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

Authors

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

DOI:

https://doi.org/10.15386/cjmed-484

Keywords:

perforator flap, indocyanine green, thermography

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).

Author Biographies

Maximilian Vlad Muntean, Department of Plastic Surgery Clinical Hospital of Recovery UMF "Iuliu Hatieganu" Cluj Napoca Romania

Department of Plastic Surgery, Clinical Hospital of Recovery, Cluj-Napoca, Romania

Valentin Muntean, Department of Surgery "Iuliu Hatieganu" University of Medicine and Pharmacy Cluj-Napoca Romania

Department of Surgery Iuliu Hatieganu University of Medicine and Pharmacy

Filip Ardelean, Department of Plastic Surgery Clinical Hospital of Recovery UMF "Iuliu Hatieganu" Cluj-Napoca Romania

Department of Plastic Surgery Clinical Hospital of Recovery UMF "Iuliu Hatieganu" Cluj-Napoca Romania

Alexandru Georgescu, Department of Plastic Surgery Clinical Hospital of Recovery UMF "Iuliu Hatieganu" Cluj-Napoca Romania

Department of Plastic Surgery Clinical Hospital of Recovery UMF "Iuliu Hatieganu" Cluj Napoca Romania

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Published

2015-07-22

How to Cite

1.
Muntean MV, Muntean V, Ardelean F, Georgescu A. Dynamic perfusion assessment during perforator flap surgery: An up-to-date. Med Pharm Rep [Internet]. 2015 Jul. 22 [cited 2025 Oct. 5];88(3):293-7. Available from: https://medpharmareports.com/index.php/mpr/article/view/484

Issue

Section

Reviews