ArticleBreast (Edinburgh, Scotland)2019
When to assess the DIEP flap perfusion by intraoperative indocyanine green angiography in breast reconstruction?
Article in Breast (Edinburgh, Scotland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- A preliminary study on predicting the prognosis of testicular torsion based on indocyanine green-guided near-infrared fluorescence imaging.Frontiers in pediatrics · 2026Article
- Using ICG to Streamline Perforator Selection in DIEP Flap Reconstruction: Retrospective cohort study of outcomes in our first one hundred flaps.JPRAS open · 2025Article
- Fluorescence Imaging to Identify and Preserve Fifth Intercostal Sensory Nerves during Bilateral Nipple-sparing Mastectomies.Plastic and reconstructive surgery. Global open · 2023Article
- Vascular Mapping for Abdominal-Based Breast Reconstruction: A Comprehensive Review of Current and Upcoming Imaging Modalities.Eplasty · 2023Review
- Article
- When to assess the flap perfusion by introperative indocyanine green angiography(ICGA): On the donor site or the recipient site?Breast (Edinburgh, Scotland) · 2020Article
- Reply to: "When to assess the flap perfusion by intraoperative indocyanine green angiography (ICGA): On the donor site or the recipient site?"Breast (Edinburgh, Scotland) · 2020Article
- Effects of intravenous injection of indocyanine green on the oxygen reserve index (ORi™).Journal of anesthesia · 2020Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough the indocyanine green angiography (ICGA) has been used for years in the assessment of Deep Inferior Epigastric Perforator (DIEP) perfusion, it has not yet been established when it should be performed during the surgery. The aim of this study is to evaluate whether it is better to perform the test on the donor or recipient sites.
methodsIntraoperative perfusion of 46 DIEP flaps was assessed twice, on the donor and recipient sites. Differences between both ischemic areas of each flap were statistically analyzed. In addition, perforator location and risk factors were evaluated in order to assess whether they are associated with changes in the perfusion of the flap between both sites.
resultsDifferences between ischemic areas on the donor and recipient sites were statistically significant (p = 0.012). However, in most cases (82.6%) the ischemic area was the same on both sites, and the final flap design only changed in two cases (4.3%) because of the ICGA findings on the recipient site. Besides, performing the ICGA on the donor site facilitated the identification of the best perfused areas, allowed a better planning of its placement into the recipient site, and also can be useful to choose the best perforator. Bilateral DIEP flap, lateral location of the perforator and tobacco use had a statistically significant association with lower probability to increase the perfusion area between both sites.
conclusionsseveral advantages have been found in performing the ICGA on the donor site to assess the perfusion of the DIEP flap.
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