|
Free flaps
|
1. Identify perforator perfusion zone in donor site prior to incision; select optimal perforator and design flap
|
|
2. Confirm flap perfusion during dissection, testing and comparing different perforators
|
|
3. Confirm flap perfusion after transfer
|
|
4. Confirm patency of arterial and venous anastomoses
|
|
5. Detect areas of venous congestion by re-imaging 5–20 min after administration of ICG; can be performed following flap dissection, transfer, and/or inset
|
|
Pedicle flap
|
1. Identify perforator perfusion zone in donor site prior to incision; design flap
|
|
2. Evaluate arterial and venous perfusion after elevation of flap and prior to transfer
|
|
3. After transfer and after inset, confirm arterial inflow and venous return
|
|
Skin flap
|
1. Evaluate perfusion prior to incision; design flap
|
|
2. After dissection, confirm flap perfusion
|
|
3. After transfer and inset, confirm perfusion of flap
|
|
Mastectomy flap
|
1. Following mastectomy, confirm integrity of vascular perfusion in mastectomy flaps; select delayed vs. immediate reconstruction; select implant vs. expander reconstruction
|
| |
2. Confirm perfusion after insertion of reconstructive modality; determine expander volume or implant size; determine skin paddle size
|
| |
3. If revisions made, confirm perfusion in flaps
|
