The perfusion map of the unipedicled TRAM flap to reduce postoperative partial necrosis
The unipedicled transverse rectus abdominis musculocutaneous (TRAM) flap is a well-known technique for breast reconstruction. However, it is clinically difficult to evaluate the blood perfusion of the flap in the operating room. A new technique of blood supply evaluation, employing indocyanine green...
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| Veröffentlicht in: | Annals of plastic surgery 2004-09, Vol.53 (3), p.205-209 |
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| creator | YAMAGUCHI, Satoru DE LORENZI, Francesca PETIT, Jean Yves RIETJENS, Mario GARUSI, Cristina GIRALDO, Andrea REY, Pier Carlo URBAN, Cicero MARTELLA, Stefano BOSCO, Riccardo |
| description | The unipedicled transverse rectus abdominis musculocutaneous (TRAM) flap is a well-known technique for breast reconstruction. However, it is clinically difficult to evaluate the blood perfusion of the flap in the operating room. A new technique of blood supply evaluation, employing indocyanine green dye (ICG) fluorescence videoangiography has been performed in 10 cases of unipedicled TRAM flap breast reconstruction. In our series, the ICG measurement was demonstrated to be a safe, quick, and accurate technique of flap perfusion analysis. We confirmed the presence of individual pattern ("perfusion map") of the flap perfusion, zone II sometimes not being as well perfused as zone III. In this paper, we present our descriptive findings, and the ICG analysis seems to have a predictive value of unipedicled TRAM flap viability. |
| doi_str_mv | 10.1097/01.sap.0000116284.51679.ea |
| format | Article |
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However, it is clinically difficult to evaluate the blood perfusion of the flap in the operating room. A new technique of blood supply evaluation, employing indocyanine green dye (ICG) fluorescence videoangiography has been performed in 10 cases of unipedicled TRAM flap breast reconstruction. In our series, the ICG measurement was demonstrated to be a safe, quick, and accurate technique of flap perfusion analysis. We confirmed the presence of individual pattern ("perfusion map") of the flap perfusion, zone II sometimes not being as well perfused as zone III. In this paper, we present our descriptive findings, and the ICG analysis seems to have a predictive value of unipedicled TRAM flap viability.</description><identifier>ISSN: 0148-7043</identifier><identifier>EISSN: 1536-3708</identifier><identifier>DOI: 10.1097/01.sap.0000116284.51679.ea</identifier><identifier>PMID: 15480004</identifier><identifier>CODEN: APCSD4</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Biological and medical sciences ; Coloring Agents ; Female ; Fluorescein Angiography ; Graft Survival ; Humans ; Indocyanine Green ; Mammaplasty - methods ; Mastectomy ; Medical sciences ; Middle Aged ; Necrosis - prevention & control ; Perfusion ; Postoperative Complications - diagnosis ; Predictive Value of Tests ; Rectus Abdominis - blood supply ; Rectus Abdominis - transplantation ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgical Flaps - blood supply</subject><ispartof>Annals of plastic surgery, 2004-09, Vol.53 (3), p.205-209</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-2bb497422527a70b14dc274ebb61346fe402c54f50d8a7425031145275ebd7233</citedby><cites>FETCH-LOGICAL-c345t-2bb497422527a70b14dc274ebb61346fe402c54f50d8a7425031145275ebd7233</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16082023$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15480004$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>YAMAGUCHI, Satoru</creatorcontrib><creatorcontrib>DE LORENZI, Francesca</creatorcontrib><creatorcontrib>PETIT, Jean Yves</creatorcontrib><creatorcontrib>RIETJENS, Mario</creatorcontrib><creatorcontrib>GARUSI, Cristina</creatorcontrib><creatorcontrib>GIRALDO, Andrea</creatorcontrib><creatorcontrib>REY, Pier Carlo</creatorcontrib><creatorcontrib>URBAN, Cicero</creatorcontrib><creatorcontrib>MARTELLA, Stefano</creatorcontrib><creatorcontrib>BOSCO, Riccardo</creatorcontrib><title>The perfusion map of the unipedicled TRAM flap to reduce postoperative partial necrosis</title><title>Annals of plastic surgery</title><addtitle>Ann Plast Surg</addtitle><description>The unipedicled transverse rectus abdominis musculocutaneous (TRAM) flap is a well-known technique for breast reconstruction. However, it is clinically difficult to evaluate the blood perfusion of the flap in the operating room. A new technique of blood supply evaluation, employing indocyanine green dye (ICG) fluorescence videoangiography has been performed in 10 cases of unipedicled TRAM flap breast reconstruction. In our series, the ICG measurement was demonstrated to be a safe, quick, and accurate technique of flap perfusion analysis. We confirmed the presence of individual pattern ("perfusion map") of the flap perfusion, zone II sometimes not being as well perfused as zone III. In this paper, we present our descriptive findings, and the ICG analysis seems to have a predictive value of unipedicled TRAM flap viability.