PMID: 9529212Apr 7, 1998Paper

The effect of an implantable Doppler probe on the salvage of microvascular tissue transplants

Plastic and Reconstructive Surgery
G M KindH J Buncke

Abstract

One hundred forty-seven flaps in 135 consecutive patients undergoing microvascular transplantation were monitored using a miniature Doppler ultrasonic probe. Using a modification of a technique described previously by Swartz, the probes were secured to the outflow vein of the flap with Vicryl mesh. Twenty instances of thrombosis or spasm were detected in 16 patients, and all flaps were salvaged (100 percent). There were four false positive and no false negative results. This probe allows for safe, continuous monitoring of flap blood flow, which permits the rapid detection and hence rapid treatment of postoperative complications. Our experience suggests that a significant improvement in the salvage rate of microvascular transplants may be attainable with the use of this device.

References

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Citations

Jun 6, 2000·Plastic and Reconstructive Surgery·J B WiseL B Gayle
Nov 8, 2001·Plastic and Reconstructive Surgery·J W FewG A Dumanian
Feb 3, 2009·Plastic and Reconstructive Surgery·Robert E H Ferguson, Peirong Yu
Mar 26, 2010·Plastic and Reconstructive Surgery·Keyianoosh Z PaydarPablo Leon
Aug 25, 2009·Head & Neck Oncology·Daniel NovakovicPatrick J Gullane
Apr 29, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Grace T UmDavid W Mathes
Nov 26, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Quan LiZhu-Ming Guo
Feb 18, 2010·Oral and Maxillofacial Surgery Clinics of North America·Alessandro Cusano, Rui Fernandes
Oct 13, 2016·IEEE Journal of Translational Engineering in Health and Medicine·Michael A RothfussErvin Sejdic
Apr 10, 2003·Hand Clinics·Gregory M BunckeOreste Romeo

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