-
Je něco špatně v tomto záznamu ?
Color Doppler ultrasound versus CT angiography for DIEP flap planning: A randomized controlled trial
A. Bajus, L. Streit, T. Kubek, A. Novák, J. Vaníček, O. Šedivý, A. Berkeš, KC. Bayezid, L. Kunovský, L. Dražan
Jazyk angličtina Země Nizozemsko
Typ dokumentu randomizované kontrolované studie, časopisecké články, práce podpořená grantem
- MeSH
- arteriae epigastricae diagnostické zobrazování chirurgie MeSH
- CT angiografie metody MeSH
- lidé MeSH
- mamoplastika * metody MeSH
- perforátorový lalok * chirurgie MeSH
- ultrasonografie dopplerovská barevná MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- randomizované kontrolované studie MeSH
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 (ΔCDU or ΔCTA+CDU). The flaps were categorized according to the number of dissected perforators, and adherence to the preoperative 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 ΔCDU (0.6 cm) was significantly lower than the average ΔCTA+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.
Citace poskytuje Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc24000859
- 003
- CZ-PrNML
- 005
- 20240618105339.0
- 007
- ta
- 008
- 240109e20230723ne f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1016/j.bjps.2023.07.042 $2 doi
- 035 __
- $a (PubMed)37696215
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a ne
- 100 1_
- $a Bajus, Adam $u Department of Plastic and Aesthetic Surgery, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic $7 xx0318567
- 245 10
- $a Color Doppler ultrasound versus CT angiography for DIEP flap planning: A randomized controlled trial / $c A. Bajus, L. Streit, T. Kubek, A. Novák, J. Vaníček, O. Šedivý, A. Berkeš, KC. Bayezid, L. Kunovský, L. Dražan
- 520 9_
- $a 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 (ΔCDU or ΔCTA+CDU). The flaps were categorized according to the number of dissected perforators, and adherence to the preoperative 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 ΔCDU (0.6 cm) was significantly lower than the average ΔCTA+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.
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a CT angiografie $x metody $7 D000072226
- 650 12
- $a perforátorový lalok $x chirurgie $7 D061525
- 650 _2
- $a arteriae epigastricae $x diagnostické zobrazování $x chirurgie $7 D019074
- 650 12
- $a mamoplastika $x metody $7 D016462
- 650 _2
- $a ultrasonografie dopplerovská barevná $7 D018615
- 655 _2
- $a randomizované kontrolované studie $7 D016449
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a práce podpořená grantem $7 D013485
- 700 1_
- $a Streit, Libor $u Department of Plastic and Aesthetic Surgery, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic. Electronic address: libor.streit@med.muni.cz
- 700 1_
- $a Kubek, Tomáš $u Department of Surgical Oncology, Masaryk Memorial Cancer Institute, Brno, Czech Republic
- 700 1_
- $a Novák, Adam $u Department of Radiology, St. Anne's University Hospital, and Faculty of Medicine, Masaryk University, Brno, Czech Republic
- 700 1_
- $a Vaníček, Jiří $u Department of Radiology, St. Anne's University Hospital, and Faculty of Medicine, Masaryk University, Brno, Czech Republic
- 700 1_
- $a Šedivý, Ondřej $u Department of Plastic and Aesthetic Surgery, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic
- 700 1_
- $a Berkeš, Andrej $u Department of Plastic and Aesthetic Surgery, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic $7 xx0318569
- 700 1_
- $a Bayezid, K Can $u Department of Plastic and Aesthetic Surgery, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic
- 700 1_
- $a Kunovský, Lukáš $u Faculty of Medicine, Masaryk University, Brno, Czech Republic
- 700 1_
- $a Dražan, Luboš $u Department of Plastic and Aesthetic Surgery, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic
- 773 0_
- $w MED00008968 $t Journal of plastic, reconstructive & aesthetic surgery $x 1878-0539 $g Roč. 86 (20230723), s. 48-57
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/37696215 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y - $z 0
- 990 __
- $a 20240109 $b ABA008
- 991 __
- $a 20240618105341 $b ABA008
- 999 __
- $a ok $b bmc $g 2049459 $s 1210553
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2023 $b 86 $c - $d 48-57 $e 20230723 $i 1878-0539 $m Journal of plastic, reconstructive & aesthetic surgery $n J Plast Reconstr Aesthet Surg $x MED00008968
- LZP __
- $a Pubmed-20240109
