Artifactual reduction in oxygen saturation readings affected by indocyanine green in ophthalmic angiography

Purpose To investigate time-dependent changes in oxygen saturation (SpO 2 ) readings during fluorescein angiography (FA) or simultaneous fluorescein and indocyanine green angiography (F/I). Study design A prospective observational study. Methods One hundred twenty-five consecutive patients underwent...

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Veröffentlicht in:Japanese journal of ophthalmology 2020-09, Vol.64 (5), p.516-523
Hauptverfasser: Matsuzaki, Mitsuhiro, Ishii, Kanako, Nishida, Akihiro, Motozawa, Naohiro, Fujimori, Mizuho, Hamada, Mamiko, Kurimoto, Yasuo
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container_issue 5
container_start_page 516
container_title Japanese journal of ophthalmology
container_volume 64
creator Matsuzaki, Mitsuhiro
Ishii, Kanako
Nishida, Akihiro
Motozawa, Naohiro
Fujimori, Mizuho
Hamada, Mamiko
Kurimoto, Yasuo
description Purpose To investigate time-dependent changes in oxygen saturation (SpO 2 ) readings during fluorescein angiography (FA) or simultaneous fluorescein and indocyanine green angiography (F/I). Study design A prospective observational study. Methods One hundred twenty-five consecutive patients underwent FA or F/I. After application of the exclusion criteria, 67 patients (28 underwent FA, 39 underwent F/I) were included in the study. During angiography, SpO 2 was measured by using a pulse oximeter and recording each second. The arm-to-retina circulation time (ARCT) was measured on the angiography video images. Latency time was defined as the time from intravenous injection of the dye to observation of a 3% decrease in the SpO 2 reading, and variation SpO 2 , as the difference between baseline SpO 2 and the lowest SpO 2 value. Results The mean variation SpO 2 was − 1.0 ± 0.6 during FA, and − 6.1 ± 1.5 during F/I. Variation SpO 2 was within 2% during FA and > 3% during F/I. No corresponding changes were observed in the other vital signs or subjective symptoms. The mean latency time was 33.3 ± 6.4 s. Latency time was positively correlated with the ARCT in the F/I group (r s  = 0.766, P  
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Study design A prospective observational study. Methods One hundred twenty-five consecutive patients underwent FA or F/I. After application of the exclusion criteria, 67 patients (28 underwent FA, 39 underwent F/I) were included in the study. During angiography, SpO 2 was measured by using a pulse oximeter and recording each second. The arm-to-retina circulation time (ARCT) was measured on the angiography video images. Latency time was defined as the time from intravenous injection of the dye to observation of a 3% decrease in the SpO 2 reading, and variation SpO 2 , as the difference between baseline SpO 2 and the lowest SpO 2 value. Results The mean variation SpO 2 was − 1.0 ± 0.6 during FA, and − 6.1 ± 1.5 during F/I. Variation SpO 2 was within 2% during FA and &gt; 3% during F/I. No corresponding changes were observed in the other vital signs or subjective symptoms. The mean latency time was 33.3 ± 6.4 s. Latency time was positively correlated with the ARCT in the F/I group (r s  = 0.766, P  &lt; .001). Conclusion Reductions in SpO 2 readings were identified during F/I, but not during FA. Our results suggest that clinicians should be mindful that reductions in SpO 2 readings during F/I may be artifactually caused by indocyanine green.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-020-00760-1</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Angiography ; Clinical Investigation ; Fluorescein ; Intravenous administration ; Latency ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Oxygen ; Oxygen content ; Oxygen saturation ; Retina ; Time dependence ; Variation</subject><ispartof>Japanese journal of ophthalmology, 2020-09, Vol.64 (5), p.516-523</ispartof><rights>Japanese Ophthalmological Society 2020</rights><rights>Japanese Ophthalmological Society 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c327t-3ad12b2e80837e477104e0f4d8f2ea81ac1265bbbf9507d78644e380d0e89d8e3</cites><orcidid>0000-0002-4618-3696</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10384-020-00760-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10384-020-00760-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Matsuzaki, Mitsuhiro</creatorcontrib><creatorcontrib>Ishii, Kanako</creatorcontrib><creatorcontrib>Nishida, Akihiro</creatorcontrib><creatorcontrib>Motozawa, Naohiro</creatorcontrib><creatorcontrib>Fujimori, Mizuho</creatorcontrib><creatorcontrib>Hamada, Mamiko</creatorcontrib><creatorcontrib>Kurimoto, Yasuo</creatorcontrib><title>Artifactual reduction in oxygen saturation readings affected by indocyanine green in ophthalmic angiography</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose To investigate time-dependent changes in oxygen saturation (SpO 2 ) readings during fluorescein angiography (FA) or simultaneous fluorescein and indocyanine green angiography (F/I). Study design A prospective observational study. Methods One hundred twenty-five consecutive patients underwent FA or F/I. After application of the exclusion criteria, 67 patients (28 underwent FA, 39 underwent F/I) were included in the study. During