Evaluation of the Intraoperative Blood Flow of Pedicled Perforator Flaps Using Indocyanine Green-fluorescence Angiography
Background:. Although indocyanine-green fluorescence angiography (ICG-FA) has been established as a useful tool to assess perfusion in free tissue transfer, only few studies have applied this modality to pedicled perforator flaps. As both volume and reach of pedicled perforator flaps are limited and...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2019-09-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002462 |
| _version_ | 1828162967663804416 |
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| author | Rafael G. Jakubietz, MD Karsten Schmidt, MD Silvia Bernuth, MD Rainer H. Meffert, MD Michael G. Jakubietz, MD |
| author_facet | Rafael G. Jakubietz, MD Karsten Schmidt, MD Silvia Bernuth, MD Rainer H. Meffert, MD Michael G. Jakubietz, MD |
| author_sort | Rafael G. Jakubietz, MD |
| collection | DOAJ |
| description | Background:. Although indocyanine-green fluorescence angiography (ICG-FA) has been established as a useful tool to assess perfusion in free tissue transfer, only few studies have applied this modality to pedicled perforator flaps. As both volume and reach of pedicled perforator flaps are limited and tip necrosis often equals complete flap failure, ICG-FA may help to detect hypoperfusion in pedicled flaps.
Methods:. In 5 patients, soft tissue reconstruction was achieved with pedicled perforator flaps. ICG-FA was utilized intraoperatively to visualize flap perfusion.
Results:. Three pedicled anterolateral thigh flap flaps and 2 propeller flaps were transferred. ICG-FA detected hypoperfusion in 2 flaps. No flap loss occurred; in 2 cases, prolonged wound healing was encountered.
Conclusions:. ICG-FA confirmed clinical findings and reliably detected tissue areas with hypoperfusion. A clear cut-off point between nonvital tissue and such that stabilized in the following clinical course could not be found. ICG-FA is a promising technology which could also be used in pedicled perforator flaps. |
| first_indexed | 2024-04-12T01:03:04Z |
| format | Article |
| id | doaj.art-1318d0fe4b8940a79a36a5bae2c40e67 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-12T01:03:04Z |
| publishDate | 2019-09-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-1318d0fe4b8940a79a36a5bae2c40e672022-12-22T03:54:23ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-09-0179e246210.1097/GOX.0000000000002462201909000-00018Evaluation of the Intraoperative Blood Flow of Pedicled Perforator Flaps Using Indocyanine Green-fluorescence AngiographyRafael G. Jakubietz, MD0Karsten Schmidt, MD1Silvia Bernuth, MD2Rainer H. Meffert, MD3Michael G. Jakubietz, MD4From the Department of Trauma-, Hand-, Plastic- and Reconstructive Surgery, University Hospital Wuerzburg, GermanyFrom the Department of Trauma-, Hand-, Plastic- and Reconstructive Surgery, University Hospital Wuerzburg, GermanyFrom the Department of Trauma-, Hand-, Plastic- and Reconstructive Surgery, University Hospital Wuerzburg, GermanyFrom the Department of Trauma-, Hand-, Plastic- and Reconstructive Surgery, University Hospital Wuerzburg, GermanyFrom the Department of Trauma-, Hand-, Plastic- and Reconstructive Surgery, University Hospital Wuerzburg, GermanyBackground:. Although indocyanine-green fluorescence angiography (ICG-FA) has been established as a useful tool to assess perfusion in free tissue transfer, only few studies have applied this modality to pedicled perforator flaps. As both volume and reach of pedicled perforator flaps are limited and tip necrosis often equals complete flap failure, ICG-FA may help to detect hypoperfusion in pedicled flaps. Methods:. In 5 patients, soft tissue reconstruction was achieved with pedicled perforator flaps. ICG-FA was utilized intraoperatively to visualize flap perfusion. Results:. Three pedicled anterolateral thigh flap flaps and 2 propeller flaps were transferred. ICG-FA detected hypoperfusion in 2 flaps. No flap loss occurred; in 2 cases, prolonged wound healing was encountered. Conclusions:. ICG-FA confirmed clinical findings and reliably detected tissue areas with hypoperfusion. A clear cut-off point between nonvital tissue and such that stabilized in the following clinical course could not be found. ICG-FA is a promising technology which could also be used in pedicled perforator flaps.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002462 |
| spellingShingle | Rafael G. Jakubietz, MD Karsten Schmidt, MD Silvia Bernuth, MD Rainer H. Meffert, MD Michael G. Jakubietz, MD Evaluation of the Intraoperative Blood Flow of Pedicled Perforator Flaps Using Indocyanine Green-fluorescence Angiography Plastic and Reconstructive Surgery, Global Open |
| title | Evaluation of the Intraoperative Blood Flow of Pedicled Perforator Flaps Using Indocyanine Green-fluorescence Angiography |
| title_full | Evaluation of the Intraoperative Blood Flow of Pedicled Perforator Flaps Using Indocyanine Green-fluorescence Angiography |
| title_fullStr | Evaluation of the Intraoperative Blood Flow of Pedicled Perforator Flaps Using Indocyanine Green-fluorescence Angiography |
| title_full_unstemmed | Evaluation of the Intraoperative Blood Flow of Pedicled Perforator Flaps Using Indocyanine Green-fluorescence Angiography |
| title_short | Evaluation of the Intraoperative Blood Flow of Pedicled Perforator Flaps Using Indocyanine Green-fluorescence Angiography |
| title_sort | evaluation of the intraoperative blood flow of pedicled perforator flaps using indocyanine green fluorescence angiography |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002462 |
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