Free flaps monitoring using implantable doppler: our experience and of the literature
The literature search seems to confirm our current practice, with Cook Swartz (Cook Medical, Bloomington, IN) arterial placement preferred for head and neck buried free flaps and Synovis Flow Coupler (Synovis Life Technologies, Inc., St. Paul, MN) for buried DIEP flaps. This preferential placement reflects the higher rate of false positives when a vein is monitored in the head and neck, which is high mobile and prone to respiratory oscillations leading to probe dislocation or missing signal.
Authors
- Ferruccio Paganini (ORCID: https://orcid.org/0000-0002-5859-1742)
- Diego Faccio (ORCID: https://orcid.org/0000-0002-1736-9643)
- Federico Tamborini (ORCID: https://orcid.org/0000-0002-2099-7632)
- Alice Alban (ORCID: https://orcid.org/0000-0003-2842-4553)
- Roberto Baraziol
- Annachiara Tellarini (ORCID: https://orcid.org/0009-0005-3958-3412)
- Luigi Valdatta (ORCID: https://orcid.org/0000-0001-9204-821X)
Institutions
- Ospedale di Circolo e Fondazione Macchi (IT)
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT)
Publication Details
- Journal
- JPRAS Open
- Published
- 2025-09-05
- DOI
- https://doi.org/10.1016/j.jpra.2025.08.023
- Primary Topic
- Reconstructive Surgery and Microvascular Techniques
- Type
- article
- Field-Weighted Citation Impact
- 0.00