Методы визуализации перфорантных сосудов при предоперационном планировании перфорантного лоскута (обзор литературы)

Предоперационное выявление перфорантных сосудов при планировании перфорантных лоскутов является актуальной проблемой в клинической практике. Существуют раз­личные методы, позволяющие визуализировать расположение перфорантных сосудов. В данном обзоре представлены основные из этих методов с описанием их возможностей, преимуществ и ограничений, а также описаны приоритеты использования того или иного подхода в зависимости от локализации донорского участка.

1. Чередниченко Н. О., Бадюл П. О., Слесаренко С. В., Куликова Ф. И. Особенности визуализации перфорантных сосудов на этапе предоперационного планирования перфорантных лоскутов методом компьютерной томографии с ангиографией // Лучевая диагностика, лучевая терапия. 2017. № 1.

2. Badiul P. O., Sliesarenko S. V. Multidetec­tor­row computed tomographic angiography in the planning of the local perforator flaps. Plast. Reconstr. Surg. Glob. Open. 2015. V. 22. P. e516.

3. Feng S., Min P., Grassetti L., Lazzeri D., Sadigh P., Nicoli F., Torresetti M., Gao W., di Benedetto G., Zhang W., Zhang Y. X. A prospective head­to­head comparison of color Doppler ultrasound and computed tomographic angiography in the preoperative planning of lower extremity perforator flaps. Plast. Reconstr. Surg. 2016. V. 137. P. 335–347.

4. Heneweer C., Zirk M., Safi A., Smeets R., Malter W., Kröger N., Zöller J., Maintz D., Zinser M. An Innovative Approach for Preoperative Perforator Flap Planning Using Contrast­enhanced B­flow Imaging. PRS — Global Open. 2021. V. 9. No. 5. P. e3547.

5. Hennessy O., Potter S. M. Use of infrared thermography for the assessment of free flap perforators in autologous breast reconstruction: A systematic review. JPRAS Open. 2020. V. 23. P. 60–70.

6. Ibrahim R. M., Gunnarsson G. L., Akram J., Sørensen J. A., Thomsen J. B. Color Doppler ultrasonography targeted recons­ truction using pedicled perforator flaps — a systematic review and meta­analysis. Eur. J. Plast. Surg. 2018. V. 41. No. 5. P. 495–504.

7. Kehrer A., Heidekrueger P. I., Lonic D., Taeger C. D., Klein S., Lamby P., Sachanadani N. S., Jung E. M., Prantl L., da Silva N. P. B. High­Resolution Ultrasound­Guided Perforator Mapping and Characterization by the Microsurgeon in Lower Limb Reconstruction. J. Reconstr. Microsurg. 2021. V. 37. No. 1. P. 75–82.

8. Khoong Y. M., Huang X., Gu S., Zan T. Imaging for thinned perforator flap harvest: current status and future perspectives. Burns & Trauma. 2021. V. 9. P. tkab042.

9. Li K., Zhang Z., Nicoli F., D’Ambrosia C., Xi W., Lazzeri D., Feng S., Su W., Li H., Ciudad P., Tremp M., Zhang Y. X. Application of Indocyanine Green in Flap Surgery: A Systematic Review. J. Reconstr. Microsurg. 2018. V. 34. P. 77–86.

10. Martínez J. G., Pérez A. T., Vega M. G., Nuñez-Villaveiran T. Preoperative Vascular Planning of Free Flaps: Comparative Study of Computed Tomographic Angiography, Color Doppler Ultrasonography, and Hand­Held Doppler. Plast. Reconstr. Surg. 2020. V. 146. P. 227–237.

11. Ono S., Hayashi H., Ohi H., Ogawa R. Imaging Studies for Preoperative Planning of Perforator Flaps: An Overview. Clin. Plastic. Surg. 2017. V. 44. P. 21–30.

12. Orgill D. P., Atia A., Hollenbeck S. T. Local Skin Flaps for Lower Extremity Wounds. Handbook of Lower Extremity Reconstruction. 2020. P. 115–127.

13. Pereira N., Valenzuela D., Mangelsdorff G., Kufeke M., Roa R. Detection of Perforators for Free Flap Planning Using Smartphone Thermal Imaging: A Concordance Study with Computed Tomographic Angiography in 120 Perforators. Plast. Reconstr. Surg. 2018. V. 141. No. 3. P. 787–792.

14. Renzulli M., Clemente A., Brocchi S., Gelati C., Zanotti S., Pizzi C., Tassone D., Cappabianca S., Cipriani R., Golfieri R. Preoperative computed tomography assessment for a deep inferior epigastric perforator (DIEP) flap: a new easy technique from the Bologna experience. Acta. Radiol. 2021. V. 62. No. 10. P. 1283–1289.

15. Rozen W. M., Stella D. L., Bowden J., Taylor G. I., Ashton M. W. Advances in the pre­operative planning of deep inferior epigastric artery perforator flaps: magnetic resonance angiography. Microsurgery. 2009. V. 29. No. 2. P. 119–123.

16. Schiltz D., Lenhard J., Klein S., Anker A., Lonic D., Heidekrueger P. I., Prantl L., Jung E.-M., Da Silva N. P. B., Kehrer A. Do­It-Yourself Preoperative High­Resolution Ultrasound­Guided Flap Design of the Superficial Circumflex Iliac Artery Perforator Flap (SCIP). J. Clin. Med. 2021. V. 10. P. 2427.

17. Soliman H. H., Abozeid M. F., Moustafa M. A. Efficacy of perforator CTA of deep inferior epigastric artery perforator flap in preoperative planning of breast reconstruction: comparative study with CDUS. EJRNM. 2020. V. 51. Р. 1–8.

18. Van Den Hoven P., Verduijn P. S., Van Capelle L., Tange F. P., Michi M., Corion L. U. M., Sibinga Mulder B. G., Mureau M. A. M., Vahrmeijer A. L., Van Der Vorst J. R. Quantification of near­infrared fluorescence imaging with indocyanine green in free flap breast reconstruction. JPRAS. 2022.

19. Visconti G., Bianchi A., Hayashi A., Cina A., Maccauro G., Almadori G., Salgarello M. Thin and superthin perforator flap elevation based on preoperative planning with ultrahigh­frequency ultrasound. Arch. Plast. Surg. 2020. V. 47. No. 4. P. 365–370.

20. Yang S. F., Wang C. M., Ono S., Xu W., Xu K.-Y., Pu L. L. Q. The value of multidetector row computed tomography angiography for preoperative planning of freestyle pedicled perforator flaps. Ann. Plast. Surg. 2016. V. 77. No. 6. P. 669–673.