Optical spectroscopic assessment of free flap circulatory impairment

Details Optical spectroscopic assessment of free flap circulatory impairment Optical spectroscopic assessment of free flap circulatory impairment

Oct 2004

adsabs.harvard.edu/cgi-bin/nph-data_query?bibcode=2004spie.5578..210s&link_type=abstract

Photonics North 2004: Optical Components and Devices. Edited by Armitage, John C.; Fafard, Simon; Lessard, Roger A.; Lampropoul

Computer Science

Scientific paper

Free flaps are used to reconstruct tissue damaged by injury. Circulatory impairment of the free flap is the leading cause of a failed flap surgery. This study demonstrates that optical spectroscopy can detect early signs of circulatory impairment and distinguish between arterial or venous blockage. An epigastric flap model is used to mimic conditions of both arterial and venous circulatory impairment. Animals were divided into three groups 1.) arterial occlusion (n=5), 2.) venous occlusion (n=4), and 3.) control (n=5). A classifier was applied to the reflectance data to determine whether there were consistent differences between the three study groups. The classifier was able to distinguish between arterial occlusion, venous occlusion and healthy flaps with a 95% accuracy. Measures of hemoglobin oxygen saturation and blood volume were derived from the same reflectance data. Oxygenation of the flap was significantly lower during venous or arterial occlusion compared to control flaps. Blood volume of the free flap went up significantly following venous blockage while blockage of the artery cause a significant drop in blood volume. Combining the predictions of the classifier and examining the oxygenation and blood volume parameters reliably detected circulatory impairment of the free flap.

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