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

Stina Klasson; Henry Svensson; Karl Malm; Johan Wasselius; Patrik Velander

doi:10.1016/j.bjps.2015.02.002

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

Stina Klasson, Henry Svensson, Karl Malm, Johan Wasselius, Patrik Velander

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	782-786
Journal	Journal of Plastic, Reconstructive and Aesthetic Surgery
Volume	68
Issue number	6
DOIs	https://doi.org/10.1016/j.bjps.2015.02.002
Publication status	Published - 2015

Subject classification (UKÄ)

Surgery

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10.1016/j.bjps.2015.02.002

http://www.ncbi.nlm.nih.gov/pubmed/25824193?dopt=Abstract

1 Doctoral Thesis (compilation)

Assessment of breast reconstruction with DIEP flaps
Klasson, S., 2016, Lund: Lund University: Faculty of Medicine. 64 p.
Research output: Thesis › Doctoral Thesis (compilation)

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

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 = "Stina Klasson and Henry Svensson and Karl Malm and Johan Wasselius and Patrik Velander",

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T1 - Preoperative CT angiography versus Doppler ultrasound mapping of abdominal perforator in DIEP breast reconstructions: A randomized prospective study.

AU - Klasson, Stina

AU - Svensson, Henry

AU - Malm, Karl

AU - Wasselius, Johan

AU - Velander, Patrik

PY - 2015

Y1 - 2015

N2 - 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.

AB - 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.

U2 - 10.1016/j.bjps.2015.02.002

DO - 10.1016/j.bjps.2015.02.002

M3 - Article

C2 - 25824193

SN - 1878-0539

VL - 68

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JO - Journal of Plastic, Reconstructive and Aesthetic Surgery

JF - Journal of Plastic, Reconstructive and Aesthetic Surgery

IS - 6

ER -

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

Abstract

Subject classification (UKÄ)

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Research output

Assessment of breast reconstruction with DIEP flaps

Cite this