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Coloring Agents</subject><subject>Female</subject><subject>Fluorescein Angiography</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>Indocyanine Green</subject><subject>Mammaplasty - methods</subject><subject>Mastectomy</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Necrosis - prevention & control</subject><subject>Perfusion</subject><subject>Postoperative Complications - diagnosis</subject><subject>Predictive Value of Tests</subject><subject>Rectus Abdominis - blood supply</subject><subject>Rectus Abdominis - transplantation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps - blood supply</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkF1LwzAUhoMobk7_ghRB71qTNB-td2P4BRNBJl6GND3BSL9MWsF_b-YGOzfhJM9zcngRuiI4I7iUt5hkQQ8ZjkWIoAXLOBGyzEAfoTnhuUhziYtjNMeEFanELJ-hsxC-Ih5hcYpmhLMi2myOPjafkAzg7RRc3yWtHpLeJmO8nDo3QO1MA3WyeVu-JLaJj2OfeKgnE6U-jH009eh-Yqf96HSTdGB8H1w4RydWNwEu9ucCvT_cb1ZP6fr18Xm1XKcmZ3xMaVWxUjJKOZVa4oqw2lDJoKoEyZmwwDA1nFmO60JHjuOcEBZhDlUtaZ4v0M1u7uD77wnCqFoXDDSN7qCfghKiFKxgZQTvduB2v-DBqsG7VvtfRbDaxqowUTFWdYhV_ceqQEf5cv_LVLVQH9R9jhG43gM6GN1YrzvjwoETuKA4rvsHTG2BHw</recordid><startdate>20040901</startdate><enddate>20040901</enddate><creator>YAMAGUCHI, Satoru</creator><creator>DE LORENZI, Francesca</creator><creator>PETIT, Jean Yves</creator><creator>RIETJENS, Mario</creator><creator>GARUSI, Cristina</creator><creator>GIRALDO, Andrea</creator><creator>REY, Pier Carlo</creator><creator>URBAN, Cicero</creator><creator>MARTELLA, Stefano</creator><creator>BOSCO, Riccardo</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040901</creationdate><title>The perfusion map of the unipedicled TRAM flap to reduce postoperative partial necrosis</title><author>YAMAGUCHI, Satoru ; DE LORENZI, Francesca ; PETIT, Jean Yves ; RIETJENS, Mario ; GARUSI, Cristina ; GIRALDO, Andrea ; REY, Pier Carlo ; URBAN, Cicero ; MARTELLA, Stefano ; BOSCO, Riccardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-2bb497422527a70b14dc274ebb61346fe402c54f50d8a7425031145275ebd7233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Coloring Agents</topic><topic>Female</topic><topic>Fluorescein Angiography</topic><topic>Graft Survival</topic><topic>Humans</topic><topic>Indocyanine Green</topic><topic>Mammaplasty - methods</topic><topic>Mastectomy</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Necrosis - prevention & control</topic><topic>Perfusion</topic><topic>Postoperative Complications - diagnosis</topic><topic>Predictive Value of Tests</topic><topic>Rectus Abdominis - blood supply</topic><topic>Rectus Abdominis - transplantation</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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However, it is clinically difficult to evaluate the blood perfusion of the flap in the operating room. A new technique of blood supply evaluation, employing indocyanine green dye (ICG) fluorescence videoangiography has been performed in 10 cases of unipedicled TRAM flap breast reconstruction. In our series, the ICG measurement was demonstrated to be a safe, quick, and accurate technique of flap perfusion analysis. We confirmed the presence of individual pattern ("perfusion map") of the flap perfusion, zone II sometimes not being as well perfused as zone III. In this paper, we present our descriptive findings, and the ICG analysis seems to have a predictive value of unipedicled TRAM flap viability.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>15480004</pmid><doi>10.1097/01.sap.0000116284.51679.ea</doi><tpages>5</tpages></addata></record> |
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| ispartof | Annals of plastic surgery, 2004-09, Vol.53 (3), p.205-209 |
| issn | 0148-7043 1536-3708 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Coloring Agents Female Fluorescein Angiography Graft Survival Humans Indocyanine Green Mammaplasty - methods Mastectomy Medical sciences Middle Aged Necrosis - prevention & control Perfusion Postoperative Complications - diagnosis Predictive Value of Tests Rectus Abdominis - blood supply Rectus Abdominis - transplantation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps - blood supply |
| title | The perfusion map of the unipedicled TRAM flap to reduce postoperative partial necrosis |
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