Tc-99m sestamibi SPECT/CT as a new tool for monitoring perfusion and viability of buried perforator based free flaps in breast reconstruction after breast cancer

Clinical Nuclear Medicine

Volumn 35, Issue 1, 2010, Pages 36-37

  Dragu, Adrian ^a   Linke, Rainer ^a   Kuwert, Torsten ^a   Unglaub, Frank ^a   Kneser, Ulrich ^a   Stürzl, Michael ^a   Horch, Raymund E ^a   Bach, Alexander D ^a  

^a UNIVERSITY HOSPITAL ERLANGEN   (Germany)

Author keywords

Autologous breast reconstruction; Perforator based free flap; Postoperative monitoring; Subcutaneous fat; Tc 99m sestamibi SPECT CT

Indexed keywords

METHOXY ISOBUTYL ISONITRILE TECHNETIUM TC 99M; DIAGNOSTIC AGENT; RADIOPHARMACEUTICAL AGENT;

ADULT; ARTICLE; BREAST RECONSTRUCTION; CASE REPORT; CLINICAL EVALUATION; DEEP INFERIOR EPIGASTRIC PERFORATOR FLAP; DRUG UPTAKE; FEMALE; GRAFT PERFUSION; HUMAN; INTRADUCTAL CARCINOMA; MONITORING; PERFORATOR FLAP; POSTOPERATIVE PERIOD; SINGLE PHOTON EMISSION COMPUTER TOMOGRAPHY; SUBCUTANEOUS MASTECTOMY; BREAST TUMOR; COMPUTER ASSISTED TOMOGRAPHY; METHODOLOGY; MIDDLE AGED; PLASTIC SURGERY; SCINTIGRAPHY; TREATMENT OUTCOME;

BREAST NEOPLASMS; FEMALE; HUMANS; MIDDLE AGED; PERFUSION IMAGING; RADIOPHARMACEUTICALS; SURGICAL FLAPS; TECHNETIUM TC 99M SESTAMIBI; TOMOGRAPHY, EMISSION-COMPUTED, SINGLE-PHOTON; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 75149129606     PISSN: 03639762     EISSN: None     Source Type: Journal    
DOI: 10.1097/RLU.0b013e3181c3614d     Document Type: Article

References (11)

1. Beier JP, Horch RE, Bach AD, et al.. Breast reconstruction after breast-cancer surgery. N Engl J Med. 2009;360:418-421.
2. Dragu A, Kneser U, Horch RE. Post-mastectomy breast reconstruction: pectoralis major myomammary flap versus DIEP and MS-2 TRAM. World J Surg. 2008;32:502.
3. Heitmann C, Felmerer G, Durmus C, et al.. Anatomical features of perforator blood vessels in the deep inferior epigastric perforator flap. Br J Plast Surg. 2000;53:205-208.
4. Holm C, Mayr M, Hofter E, et al.. Perfusion zones of the DIEP flap revisited: a clinical study. Plast Reconstr Surg. 2006;117:37-43. (Pubitemid 44391543)
5. Maguina P, Grubb K, Kalimuthu R. Single-stage immediate breast reconstruction after skin-sparing mastectomy. Plast Reconstr Surg. 2008;122: 223e-224e.
6. De Weerd L, Miland AO, Mercer JB. Perfusion dynamics of free DIEP and SIEA flaps during the first postoperative week monitored with dynamic infrared thermography. Ann Plast Surg. 2009;62:42-47.
7. Pellini R, Pichi B, Marchesi P, et al.. External monitor for buried free flaps in head and neck reconstructions. Acta Otorhinolaryngol Ital. 2006;26:1-6.
8. Tenorio X, Mahajan AL, Wettstein R, et al.. Early detection of flap failure using a new thermographic device. J Surg Res. 2009;151:15-21.
9. Hervas I, Floria LM, Bello P, et al.. Microvascularized fibular graft for mandibular reconstruction: detection of viability by bone scintigraphy and SPECT. Clin Nucl Med. 2001;26:225-229.
10. Sarikaya A, Top H, Aygit AC, et al.. Predictive value of 99mTc-sestamibi scintigraphy for healing of extremity amputation. Eur J Nucl Med Mol Imaging. 2006;33:1500-1507.
11. Top H, Sarikaya A, Aygit AC, et al.. Review of monitoring free muscle flap transfers in reconstructive surgery: role of 99mTc sestamibi scintigraphy. Nucl Med Commun. 2006;27:91-98.