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Muntean MV, Muntean V, Ardelean F, et al. Dynamic perfusion assessment during perforator flap surgery: an up-to-date. Clujul Med. 2015;88(3):293-7doi: 10.15386/cjmed-484.
Muntean, M. V., Muntean, V., Ardelean, F., & Georgescu, A. (2015). Dynamic perfusion assessment during perforator flap surgery: an up-to-date. Clujul medical (1957), 88(3), 293-7. https://doi.org/10.15386/cjmed-484
Muntean, Maximilian Vlad, et al. "Dynamic perfusion assessment during perforator flap surgery: an up-to-date." Clujul medical (1957) vol. 88,3 (2015): 293-7. doi: https://doi.org/10.15386/cjmed-484
Muntean MV, Muntean V, Ardelean F, Georgescu A. Dynamic perfusion assessment during perforator flap surgery: an up-to-date. Clujul Med. 2015;88(3):293-7. doi: 10.15386/cjmed-484. Epub 2015 Jul 01. PMID: 26609259; PMCID: PMC4632885.
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Clujul Med. 2015;88(3):293-7. doi: 10.15386/cjmed-484. Epub 2015 Jul 01.

Dynamic perfusion assessment during perforator flap surgery: an up-to-date.

Clujul medical (1957)

Maximilian Vlad Muntean, Valentin Muntean, Filip Ardelean, Alexandru Georgescu

Affiliations

  1. Department of Plastic Surgery, Rehabilitation Hospital, Cluj-Napoca, Romania.
  2. Department of Surgery, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
  3. Department of Plastic Surgery, Rehabilitation Hospital, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

PMID: 26609259 PMCID: PMC4632885 DOI: 10.15386/cjmed-484

Abstract

Flap monitoring technology has progressed alongside flap design. The highly variable vascular anatomy and the complexity associated with modern perforator flaps demands dynamic, real-time, intraoperative information about the vessel location, perfusion patterns and flap physiology. Although most surgeons still assess flap perfusion and viability based solely on clinical experience, studies have shown that results may be highly variable and often misleading. Poor judgment of intraoperative perfusion leads to major complications. Employing dynamic perfusion imaging during flap reconstruction has led to a reduced complication rate, lower morbidity, shorter hospital stay, and an overall better result. With the emergence of multiple systems capable of intraoperative flap evaluation, the purpose of this article is to review the two systems that have been widely accepted and are currently used by plastic surgeons: Indocyanine green angiography (ICGA) and dynamic infrared thermography (DIRT).

Keywords: indocyanine green; perforator flap; thermography

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