The Intra-Operative Use of Fluorescence Angiography in the Management of Ischemic Bowel

Fluorescence angiography (FA) utilizing indocyanine green (ICG) has been used for decades to assist with ophthalmic operations¹. Recently, its use has become more common in the management of myocutaneous flaps, ostomy and intestinal anastomoses. The use of ICG dye angiography in determining the viability of bowel and how it affects the surgeon’s management is relatively unknown. Below is a case of a 63-year-old male who presented in the intensive care unit (ICU) with an acute abdomen concerning for ischemic bowel. Fluorescence angiography was a key adjunct for the operative decision making for this patient.