Complications related to the Cook-Swarz implantable Doppler probe use in head and neck microvascular reconstruction: a systematic review
Por:
Chiesa-Estomba C.M., González-García J.A., Genden E.M., Piazza C., Guntinas-Lichius O., Vander-Poorten V., Kowalski L.P., López F., Quer M., Rodrigo J.P., Sanabria Á., Fernández-Álvarez V., Suárez C., Cohen O., de Bree R., Shaha A.R., Makitie, AA, Ferlito A.
Publicada:
1 ene 2023
Ahead of Print:
1 ago 2022
Resumen:
Purpose Vascular perfusion research has been dedicated to identify inexpensive, effective, and easy to use methods to assess free flap perfusion for both buried and non-buried flaps. Methods Systematic review of complications in patients underwent Head and Neck microsurgical reconstruction and vascular implantable Doppler monitoring. Results Sixteen articles were included for qualitative analysis. 2535 (92.2%) patients received IDP monitorization. Venous thrombosis was the most common vascular complication effecting 28 (1.1%). Regarding complications potentially related to the use of the IDP, just one study described the presence of granuloma formation along the suture line in 2 (0.07%) patients. Conclusions Our findings indicated that Cook-Swartz IDP will represents a safe and effective device for FF monitoring in HN reconstructive micro-surgery. A detailed prospective registration of the results and complications related to the use of IDP remains mandatory to precisely estimate results, cost, and complications.
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