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Assessment of DIEP Flap Perfusion with Intraoperative Indocyanine Green Fluorescence Imaging in Vasopressor-Dominated Hemodynamic Support Versus Liberal Fluid Administration: A Randomized Controlled Trial With Breast Cancer Patients

Anker, Alexandra M. ; Prantl, Lukas ; Strauss, Catharina ; Brébant, Vanessa ; Schenkhoff, Felix ; Pawlik, Michael ; Vykoukal, Jody ; Klein, Silvan M.


Background. Dogmatic denial of vasopressor agents for blood pressure regulation during free-flap surgery is associated with concomitant large-volume intraoperative fluid administration. Yet, the doctrinal banning of vasopressors during microvascular breast reconstruction still is a subject of controversy. Several retrospective observations have recently drawn attention to serious iatrogenic ...


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