Indocyanine green (IC-Green, Verdye)

Other Medications · Approved since 1956

US FDA Approved ES Hospital use other indication IV 6 Clinical Trials

Description

Indocyanine green is a tricarbocyanine dye that serves as a fluorescent imaging agent in colorectal cancer surgical procedures. It is used for real-time intraoperative visualization of tissue perfusion, lymphatic mapping, and identification of sentinel lymph nodes during colorectal cancer resections. The compound provides near-infrared fluorescence guidance to help surgeons identify critical structures, assess tissue viability, and locate metastatic disease including peritoneal carcinomatosis.

Mechanism of Action

Indocyanine green binds to plasma proteins and exhibits strong absorption in the near-infrared spectrum when excited by specific wavelengths of light. The dye accumulates in lymphatic vessels and nodes through lymphatic drainage pathways, allowing surgeons to visualize lymphatic flow patterns and identify sentinel nodes that may harbor metastatic disease.

Side Effects

Nausea Vomiting Allergic reactions Anaphylaxis Urticaria Pruritus Temporary skin discoloration Headache

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT05830890 Not Applicable
Unknown
Sentinel Lymph Node Biopsy in Rectal Cancer
China
NCT05517681 Not Applicable
Archived
Application of ICG in Lymph Node Dissection During Radical Resection of Rectal Cancer With Preserved Autonomic Nerves Around LCA and IMA
China
NCT03204994 Phase 1
Archived
Fluorescence Targeted Pelvic Lymph Node Mapping
United Kingdom
NCT01662752 Phase 2
Archived
Lymphatic Mapping for Sentinel Node Identification and Analysis
United Kingdom
NCT01982227 Not Applicable
Archived
Monocentric Prospective Pilot Study Evaluating the Value of Indocyanine Green (ICG, Indocyanine Green) During a Surgical Resection of Cancerous Lesions Peritoneal Colorectal Origin.
France
NCT02032485 Phase 2
Archived
Near-Infrared Imaging of Peritoneal Carcinomatosis From Colorectal Cancer
Belgium