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An Innovative Approach for Preoperative Perforator Flap Planning Using Contrast-enhanced B-flow Imaging

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An Innovative Approach for Preoperative Perforator Flap Planning Using Contrast-enhanced B-flow Imaging. / Heneweer, Carola; Zirk, Matthias; Safi, Ali; Smeets, Ralf; Malter, Wolfram; Kröger, Nadja; Zöller, Joachim E; Maintz, David; Zinser, Max.

In: PRS-GLOB OPEN, Vol. 9, No. 5, e3547, 05.2021.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Heneweer, C, Zirk, M, Safi, A, Smeets, R, Malter, W, Kröger, N, Zöller, JE, Maintz, D & Zinser, M 2021, 'An Innovative Approach for Preoperative Perforator Flap Planning Using Contrast-enhanced B-flow Imaging', PRS-GLOB OPEN, vol. 9, no. 5, e3547. https://doi.org/10.1097/GOX.0000000000003547

APA

Heneweer, C., Zirk, M., Safi, A., Smeets, R., Malter, W., Kröger, N., Zöller, J. E., Maintz, D., & Zinser, M. (2021). An Innovative Approach for Preoperative Perforator Flap Planning Using Contrast-enhanced B-flow Imaging. PRS-GLOB OPEN, 9(5), [e3547]. https://doi.org/10.1097/GOX.0000000000003547

Vancouver

Heneweer C, Zirk M, Safi A, Smeets R, Malter W, Kröger N et al. An Innovative Approach for Preoperative Perforator Flap Planning Using Contrast-enhanced B-flow Imaging. PRS-GLOB OPEN. 2021 May;9(5). e3547. https://doi.org/10.1097/GOX.0000000000003547

Bibtex

@article{e74f1a5c5e7f4966acd5173020f0c815,
title = "An Innovative Approach for Preoperative Perforator Flap Planning Using Contrast-enhanced B-flow Imaging",
abstract = "Precise perforator mapping of the epifascial and subcutaneous course of the perforator flaps, including the precise detection of the skin point, is mandatory for successful preoperative flap design and planning of supramicrosurgery. We investigated the effectiveness of contrast-enhanced B-flow (BCEUS) imaging for perforator mapping and preoperative perforator flap planning and compared it with B-flow ultrasound, contrast-enhanced ultrasound, and color Doppler ultrasound. Sixteen patients who received an individualized perforator flap reconstruction were included in the study. Preoperative perforator mapping includes the following structures: subfascial course of the pedicle, fascial penetration point, subcutaneous course (epifascial and subcutaneous), and perforator skin point. The precision of the preoperative perforator mapping was analyzed for color Doppler ultrasound, contrast-enhanced ultrasound, B-flow ultrasound, and BCEUS. Each technique was able to precisely display the subfascial course of the vascular pedicle, including the fascial penetration point. However, only BCEUS enabled precise mapping of the epifascial and subcutaneous (suprafascial) course, including the skin point of the perforators with a clear delineation. Precise knowledge of the suprafascial course of the perforators is mandatory for successful supermicrosurgery and perforator flap planning. BCEUS imaging facilitates full perforator mapping, which improves the safety of flap harvesting. However, BCEUS is technically demanding and requires an experienced sonographer.",
author = "Carola Heneweer and Matthias Zirk and Ali Safi and Ralf Smeets and Wolfram Malter and Nadja Kr{\"o}ger and Z{\"o}ller, {Joachim E} and David Maintz and Max Zinser",
note = "Copyright {\textcopyright} 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.",
year = "2021",
month = may,
doi = "10.1097/GOX.0000000000003547",
language = "English",
volume = "9",
journal = "PRS-GLOB OPEN",
issn = "2169-7574",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

RIS

TY - JOUR

T1 - An Innovative Approach for Preoperative Perforator Flap Planning Using Contrast-enhanced B-flow Imaging

AU - Heneweer, Carola

AU - Zirk, Matthias

AU - Safi, Ali

AU - Smeets, Ralf

AU - Malter, Wolfram

AU - Kröger, Nadja

AU - Zöller, Joachim E

AU - Maintz, David

AU - Zinser, Max

N1 - Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

PY - 2021/5

Y1 - 2021/5

N2 - Precise perforator mapping of the epifascial and subcutaneous course of the perforator flaps, including the precise detection of the skin point, is mandatory for successful preoperative flap design and planning of supramicrosurgery. We investigated the effectiveness of contrast-enhanced B-flow (BCEUS) imaging for perforator mapping and preoperative perforator flap planning and compared it with B-flow ultrasound, contrast-enhanced ultrasound, and color Doppler ultrasound. Sixteen patients who received an individualized perforator flap reconstruction were included in the study. Preoperative perforator mapping includes the following structures: subfascial course of the pedicle, fascial penetration point, subcutaneous course (epifascial and subcutaneous), and perforator skin point. The precision of the preoperative perforator mapping was analyzed for color Doppler ultrasound, contrast-enhanced ultrasound, B-flow ultrasound, and BCEUS. Each technique was able to precisely display the subfascial course of the vascular pedicle, including the fascial penetration point. However, only BCEUS enabled precise mapping of the epifascial and subcutaneous (suprafascial) course, including the skin point of the perforators with a clear delineation. Precise knowledge of the suprafascial course of the perforators is mandatory for successful supermicrosurgery and perforator flap planning. BCEUS imaging facilitates full perforator mapping, which improves the safety of flap harvesting. However, BCEUS is technically demanding and requires an experienced sonographer.

AB - Precise perforator mapping of the epifascial and subcutaneous course of the perforator flaps, including the precise detection of the skin point, is mandatory for successful preoperative flap design and planning of supramicrosurgery. We investigated the effectiveness of contrast-enhanced B-flow (BCEUS) imaging for perforator mapping and preoperative perforator flap planning and compared it with B-flow ultrasound, contrast-enhanced ultrasound, and color Doppler ultrasound. Sixteen patients who received an individualized perforator flap reconstruction were included in the study. Preoperative perforator mapping includes the following structures: subfascial course of the pedicle, fascial penetration point, subcutaneous course (epifascial and subcutaneous), and perforator skin point. The precision of the preoperative perforator mapping was analyzed for color Doppler ultrasound, contrast-enhanced ultrasound, B-flow ultrasound, and BCEUS. Each technique was able to precisely display the subfascial course of the vascular pedicle, including the fascial penetration point. However, only BCEUS enabled precise mapping of the epifascial and subcutaneous (suprafascial) course, including the skin point of the perforators with a clear delineation. Precise knowledge of the suprafascial course of the perforators is mandatory for successful supermicrosurgery and perforator flap planning. BCEUS imaging facilitates full perforator mapping, which improves the safety of flap harvesting. However, BCEUS is technically demanding and requires an experienced sonographer.

U2 - 10.1097/GOX.0000000000003547

DO - 10.1097/GOX.0000000000003547

M3 - SCORING: Journal article

C2 - 34036019

VL - 9

JO - PRS-GLOB OPEN

JF - PRS-GLOB OPEN

SN - 2169-7574

IS - 5

M1 - e3547

ER -