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J Reconstr Microsurg 2022; 38(03): 200-205
DOI: 10.1055/s-0041-1740218
Review Article

Using Duplex Ultrasound for Recipient Vessel Selection

Joon Pio Hong 
1   Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
,
Hyung Bae Kim
1   Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
,
Changsik John Park
1   Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
,
Hyunsuk Peter Suh
1   Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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Abstract

Background Among the many factors involved in reconstructive microsurgery, identifying a good recipient vessel is one of the key elements leading to a successful result.

Methods Multiple modalities have been used to identify recipient vessels from simple palpation of axial arteries to hand-held Doppler, duplex ultrasound, computed tomography angiograms, and other advanced techniques. Although these various modalities bring their own unique advantages, using the duplex ultrasound can provide far superior and real-time information based on the anatomy and physiology of the recipient vessel.

Results Duplex ultrasound is a valuable and powerful tool for reconstructive surgeons who are interested in performing microsurgery or supermicrosurgery.

Conclusion As we enter the era of individualized/customized reconstruction using superthin flaps, perforator-to-perforator anastomosis, and supermicrosurgery, understanding and becoming versatile with duplex ultrasound will be critical especially in choosing recipient vessels.

Keywords

ultrasound - microsurgery - recipient selection


Publication History

Received: 12 August 2021

Accepted: 13 October 2021

Article published online:
02 February 2022

© 2022. Thieme. All rights reserved.

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