microcirculationРегионарное кровообращение и микроциркуляцияRegional blood circulation and microcirculation1682-66552712-9756Academician I.P. Pavlov First St. Petersburg State Medical University10.24884/1682-6655-2025-24-3-4-12microcirculation-1446Research ArticleОБЗОРЫREVIEWSПрименение метода флуоресцентной ангиографии с использованием индоцианина зеленого: экспериментальные и клинические исследованияApplication of Fluorescence Angiography Using Indocyanine Green: Experimental and Clinical StudiesЛелявинаТ. А.LelyavinaT. A.

Лелявина Татьяна Александровна – д-р мед. наук, ведущий научный сотрудник Института экспериментальной медицины

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Lelyavina Tatyana A. – MD, Leading Researcher, Scientific Research Department of Myocardial Microcirculation and Metabolism,

2, Akkuratova str., Saint Petersburg, 197341

tatianalelyavina@mail.ruhttps://orcid.org/0000-0003-3454-4690КорнюшинО. В.KornyushinO. V.

Корнюшин Олег Викторович – канд. мед. наук, хирург, доцент кафедры факультетской хирургии с клиникой, старший научный сотрудник Института экспериментальной

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Kornyushin Oleg V. – Candidate (PhD) of Medical Sciences, Senior Researcher, Scientific Research Department of Myocardial Microcirculation and Metabolism

2, Akkuratova str., Saint Petersburg, 197341

o.kornyushin@gmail.comШемиловР. Р.ShemilovR. R.

Шемилов Рамзан Русланович – хирург, ассистент кафедры акультетской хирургии с клиникой

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Shemilov Ramzan R. – Internist, assistant of the Department of Faculty Surgery with Clinic

2, Akkuratova str., Saint Petersburg, 197341

shramzan98@bk.ruhttps://orcid.org/0000-0002-1278-0986МаслейВ. В.MasleyV. V.

Маслей Виталий Васильевич – ассистент кафедры факультетской хирургии с клиникой Института медицинского образования

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Masley Vitaly V. – Assistant, Department of Faculty Surgery, Institute of Medical Education

2, Akkuratova str., Saint Petersburg, 197341

vitalijmaslej04@gmail.comhttps://orcid.org/0000-0003-1705-7217СонинД. Л.SoninD. L.

Сонин Дмитрий Леонидович – канд. мед. наук, зав. НИО микроциркуляции и метаболизма миокарда Института экспериментальной медицины

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Sonin Dmitry L. – Candidate (PhD) of Medical Sciences, Head, Scientific Research Department of Myocardial Microcirculation and Metabolism

2, Akkuratova str., Saint Petersburg, 197341

sonin_dl@almazovcentre.ruhttps://orcid.org/0000-0002-6462-9022ПапаянГ. В.PapayanG. V.

Папаян Гарри Вазгенович – канд. техн. наук, старший научный сотрудник Института экспериментальной медицины

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Papayan Garry V. – MD, Leading Researcher, Scientific Research Department of Myocardial Microcirculation and Metabolism

2, Akkuratova str., Saint Petersburg, 197341

pgarry@mail.ruhttps://orcid.org/0000-0001-9540-7812ДаниловИ. Н.DanilovI. N.

Данилов Иван Николаевич – зав. кафедрой факультетской хирургии с клиникой лечебного факультета Института медицинского образования

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Danilov Ivan N. – Candidate (PhD) of Medical Sciences, Head, Department of Faculty Surgery, Institute of Medical Education

2, Akkuratova str., Saint Petersburg, 197341

ivandanilov75@mail.ruГалагудзаМ. М.GalagudzaM. M.

Галагудза Михаил Михайлович – д-р мед. наук, профессор и член-корр. РАН, директор Института экспериментальной медицины

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Galagudza Mikhail M. – MD, Professor, Corresponding Member of the Russian Academy of Sciences, Director, Institute of Experimental Medicine

2, Akkuratova str., Saint Petersburg, 197341

galagudza@almazovcentre.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian Federation202526102025243412Copyright © Лелявина Т.А., Корнюшин О.В., Шемилов Р.Р., Маслей В.В., Сонин Д.Л., Папаян Г.В., Данилов И.Н., Галагудза М.М., 20252025Лелявина Т.А., Корнюшин О.В., Шемилов Р.Р., Маслей В.В., Сонин Д.Л., Папаян Г.В., Данилов И.Н., Галагудза М.М.Lelyavina T.A., Kornyushin O.V., Shemilov R.R., Masley V.V., Sonin D.L., Papayan G.V., Danilov I.N., Galagudza M.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.microcirc.ru/jour/article/view/1446

В последние годы значительно расширилось использование метода флуоресцентной визуализации в хирургии. Флуоресцентная ангиография – это метод оценки перфузии тканей, который применяют в различных областях медицины. Флуоресцентная ангиография использует сигнал флуоресценции, испускаемый введенными веществами (флуорофорами) после облучения специальными лазерными источниками, обеспечивая врачу визуализацию тканей в режиме реального времени. В данном обзоре рассматриваются наиболее распространенные аспекты клинического применения флуоресценции. Постоянно растущее использование флуоресцентной ангиографии, высокая специфичность и чувствительность метода в ближайшем будущем превратят его в стандарт медицинской помощи.

The use of fluorescence imaging in surgery has significantly expanded in recent years. Fluorescence angiography is a method of assessing tissue perfusion, which used in various fields of medicine. Fluorescence angiography uses the fluorescence signal emitted by injected substances (fluorophores) after irradiation with special laser sources, providing the doctor with real-time tissue visualization. This review examines the most common aspects of the clinical application of fluorescence. The everincreasing use of fluorescence angiography, the high specificity and sensitivity of the method, will turn it into a standard of medical care in the near future.

флуоресцентная ангиографияабдоминальная хирургиязаболевания периферических артерийишемияжизнеспособность тканейиндоцианин зеленыйфлуоресцентная визуализация в ближнем инфракрасном диапазонеfluorescence angiographyabdominal surgeryperipheral artery diseasesischemiatissue viabilityindocyanine greenfluorescence imaging in the near infrared rangeРазработка нового устройства для интраоперационной флуоресцентной визуализации перфузии полых органов желудочно-кишечного тракта, номер ЕГИСУ 125031904093-9This review was supported by the State Program under the title «Development of a new device for intraoperative fluorescent visualization of the gastrointestinal tract hollow organs perfusion», number in the Unified State R&D Record System: 125031904093-9.ReferencesStewart HL, Birch DJS Fluorescence Guided Surgery. Methods Appl Fluoresc. 2021:26;9(4).Stewart HL, Birch DJS Fluorescence Guided Surgery. Methods Appl Fluoresc. 2021:26;9(4).Morales-Conde S, Licardie E, Alarcón I, Balla A. 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The authors declare that there are no conflicts of interest present.