دورية أكاديمية
أعرض في EDS

Tissue perfusion in DIEP flaps using Indocyanine Green Fluorescence Angiography, Hyperspectral imaging, and Thermal imaging.

التفاصيل البيبلوغرافية
العنوان: Tissue perfusion in DIEP flaps using Indocyanine Green Fluorescence Angiography, Hyperspectral imaging, and Thermal imaging.
المؤلفون: Kleiss SF; Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, The Netherlands., Michi M; Department of Plastic Surgery, University Medical Center Groningen, Groningen, The Netherlands., Schuurman SN; Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, The Netherlands., de Vries JPM; Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, Groningen, The Netherlands., Werker PMN; Department of Plastic Surgery, University Medical Center Groningen, Groningen, The Netherlands., de Jongh SJ; Department of Plastic Surgery, University Medical Center Groningen, Groningen, The Netherlands.
المصدر: JPRAS open [JPRAS Open] 2024 May 01; Vol. 41, pp. 61-74. Date of Electronic Publication: 2024 May 01 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Ltd Country of Publication: Netherlands NLM ID: 101680420 Publication Model: eCollection Cited Medium: Internet ISSN: 2352-5878 (Electronic) Linking ISSN: 23525878 NLM ISO Abbreviation: JPRAS Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam, The Netherlands] : Elsevier Ltd., [2015]-
مستخلص: Flap necrosis continues to occur in skin free flap autologous breast reconstruction. Therefore, we investigated the benefits of indocyanine green angiography (ICGA) using quantitative parameters for the objective, perioperative evaluation of flap perfusion. In addition, we investigated the feasibility of hyperspectral (HSI) and thermal imaging (TI) for postoperative flap monitoring. A single-center, prospective observational study was performed on 15 patients who underwent deep inferior epigastric perforator (DIEP) flap breast reconstruction (n=21). DIEP-flap perfusion was evaluated using ICGA, HSI, and TI using a standardized imaging protocol. The ICGA perfusion curves and derived parameters, HSI extracted oxyhemoglobin (oxyHb) and deoxyhemoglobin (deoxyHb) values, and flap temperatures from TI were analyzed and correlated to the clinical outcomes. Post-hoc quantitative analysis of intraoperatively collected data of ICGA application accurately distinguished between adequately and insufficiently perfused DIEP flaps. ICG perfusion curves identified the lack of arterial inflow (n=2) and occlusion of the venous outflow (n=1). In addition, a postoperatively detected partial flap epidermolysis could have been predicted based on intraoperative quantitative ICGA data. During postoperative monitoring, HSI was used to identify impaired perfusion areas within the DIEP flap based on deoxyHb levels. The results of this study showed a limited added value of TI. Quantitative, post-hoc analysis of ICGA data produced objective and reproducible parameters that enabled the intraoperative detection of arterial and venous congested DIEP flaps. HSI appeared to be a promising technique for postoperative flap perfusion assessment. A diagnostic accuracy study is needed to investigate ICGA and HSI parameters in real-time and demonstrate their clinical benefit.
Competing Interests: Paul M.N. Werker is DMC member for Fidia ltd, Milan, Italy and renumerations are used for research purposes, however this was not related to the content of this article. The other authors have no financial interest to declare in relation to the content of this article. No funding was received for this study.
(© 2024 The Author(s).)
References: J Clin Med. 2022 Jul 16;11(14):. (PMID: 35887901)
BMC Cancer. 2021 Feb 16;21(1):166. (PMID: 33593330)
J Reconstr Microsurg. 2021 Mar;37(3):300-308. (PMID: 33395711)
Life (Basel). 2021 May 11;11(5):. (PMID: 34064948)
J Plast Surg Hand Surg. 2023 Aug 24;58:48-55. (PMID: 37614177)
J Cardiovasc Surg (Torino). 2019 Dec;60(6):652-661. (PMID: 31603292)
Arch Dermatol. 1988 Jun;124(6):869-71. (PMID: 3377516)
J Reconstr Microsurg. 2018 Feb;34(2):77-86. (PMID: 28992648)
Vascular. 2019 Dec;27(6):663-667. (PMID: 31067207)
Pharmacol Toxicol. 1998;83 Suppl 2:1-48. (PMID: 9695126)
Eur J Obstet Gynecol Reprod Biol. 2019 Nov;242:47-55. (PMID: 31563818)
Microsurgery. 2004;24(6):468-75. (PMID: 15378577)
J Reconstr Microsurg. 2020 Nov;36(9):673-679. (PMID: 32623706)
Plast Reconstr Surg. 2020 Jul;146(1):1e-10e. (PMID: 32590635)
Surg Innov. 2020 Feb;27(1):103-119. (PMID: 31347468)
Clin Plast Surg. 2020 Oct;47(4):595-609. (PMID: 32892803)
J Reconstr Microsurg. 2011 Jul;27(6):355-64. (PMID: 21717392)
Ann Surg Oncol. 2013 Feb;20(2):607-14. (PMID: 22941163)
J Plast Reconstr Aesthet Surg. 2022 Jun;75(6):1820-1825. (PMID: 35131194)
J Plast Reconstr Aesthet Surg. 2021 Oct;74(10):2479-2485. (PMID: 33879412)
Aesthet Surg J. 2019 Mar 14;39(4):NP45-NP54. (PMID: 30358820)
J Reconstr Microsurg. 2014 Feb;30(2):121-5. (PMID: 24163223)
Semin Plast Surg. 2019 Feb;33(1):13-16. (PMID: 30863207)
Plast Reconstr Surg. 2020 Jan;145(1):1-10. (PMID: 31577664)
Ann Plast Surg. 2006 Sep;57(3):279-84. (PMID: 16929195)
BMC Surg. 2021 Apr 30;21(1):222. (PMID: 33931056)
Plast Surg Nurs. 2014 Apr-Jun;34(2):52-6; quiz 57-8. (PMID: 24887341)
Plast Reconstr Surg. 2015 Mar;135(3):491e-497e. (PMID: 25719713)
Plast Reconstr Surg Glob Open. 2020 Mar 27;8(3):e2694. (PMID: 32537350)
Ann Surg. 2021 Dec 1;274(6):e659-e663. (PMID: 34145192)
J Clin Monit Comput. 2022 Jun;36(3):713-723. (PMID: 33844164)
فهرسة مساهمة: Keywords: Breast reconstruction; DIEP-flap reconstruction; Hyperspectral imaging; Indocyanine Green Angiography; Perfusion imaging; Thermal imaging
تواريخ الأحداث: Date Created: 20240701 Latest Revision: 20240702
رمز التحديث: 20240702
مُعرف محوري في PubMed: PMC11214344
DOI: 10.1016/j.jpra.2024.04.007
PMID: 38948075
قاعدة البيانات: MEDLINE
الوصف
تدمد:2352-5878
DOI:10.1016/j.jpra.2024.04.007