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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Adrian Dragu - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Rainer Linke - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Torsten Kuwert - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Frank Unglaub - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Ulrich Kneser - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Michael Stürzl - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Raymund E. Horch - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Alexander D. Bach - , Friedrich-Alexander University Erlangen-Nürnberg (Author)

Abstract

We report a case of a 53-year-old woman with ductal carcinoma in situ of the right breast. Skin-sparing mastectomy and single-stage reconstruction of the right breast with a "buried" free deep inferior epigastric perforator flap was performed. Classic clinical monitoring was not possible due to the buried situation of the free flap. To assess the perfusion and viability of the perforator based free flap we performed a Tc-99m-sestamibi-SPECT/CT. The results confirmed the intraoperative clinical findings. Tc-99m-sestamibi-SPECT/CT may be a new tool for the postoperative evaluation of regional perfusion and viability of buried perforator based free flaps.

Details

Original languageEnglish
Pages (from-to)36-37
Number of pages2
JournalClinical nuclear medicine
Volume35
Issue number1
Publication statusPublished - Jan 2010
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 20026973
ORCID /0000-0003-4633-2695/work/145698708

Keywords

Sustainable Development Goals

Keywords

  • Autologous breast reconstruction, Perforator based free flap, Postoperative monitoring, Subcutaneous fat, Tc-99m-sestamibi-SPECT/CT