A study of perfusion of the distal free-TRAM flap using laser Doppler flowmetry.

D.I. Booi; I.B. Debats; W.D. Boeckx; R.R.W.J. van der Hulst

doi:10.1016/j.bjps.2007.07.014

A study of perfusion of the distal free-TRAM flap using laser Doppler flowmetry.

D.I. Booi^*, I.B. Debats, W.D. Boeckx, R.R.W.J. van der Hulst

^*Corresponding author for this work

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

Abstract

The aim of this study was to characterise microcirculatory changes in the distal part of a flap and to evaluate whether measurement of the microcirculation may predict flap complications (FC). In this prospective study, 30 patients undergoing a delayed breast reconstruction were included. Perioperative data were recorded and with the laser Doppler flowmetry (LDF; Perimed((R))) blood flow was recorded in the central part (zone I) and the distal part (zone IV) of the flap. A lower blood flow was observed in zone IV of patients with flap complications compared to patients without flap complications (P=0.013). In addition, LDF demonstrated different flow trends in zone I compared to zone IV indicating a delayed opening of the choke vessels connecting the angiosomes in the distal part of the flap. The LDF has proven to be a useful investigative tool to monitor microcirculatory changes. In future studies it will be used to evaluate interventions aimed at decreasing distal ischaemia and reducing flap complications.

Original language	English
Pages (from-to)	282-288
Journal	Journal of Plastic Reconstructive and Aesthetic Surgery
Volume	61
Issue number	3
DOIs	https://doi.org/10.1016/j.bjps.2007.07.014
Publication status	Published - 1 Jan 2008

Access to Document

10.1016/j.bjps.2007.07.014

Cite this

@article{ca0a54276efa40f289e44497905a28b2,

title = "A study of perfusion of the distal free-TRAM flap using laser Doppler flowmetry.",

abstract = "The aim of this study was to characterise microcirculatory changes in the distal part of a flap and to evaluate whether measurement of the microcirculation may predict flap complications (FC). In this prospective study, 30 patients undergoing a delayed breast reconstruction were included. Perioperative data were recorded and with the laser Doppler flowmetry (LDF; Perimed((R))) blood flow was recorded in the central part (zone I) and the distal part (zone IV) of the flap. A lower blood flow was observed in zone IV of patients with flap complications compared to patients without flap complications (P=0.013). In addition, LDF demonstrated different flow trends in zone I compared to zone IV indicating a delayed opening of the choke vessels connecting the angiosomes in the distal part of the flap. The LDF has proven to be a useful investigative tool to monitor microcirculatory changes. In future studies it will be used to evaluate interventions aimed at decreasing distal ischaemia and reducing flap complications.",

author = "D.I. Booi and I.B. Debats and W.D. Boeckx and {van der Hulst}, R.R.W.J.",

year = "2008",

month = jan,

day = "1",

doi = "10.1016/j.bjps.2007.07.014",

language = "English",

volume = "61",

pages = "282--288",

journal = "Journal of Plastic Reconstructive and Aesthetic Surgery",

issn = "1748-6815",

publisher = "ELSEVIER SCI LTD",

number = "3",

}

TY - JOUR

T1 - A study of perfusion of the distal free-TRAM flap using laser Doppler flowmetry.

AU - Booi, D.I.

AU - Debats, I.B.

AU - Boeckx, W.D.

AU - van der Hulst, R.R.W.J.

PY - 2008/1/1

Y1 - 2008/1/1

N2 - The aim of this study was to characterise microcirculatory changes in the distal part of a flap and to evaluate whether measurement of the microcirculation may predict flap complications (FC). In this prospective study, 30 patients undergoing a delayed breast reconstruction were included. Perioperative data were recorded and with the laser Doppler flowmetry (LDF; Perimed((R))) blood flow was recorded in the central part (zone I) and the distal part (zone IV) of the flap. A lower blood flow was observed in zone IV of patients with flap complications compared to patients without flap complications (P=0.013). In addition, LDF demonstrated different flow trends in zone I compared to zone IV indicating a delayed opening of the choke vessels connecting the angiosomes in the distal part of the flap. The LDF has proven to be a useful investigative tool to monitor microcirculatory changes. In future studies it will be used to evaluate interventions aimed at decreasing distal ischaemia and reducing flap complications.

AB - The aim of this study was to characterise microcirculatory changes in the distal part of a flap and to evaluate whether measurement of the microcirculation may predict flap complications (FC). In this prospective study, 30 patients undergoing a delayed breast reconstruction were included. Perioperative data were recorded and with the laser Doppler flowmetry (LDF; Perimed((R))) blood flow was recorded in the central part (zone I) and the distal part (zone IV) of the flap. A lower blood flow was observed in zone IV of patients with flap complications compared to patients without flap complications (P=0.013). In addition, LDF demonstrated different flow trends in zone I compared to zone IV indicating a delayed opening of the choke vessels connecting the angiosomes in the distal part of the flap. The LDF has proven to be a useful investigative tool to monitor microcirculatory changes. In future studies it will be used to evaluate interventions aimed at decreasing distal ischaemia and reducing flap complications.

U2 - 10.1016/j.bjps.2007.07.014

DO - 10.1016/j.bjps.2007.07.014

M3 - Article

C2 - 18037360

SN - 1748-6815

VL - 61

SP - 282

EP - 288

JO - Journal of Plastic Reconstructive and Aesthetic Surgery

JF - Journal of Plastic Reconstructive and Aesthetic Surgery

IS - 3

ER -