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CompletedNCT07581652Updated May 12, 2026

ICGA for Vascular Embolism After Hyaluronic Acid Injection

An observational study in Embolism Arterial, sponsored by Chongli Yu. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-12.

Sponsored by Chongli Yu · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
19
Ages
18 Years and older
Sex
All
01

Study summary

Facial vascular embolism following hyaluronic acid injection is a rare but potentially serious complication that may lead to tissue ischemia, necrosis, and scarring. Early assessment of local tissue perfusion is important for evaluating treatment response and predicting clinical outcomes.

This retrospective observational study aims to evaluate whether indocyanine green angiography (ICGA) can provide objective, real-time information on tissue perfusion in patients with facial vascular embolism after hyaluronic acid injection. The study will review existing medical records, ICGA imaging data, and follow-up information from patients treated at a single center. The main question is whether ICGA findings before and after initial rescue therapy can help assess early perfusion recovery and identify patients who may require additional intervention or develop persistent tissue damage.

Read the detailed description

This is a single-center, retrospective, observational study. The study will use existing clinical data generated during prior routine care, including medical records, ICGA imaging data, and follow-up documentation. No additional examinations, treatments, or study-specific follow-up visits will be introduced.

The study focuses on patients with facial vascular embolism following hyaluronic acid injection who underwent ICGA assessment before and immediately after initial rescue therapy. ICGA was performed as part of prior clinical evaluation to visualize local tissue perfusion in real time. Quantitative perfusion-related parameters were obtained using imaging analysis software.

The analysis will compare ICGA-based perfusion changes within the same patient before and after initial rescue therapy. The study will also explore whether baseline perfusion status and early perfusion recovery are associated with subsequent clinical management and tissue outcomes. Patients may be descriptively stratified according to whether additional intervention was required after initial rescue therapy.

All data will be collected retrospectively and de-identified before analysis. The study does not alter previous clinical decision-making and does not expose participants to additional physiological risk. The main study-related risk is potential loss of confidentiality, which will be minimized through de-identification, restricted access to study data, and secure data storage.

02

Conditions studied

  • Embolism Arterial

Keywords

  • Indocyanine green angiography
  • Hyaluronic acid injection
  • Facial vascular embolism
  • Hyaluronidase
  • Rescue therapy
03

In context

Lead sponsor

Chongli Yu is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

The study population consists of consecutive patients treated at the Center for Wound Repair and Tissue Regeneration, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, for facial vascular embolism following hyaluronic acid injection between July 2025 and March 2026. Participants will be identified retrospectively from existing medical records, indocyanine green angiography imaging data, treatment records, and follow-up documentation generated during routine clinical care.

Inclusion criteria

  • History of facial hyaluronic acid injection.
  • Clinical diagnosis of facial vascular embolism after hyaluronic acid injection, with symptoms or signs such as pain, skin color change, livedo-like discoloration, delayed capillary refill, or tissue ischemia.
  • Received initial rescue treatment at the study center.
  • Had indocyanine green angiography imaging performed before and immediately after initial rescue treatment as part of routine clinical care.
  • Had sufficient medical records and follow-up information available to assess subsequent treatment and tissue outcomes.

Exclusion criteria

Exclusion Criteria:

  • Incomplete indocyanine green angiography imaging data.
  • Insufficient medical records or follow-up information to assess the main study outcomes.
  • Missing key clinical information needed for study analysis.
  • Duplicate records or records with concerns about data reliability.
  • The patient or legal representative explicitly objected to the use of historical clinical data for this study, if applicable under local ethics requirements.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
19 participants (actual)
Patient registry
No

Interventions

  • OtherIndocyanine Green Angiography Assessment

    Indocyanine green angiography was performed as part of prior routine clinical evaluation to assess local tissue perfusion in patients with facial vascular embolism following hyaluronic acid injection. In this retrospective observational study, existing ICGA imaging data obtained before and immediately after initial rescue therapy will be reviewed and analyzed. No additional ICGA examination will be performed for research purposes.

06

What researchers measure

Primary outcomes

  1. Median Within-Participant Change in ICGA-Derived Ingress Rate From Before to After Initial Rescue Therapy

    Ingress rate is an indocyanine green angiography-derived perfusion parameter representing the maximum slope of fluorescence intensity increase. It will be measured immediately before initial rescue therapy and immediately after completion of initial rescue therapy. The reported value will be the within-participant change in ingress rate, calculated as the post-treatment value minus the pre-treatment value.

    Time frame: Periprocedural: immediately before initial rescue therapy and immediately after completion of initial rescue therapy

  2. Median Within-Participant Change in ICGA-Derived Time to Peak From Before to After Initial Rescue Therapy

    Time to peak is an indocyanine green angiography-derived perfusion parameter representing the time interval from first visible fluorescence to peak fluorescence intensity. It will be measured immediately before initial rescue therapy and immediately after completion of initial rescue therapy. The reported value will be the within-participant change in time to peak, calculated as the post-treatment value minus the pre-treatment value.

    Time frame: Periprocedural: immediately before initial rescue therapy and immediately after completion of initial rescue therapy

  3. Median Within-Participant Change in ICGA-Derived Curve Ingress From Before to After Initial Rescue Therapy

    Curve ingress is an indocyanine green angiography-derived perfusion parameter representing the area under the fluorescence-time curve from the start of fluorescence increase to peak fluorescence intensity. It will be measured immediately before initial rescue therapy and immediately after completion of initial rescue therapy. The reported value will be the within-participant change in curve ingress, calculated as the post-treatment value minus the pre-treatment value.

    Time frame: Periprocedural: immediately before initial rescue therapy and immediately after completion of initial rescue therapy

07

Study locations

1 site
  • Plastic Surgery Hospital, Chinese Academy of Medical Sciences
    Beijing, Beijing Municipality 100144, China
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07581652
Lead sponsor
Chongli Yu
Collaborators
The Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
Responsible party
Chongli Yu (principal investigator, Chinese PLA General Hospital) — Sponsor-investigator
First posted
May 12, 2026
Start date
Jul 1, 2025
Primary completion
Mar 30, 2026
Completion
Mar 30, 2026
Last update
May 12, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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