angiography, SpO 2 was measured by using a pulse oximeter and recording each second. The arm-to-retina circulation time (ARCT) was measured on the angiography video images. Latency time was defined as the time from intravenous injection of the dye to observation of a 3% decrease in the SpO 2 reading, and variation SpO 2 , as the difference between baseline SpO 2 and the lowest SpO 2 value. Results The mean variation SpO 2 was − 1.0 ± 0.6 during FA, and − 6.1 ± 1.5 during F/I. Variation SpO 2 was within 2% during FA and &gt; 3% during F/I. No corresponding changes were observed in the other vital signs or subjective symptoms. The mean latency time was 33.3 ± 6.4 s. Latency time was positively correlated with the ARCT in the F/I group (r s  = 0.766, P  &lt; .001). Conclusion Reductions in SpO 2 readings were identified during F/I, but not during FA. Our results suggest that clinicians should be mindful that reductions in SpO 2 readings during F/I may be artifactually caused by indocyanine green.</description><subject>Angiography</subject><subject>Clinical Investigation</subject><subject>Fluorescein</subject><subject>Intravenous administration</subject><subject>Latency</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Ophthalmology</subject><subject>Oxygen</subject><subject>Oxygen content</subject><subject>Oxygen saturation</subject><subject>Retina</subject><subject>Time dependence</subject><subject>Variation</subject><issn>0021-5155</issn><issn>1613-2246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kMtKxTAQhoMoeLy8gKuCGzfVyaVNuhTxBoIbXYc0mfZEe9Jj0oJ9e3usILhwNczw_T_DR8gZhUsKIK8SBa5EDgzyeS0hp3tkRUvKc8ZEuU9WAIzmBS2KQ3KU0hsACMbZirxfx8E3xg6j6bKIbrSD70PmQ9Z_Ti2GLJlhjOb7GNE4H9qUmaZBO6DL6mkmXW8nE3zArI2IS3a7Htam23ibmdD6vo1mu55OyEFjuoSnP_OYvN7dvtw85E_P948310-55UwOOTeOspqhAsUlCikpCIRGONUwNIoaS1lZ1HXdVAVIJ1UpBHIFDlBVTiE_JhdL7zb2HyOmQW98sth1JmA_Js0EE1BJKOSMnv9B3_oxhvm7meJVycuK0ZliC2Vjn1LERm-j35g4aQp6518v_vXsX3_717sQX0JphkOL8bf6n9QXVpCJZw</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Matsuzaki, Mitsuhiro</creator><creator>Ishii, Kanako</creator><creator>Nishida, Akihiro</creator><creator>Motozawa, Naohiro</creator><creator>Fujimori, Mizuho</creator><creator>Hamada, Mamiko</creator><creator>Kurimoto, Yasuo</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4618-3696</orcidid></search><sort><creationdate>20200901</creationdate><title>Artifactual reduction in oxygen saturation readings affected by indocyanine green in ophthalmic angiography</title><author>Matsuzaki, Mitsuhiro ; 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Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsuzaki, Mitsuhiro</au><au>Ishii, Kanako</au><au>Nishida, Akihiro</au><au>Motozawa, Naohiro</au><au>Fujimori, Mizuho</au><au>Hamada, Mamiko</au><au>Kurimoto, Yasuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Artifactual reduction in oxygen saturation readings affected by indocyanine green in ophthalmic angiography</atitle><jtitle>Japanese journal of ophthalmology</jtitle><stitle>Jpn J Ophthalmol</stitle><date>2020-09-01</date><risdate>2020</risdate><volume>64</volume><issue>5</issue><spage>516</spage><epage>523</epage><pages>516-523</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><abstract>Purpose To investigate time-dependent changes in oxygen saturation (SpO 2 ) readings during fluorescein angiography (FA) or simultaneous fluorescein and indocyanine green angiography (F/I). Study design A prospective observational study. Methods One hundred twenty-five consecutive patients underwent FA or F/I. After application of the exclusion criteria, 67 patients (28 underwent FA, 39 underwent F/I) were included in the study. During angiography, SpO 2 was measured by using a pulse oximeter and recording each second. The arm-to-retina circulation time (ARCT) was measured on the angiography video images. Latency time was defined as the time from intravenous injection of the dye to observation of a 3% decrease in the SpO 2 reading, and variation SpO 2 , as the difference between baseline SpO 2 and the lowest SpO 2 value. Results The mean variation SpO 2 was − 1.0 ± 0.6 during FA, and − 6.1 ± 1.5 during F/I. Variation SpO 2 was within 2% during FA and &gt; 3% during F/I. No corresponding changes were observed in the other vital signs or subjective symptoms. The mean latency time was 33.3 ± 6.4 s. Latency time was positively correlated with the ARCT in the F/I group (r s  = 0.766, P  &lt; .001). Conclusion Reductions in SpO 2 readings were identified during F/I, but not during FA. Our results suggest that clinicians should be mindful that reductions in SpO 2 readings during F/I may be artifactually caused by indocyanine green.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><doi>10.1007/s10384-020-00760-1</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-4618-3696</orcidid></addata></record>
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subjects Angiography
Clinical Investigation
Fluorescein
Intravenous administration
Latency
Medical imaging
Medicine
Medicine & Public Health
Ophthalmology
Oxygen
Oxygen content
Oxygen saturation
Retina
Time dependence
Variation
title Artifactual reduction in oxygen saturation readings affected by indocyanine green in ophthalmic angiography
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