Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Perfusion-related complications remain the most common concern in DIEP flap breast reconstruction. Indocyanine green-based fluorescence angiography can be used for the real-time intra operative assessment of flap perfusion. The SPY Elite system is the most widely used device in this setting. The main objective was to describe the use of SPY-Q proprietary software to perform qualitative and quantitative analysis of flap perfusion.
Methods: This retrospective cohort study was performed at the Curie Institute between 2013 and 2017. We included patients undergoing unilateral DIEP flap breast reconstruction for whom indocyanine green-based angiography videos were of sufficient quality for analysis. Videos were recorded with the SPY Elite System and analyzed with SPY-Q proprietary software.
Results: We included 40 patients. We used real-time dynamic color analysis to describe three different patterns of flap perfusion. SPY-Q proprietary software provides quantitative flap perfusion parameters. Our quantitative analysis confirmed that zone I is the best perfused part of the flap and zone IV the less perfused one. There was no significant association between flap perfusion pattern and perforator anatomy, patients' clinical characteristics or postoperative outcomes. After exploratory univariate analysis, quantitative perfusion parameters were significantly impaired in young patients with diabetes mellitus or under hormone therapy by tamoxifen.
Conclusions: We here describe a new approach to assess DIEP flap perfusion using the SPY Elite System proprietary software. It provides interesting qualitative and quantitative analysis that can be used in further studies to precisely assess DIEP flap perfusion.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6592538 | PMC |
| http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217698 | PLOS |
Publication Analysis
Top Keywords
Similar Publications
Is the use of intraoperative vasopressors associated with flap failure in head and neck free tissue transfer surgery?
J Stomatol Oral Maxillofac Surg
September 2025
Department of Anesthesiology, Peking University School and Hospital of Stomatology, Beijing, P. R. China; National Center of Stomatology & National Clinical Research Center for Oral Diseases, Beijing, P. R. China. Electronic address:
Background: Maintaining appropriate blood pressure during head and neck free tissue transfer surgery is important for both organ and flap perfusion. However, the use of vasopressors to treat intraoperative hypotension is controversial. The purpose of this prospective cohort study is to evaluate the impact of intraoperative vasopressors on the incidence of flap necrosis.
View Article and Find Full Text PDFInfrared Thermography for Early Detection of Vascular Compromise in Microvascular and Pedicled Flap Reconstruction.
Ann Plast Surg
September 2025
From the Department of Plastic Surgery, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Background: Early detection of vascular compromise is pivotal for successful microvascular flap reconstruction, as tissue necrosis can begin within 6 to 8 hours of circulatory impairment. Although conventional monitoring relies on subjective clinical assessment of color, temperature, and capillary refill-methods with inherent observer variability and diminished utility in patients with darker skin tones-emerging technologies offer potential for more objective evaluation. This study compared the efficacy of infrared thermography (IRT), a noninvasive modality that quantifies perfusion through precise temperature mapping, with traditional clinical methods for postoperative flap monitoring.
View Article and Find Full Text PDFThoracoacromial Pedicle-Supercharged Conjoined Flap With Cutaneous Advancement Flap and Pectoralis Major Integration for Chest Wall Reconstruction Following Multiple Recurrent Dermatofibrosarcoma Protuberans: A Case Report.
Cureus
August 2025
Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Recurrent dermatofibrosarcoma protuberans (DFSP) of the anterior chest wall in elderly patients presents a complex reconstructive challenge, necessitating approaches that balance oncological radicality with minimized morbidity and optimal tissue quality for potential adjuvant radiotherapy. We report the case of an 84-year-old woman with an eighth recurrence of chest wall DFSP. Following wide local excision with clear margins, a significant soft tissue defect remained.
View Article and Find Full Text PDFEngineering Vascularized Transplantable Soft Tissue Free Flaps in Sheep Using the Arteriovenous Loop Technique.
Tissue Eng Part A
September 2025
Department of Hand, Plastic and Reconstructive Surgery, Microsurgery, Burn Center, BG Center Ludwigshafen, Ludwigshafen, Germany.
The aim of this study was to grow axially vascularized soft tissue flaps in sheep using the arteriovenous loop (AVL) technique to be transplanted for defect reconstruction. This technique may be a promising alternative to conventional free flaps to further reduce flap donor site morbidity. In this pilot study, AVLs ( = 12) were created in the groins of six sheep, placed into an isolation chamber, and embedded in Matriderm®.
View Article and Find Full Text PDFLong-Term Outcomes of Prefabricated Flaps Vascularized By the Parietal Branch of the Superficial Temporal Artery for Facial Reconstruction.
J Craniofac Surg
September 2025
Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Shijingshan District, Beijing, China.
Background: Prefabricated flaps are a versatile technique for reconstructing facial defects. This study presents a long-term follow-up study of prefabricated flaps carried by fascia flaps based on the parietal branches of the superficial temporal artery (STA-pb-based fascia flap) for facial reconstruction.
Methods: Between November 2004 and January 2007, 14 patients who underwent facial reconstruction using prefabricated flaps carried by STA-pb-based fascia flaps were retrospectively reviewed.