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 < 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
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30212 - Surgery
Result continuities
Project
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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
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