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Preoperative CT angiography versus Doppler ultrasound mapping of abdominal perforator in DIEP breast reconstructions: A randomized prospective study.

Klasson, Stina LU ; Svensson, Henry LU ; Malm, Karl LU ; Wasselius, Johan LU and Velander, Patrik LU (2015) In Journal of Plastic, Reconstructive and Aesthetic Surgery 68(6). p.782-786
Abstract
Is there a difference in surgery time and complication rate when Doppler ultrasound (US) is used for the preoperative mapping of perforators in comparison with computer tomography angiography (CTA)? Women who were candidates for breast reconstruction using the deep inferior epigastric perforator (DIEP) free flap were enrolled in a prospective randomized study. The operating time was 249 ± 62 min (mean ± SD) in the CTA group (n = 32) and 255 min ± 75 in the US group (n = 31) - hence a difference of 6 min on average. No flaps were lost. Sixteen complications occurred in 15 patients: seven in the CTA group and nine in the US group. Complications were remedied without delay and all patients came through with a favorable reconstruction.... (More)
Is there a difference in surgery time and complication rate when Doppler ultrasound (US) is used for the preoperative mapping of perforators in comparison with computer tomography angiography (CTA)? Women who were candidates for breast reconstruction using the deep inferior epigastric perforator (DIEP) free flap were enrolled in a prospective randomized study. The operating time was 249 ± 62 min (mean ± SD) in the CTA group (n = 32) and 255 min ± 75 in the US group (n = 31) - hence a difference of 6 min on average. No flaps were lost. Sixteen complications occurred in 15 patients: seven in the CTA group and nine in the US group. Complications were remedied without delay and all patients came through with a favorable reconstruction. Preoperative mapping of perforators with US is satisfactory enough provided the microsurgery team has proper experience in breast reconstruction with the DIEP flap. (Less)
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Contribution to journal
publication status
published
subject
in
Journal of Plastic, Reconstructive and Aesthetic Surgery
volume
68
issue
6
pages
782 - 786
publisher
Elsevier
external identifiers
  • pmid:25824193
  • wos:000355093400011
  • scopus:84930181918
ISSN
1878-0539
DOI
10.1016/j.bjps.2015.02.002
language
English
LU publication?
yes
id
eac6d106-1e32-462b-bdc8-fb405f766239 (old id 5360763)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25824193?dopt=Abstract
date added to LUP
2015-05-07 19:51:51
date last changed
2017-06-11 03:13:46
@article{eac6d106-1e32-462b-bdc8-fb405f766239,
  abstract     = {Is there a difference in surgery time and complication rate when Doppler ultrasound (US) is used for the preoperative mapping of perforators in comparison with computer tomography angiography (CTA)? Women who were candidates for breast reconstruction using the deep inferior epigastric perforator (DIEP) free flap were enrolled in a prospective randomized study. The operating time was 249 ± 62 min (mean ± SD) in the CTA group (n = 32) and 255 min ± 75 in the US group (n = 31) - hence a difference of 6 min on average. No flaps were lost. Sixteen complications occurred in 15 patients: seven in the CTA group and nine in the US group. Complications were remedied without delay and all patients came through with a favorable reconstruction. Preoperative mapping of perforators with US is satisfactory enough provided the microsurgery team has proper experience in breast reconstruction with the DIEP flap.},
  author       = {Klasson, Stina and Svensson, Henry and Malm, Karl and Wasselius, Johan and Velander, Patrik},
  issn         = {1878-0539},
  language     = {eng},
  number       = {6},
  pages        = {782--786},
  publisher    = {Elsevier},
  series       = {Journal of Plastic, Reconstructive and Aesthetic Surgery},
  title        = {Preoperative CT angiography versus Doppler ultrasound mapping of abdominal perforator in DIEP breast reconstructions: A randomized prospective study.},
  url          = {http://dx.doi.org/10.1016/j.bjps.2015.02.002},
  volume       = {68},
  year         = {2015},
}