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Color Doppler ultrasound versus CT angiography for DIEP flap planning: A randomized controlled trial

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F23%3A00079461" target="_blank" >RIV/00159816:_____/23:00079461 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216224:14110/23:00132937 RIV/00209805:_____/23:00079393

  • Result on the web

    <a href="https://www.sciencedirect.com/science/article/abs/pii/S1748681523004485" target="_blank" >https://www.sciencedirect.com/science/article/abs/pii/S1748681523004485</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.bjps.2023.07.042" target="_blank" >10.1016/j.bjps.2023.07.042</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Color Doppler ultrasound versus CT angiography for DIEP flap planning: A randomized controlled trial

  • Original language description

    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 &lt; 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.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30212 - Surgery

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2023

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Journal of Plastic Reconstructive and Aesthetic Surgery

  • ISSN

    1748-6815

  • e-ISSN

    1878-0539

  • Volume of the periodical

    86

  • Issue of the periodical within the volume

    NOV 2023

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    10

  • Pages from-to

    48-57

  • UT code for WoS article

    001080047100001

  • EID of the result in the Scopus database