Preliminary Use of Indocyanine Green Fluorescence Angiography and Value in Predicting the Vascular Supply of Tissues Needed to Perform Cloacal, Anorectal Malformation, and Hirschsprung Reconstructions

This study evaluates indocyanine green fluorescence angiography (ICG-FA) for assessing tissue perfusion during complex pediatric colorectal reconstructions. The technology successfully predicted complications from inadequate blood supply in cloacal, anorectal malformation, and Hirschsprung pull-through procedures, offering surgeons real-time vascular assessment to optimize tissue viability.