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Extracorporeal Perfusion of Microvascular Free Flaps

NCT02449525 — Not applicable, Unknown, 10 participants, Technical University of Munich

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Extracorporal Perfusion of Free Flaps in the Head and Neck

RegistryNCT02449525
StatusUnknown
PhaseNot applicable
Study typeInterventional; na, single group, masking: none, treatment
Enrollment10 (Estimated)
SponsorTechnical University of Munich (Other)
ConditionsPerfusion, Complication of Perfusion
InterventionsPerfusion of flaps by a special bypass system (Procedure)
Datesstart 2013-06-01, primary completion 2018-05-01 (estimated), completion 2018-05-01 (estimated), first posted 2015-05-20, last updated 2016-03-08
Locations1 site in Germany

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-Summary

The perfusion of microvascular free flaps is inevitable for completion of reconstruction in the head and neck area. In some patients microvascular anastomosis is impossible because of arteriosclerotic changes, different oncological interventions, and consecutive vessel depletion at the neck. The aim of the project is to establish an innovative system for extracorporeal perfusion of microvascular free flaps after ingrowth of new vessels from the wound bed have taken place. Afterwards, no further perfusion of the vascular pedicle is required for free flaps to survive and provide functional and aesthetic reconstruction.

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+Arms and interventions

ArmTypeInterventionsDescription
perfusion of flaps by a bypass systemExperimentalProcedure: Perfusion of flaps by a special bypass systemSupport of perfusion of microvascular free flaps until ingrowth of vessels from the wound bed has taken place. The System works with a pressure controlled bypass to ensure low grade perfusion.
  • Perfusion of flaps by a special bypass system (Procedure): Free flaps are perfused via a special bypass perfused by a new technique supported by a intermittent perfusion support system.

+Outcome measures

Primary outcomes

  • Perfusion of Free Flap from wound bed [Two Weeks]

+Eligibility

Sex: All, ages: 18 Years to 100 Years

Inclusion Criteria:

* Vessel depleted neck
* defect in the head and neck area

Exclusion Criteria:

* active oncological disease
* vessels suitable for microvascular anastomosis and reconstruction

+Locations (1)

FacilityCityCountryStatus
Department of Oral and Maxillofacial Surgery, Technische Universität MünchenMunichGermanyRecruiting

+Publications

  • Results publication: Fichter AM, Ritschl LM, Rau A, Schwarzer C, von Bomhard A, Wagenpfeil S, Wolff KD, Mucke T. Free flap rescue using an extracorporeal perfusion device. J Craniomaxillofac Surg. 2016 Dec;44(12):1889-1895. doi: 10.1016/j.jcms.2016.09.010. Epub 2016 Sep 23. PMID 27756552
  • Results publication: Wolff KD, Mucke T, von Bomhard A, Ritschl LM, Schneider J, Humbs M, Fichter AM. Free flap transplantation using an extracorporeal perfusion device: First three cases. J Craniomaxillofac Surg. 2016 Feb;44(2):148-54. doi: 10.1016/j.jcms.2015.11.007. Epub 2015 Dec 1. PMID 26752222

+Investigators

My Notes