepatic portal venous obstruction fluorescence angiography indocyanine green pediatric surgery splenorenal shunt vascular patency |
| url | https://journals.lww.com/10.4103/jiaps.jiaps_232_24 |
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