Early Venous Occlusion Detection in a Free Flap Using Real-time Laser Doppler Imaging
Summary: Early detection of venous occlusion in free flaps is particularly difficult to identify, and its duration is known to be directly proportional to flap mortality. Here, we report a case of deep inferior epigastric perforator based breast reconstruction in which the intraoperative use of a pe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2013-04-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/Fulltext/2013/04000/Article.8.aspx |
| _version_ | 1828180220907094016 |
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| author | Héba Alkhashnam, MD Benjamin Sarfati, MD Tyler Thacher, PhD Frédéric Kolb, MD |
| author_facet | Héba Alkhashnam, MD Benjamin Sarfati, MD Tyler Thacher, PhD Frédéric Kolb, MD |
| author_sort | Héba Alkhashnam, MD |
| collection | DOAJ |
| description | Summary: Early detection of venous occlusion in free flaps is particularly difficult to identify, and its duration is known to be directly proportional to flap mortality. Here, we report a case of deep inferior epigastric perforator based breast reconstruction in which the intraoperative use of a perfusion camera enabled identifying a venous occlusion based on microcirculatory pulsation dynamics in real time. The sensitivity of our proposed method suggests that in certain cases in which the onset of venous occlusion begins in the operating room we can detect and treat occlusion before sending the patient to recovery. Further development of this technique will allow for earlier and more objective decision making with regard to venous occlusion detection in free tissue transfer. |
| first_indexed | 2024-04-12T05:42:04Z |
| format | Article |
| id | doaj.art-533e34d94fa3464997864d48f1ee3151 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-12T05:42:04Z |
| publishDate | 2013-04-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-533e34d94fa3464997864d48f1ee31512022-12-22T03:45:36ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742013-04-0111e6e910.1097/GOX.0b013e31828d659e01720096-201304000-00008Early Venous Occlusion Detection in a Free Flap Using Real-time Laser Doppler ImagingHéba Alkhashnam, MD0Benjamin Sarfati, MD1Tyler Thacher, PhD2Frédéric Kolb, MD3From the Department of Plastic Surgery, Gustave Roussy Institute, Villejuif, France;From the Department of Plastic Surgery, Gustave Roussy Institute, Villejuif, France;Aïmago SA, Lausanne, Switzerland.From the Department of Plastic Surgery, Gustave Roussy Institute, Villejuif, France;Summary: Early detection of venous occlusion in free flaps is particularly difficult to identify, and its duration is known to be directly proportional to flap mortality. Here, we report a case of deep inferior epigastric perforator based breast reconstruction in which the intraoperative use of a perfusion camera enabled identifying a venous occlusion based on microcirculatory pulsation dynamics in real time. The sensitivity of our proposed method suggests that in certain cases in which the onset of venous occlusion begins in the operating room we can detect and treat occlusion before sending the patient to recovery. Further development of this technique will allow for earlier and more objective decision making with regard to venous occlusion detection in free tissue transfer.http://journals.lww.com/prsgo/Fulltext/2013/04000/Article.8.aspx |
| spellingShingle | Héba Alkhashnam, MD Benjamin Sarfati, MD Tyler Thacher, PhD Frédéric Kolb, MD Early Venous Occlusion Detection in a Free Flap Using Real-time Laser Doppler Imaging Plastic and Reconstructive Surgery, Global Open |
| title | Early Venous Occlusion Detection in a Free Flap Using Real-time Laser Doppler Imaging |
| title_full | Early Venous Occlusion Detection in a Free Flap Using Real-time Laser Doppler Imaging |
| title_fullStr | Early Venous Occlusion Detection in a Free Flap Using Real-time Laser Doppler Imaging |
| title_full_unstemmed | Early Venous Occlusion Detection in a Free Flap Using Real-time Laser Doppler Imaging |
| title_short | Early Venous Occlusion Detection in a Free Flap Using Real-time Laser Doppler Imaging |
| title_sort | early venous occlusion detection in a free flap using real time laser doppler imaging |
| url | http://journals.lww.com/prsgo/Fulltext/2013/04000/Article.8.aspx |
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