Detailed Information on Publication Record
2023
Color Doppler ultrasound versus CT angiography for DIEP flap planning: A randomized controlled trial
BAJUS, Adam, Libor STREIT, Tomas KUBEK, Adam NOVÁK, Jiří VANÍČEK et. al.Basic information
Original name
Color Doppler ultrasound versus CT angiography for DIEP flap planning: A randomized controlled trial
Authors
BAJUS, Adam (203 Czech Republic, belonging to the institution), Libor STREIT (203 Czech Republic, guarantor, belonging to the institution), Tomas KUBEK (203 Czech Republic), Adam NOVÁK (203 Czech Republic, belonging to the institution), Jiří VANÍČEK (203 Czech Republic), Ondřej ŠEDIVÝ (203 Czech Republic, belonging to the institution), Andrej BERKEŠ (703 Slovakia, belonging to the institution), Kadir Can BAYEZID (792 Turkey, belonging to the institution), Lukáš KUNOVSKÝ (703 Slovakia, belonging to the institution) and Luboš DRAŽAN (203 Czech Republic, belonging to the institution)
Edition
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, OXFORD, ELSEVIER SCI LTD, 2023, 1748-6815
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30212 Surgery
Country of publisher
United Kingdom of Great Britain and Northern Ireland
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
Impact factor
Impact factor: 2.700 in 2022
RIV identification code
RIV/00216224:14110/23:00132937
Organization unit
Faculty of Medicine
UT WoS
001080047100001
Keywords (in Czech)
IEP flap perforator mapping; Localization of perforators; Color Doppler ultrasound; Computed tomographic angiography; Breast reconstruction; Perforator flaps
Keywords in English
DIEP flap perforator mapping; Localization of perforators; Color Doppler ultrasound; Computed tomographic angiography; Breast reconstruction; Perforator flaps
Tags
Tags
International impact, Reviewed
Změněno: 14/2/2024 08:52, Mgr. Tereza Miškechová
Abstract
V originále
Background: Identifying relevant perforators is crucial in planning a deep inferior epigastric perforator (DIEP) flap. Color Doppler ultrasonography (CDU) has gained popularity for localizing perforators; however, current evidence on its efficiency is still inconclusive. This study aimed to compare the efficiency of CDU with that of computed tomography angiography (CTA) in localizing and selecting the relevant perforators.Methods: In this randomized controlled trial, 60 patients undergoing DIEP flap breast reconstruction (uni- or bilateral) were randomly assigned to the CDU group (i.e., CDU was performed to map and select the relevant perforators preoperatively) or the CTA+CDU group (i.e., mapping was based on CTA and supplemented by CDU). CDU was performed by the same surgeon with a well-defined sonography experience from our previous study. The reference XY coordinates of the dissected perforators were measured intraoperatively, and deviations from preoperatively deducted coordinates were calculated (Delta CDU or Delta CTA+CDU). The flaps were categorized according to the number of dissected perforators, and adherence to the pre-operative strategy was evaluated.Results: Overall, 22 patients (30 flaps) in the CTA+CDU group and 27 (39 flaps) patients in the CDU group were evaluated. The average Delta CDU (0.6 cm) was significantly lower than the average Delta CTA+CDU (1.0 cm) (p < 0.001). Adherence to the mapping-based dissection strategy was higher in the CDU group; however, the difference was insignificant (p = 0.092).Conclusion: CDU is not inferior to CTA + CDU in localizing and selecting relevant DIEA perforators. Therefore, CDU mapping is a possible complementary or substitute modality for CTA mapping.(c) 2023 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.
Links
| MUNI/A/1360/2022, interní kód MU |
| ||
| MUNI/A/1668/2020, interní kód MU |
| ||
| 90249, large research infrastructures |
|