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Nevertheless, there is currently a critical lack of effective solutions. Herein, we propose a second near-infrared window (NIR-II) fluorescence-visible indocyanine green (ICG)-BioGlue adhesive for precision surgical adhesion with intraoperative leakage prevention. The fabricated ICG-BioGlue adhesive based on the non-covalent interaction exhibits nearly 100% fluorescence labeling efficiency and maintains long-term stable NIR-II fluorescence for up to 3\u2009months. During surgery, ICG-BioGlue adhesive enables real-time visualization of wound adhesion in various fields such as aortic dissection adhesion and liver or kidney wound hemostasis, preventing leakage into surrounding tissues. Moreover, the stable fluorescence of ICG-BioGlue adhesive allows effective imaging-guided removal of long-term adhesive fragments in the body when they cause compression symptoms after surgery. Considering it consists solely of Food and Drug Administration-approved drugs ICG and BioGlue, with a straightforward synthesis method and versatile applicability, ICG-BioGlue adhesive holds excellent potential for clinical translation. Our study provides a leakage-preventing strategy to enhance biosafety and promote the widespread application of bioadhesives in clinical settings.<\/jats:p>","DOI":"10.1093\/rb\/rbaf131","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T12:28:46Z","timestamp":1766406526000},"source":"Crossref","is-referenced-by-count":0,"title":["Fabrication of an NIR-II fluorescence-visible indocyanine green-BioGlue for precision surgical adhesion with intraoperative leakage prevention"],"prefix":"10.1093","volume":"13","author":[{"given":"Xinyu","family":"Feng","sequence":"first","affiliation":[{"name":"School of Medical Imaging, Division of Medical Technology, Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University , Tianjin 300203,","place":["China"]},{"name":"Department of Breast Imaging, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin\u2019s Clinical Research Center for Cancer, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, Key Laboratory of Cancer Prevention and Therapy , Tianjin 300060,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruihan","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Medical Imaging, Division of Medical Technology, Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University , Tianjin 300203,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cai","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin\u2019s Clinical Research Center for Cancer, Key Laboratory of Cancer Immunology and Biotherapy , Tianjin 300060,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ran","family":"Cheng","sequence":"additional","affiliation":[{"name":"School of Medical Imaging, Division of Medical Technology, Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University , Tianjin 300203,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dianxun","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital , Tianjin 300052,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6136-9969","authenticated-orcid":false,"given":"Shaokai","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Medical Imaging, Division of Medical Technology, Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University , Tianjin 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