Microcirculation, Reconstructive Surgery
Conditions
Keywords
perforator flaps
Brief summary
The aim of the present study is to assess the microcirculatory changes in the distal part of the perforator flap using ICG fluorescence angiography.
Detailed description
Perforator flaps are increasingly used in reconstructive surgery both as pedicled and free flaps, mostly because of reduced donor site morbidity and superior aesthetic result. However, the there is still much to learn about the hemodynamic changes within these flaps.The aim of the present study is to assess the microcirculatory changes in the distal part of the perforator flap using ICG fluorescence angiography.
Interventions
a water-soluble dye that binds to plasma proteins and remains in the intravascular space after intravenous injection.ICG has a normal plasma half life of 3-4 min. Dosage planned is 0 .5 mg/kg dose of ICG resolved in 5 % dextrose 2 mg /ml.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients submitted to elective abdominoplasty
Exclusion criteria
* body mass index \< 30 kg/m2 * morbidly obese * patients with comorbidity such as diabetes * vascular disease * smokers * patients \< 18 years, and patients using anti-coagulant therapy * pregnant * severe hepatic insufficiency were excluded and a history of allergic reactions to ICG and iodide.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean pixel intensity using dynamic laser-induced-fluorescence-videoangiography | dec. 2008--des 2010 | Perfusion measurements were conducted intraoperatively by assessing microcirculation using the technique of dynamic laser-induced-fluorescence-videoangiography (IC-VIEW, PULSION Medical Systems AG, Munich, Germany). |
Countries
Norway