- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00514748
A Bilateral Interconnected DIEP Flap Based on One Vessel Pedicle for Breast Reconstruction
June 23, 2009 updated by: Chinese Academy of Sciences
Bilateral DIEP flap needs two groups of vessel pedicles.
We suppose that the bilateral DIEP flap may survive on one vessel pedicle by means of interconnection of bilateral DIEA.
This study is aimed to build a interconnected vessel system of bilateral DIEP flap based on one vessel pedicle and observe its survival in breast reconstruction.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The DIEP flap have become the most common and primary choice in autogenous tissue breast reconstruction nowadays.
In cases with inadequate abdominal soft-tissue volume or abdominal midline scar, the bilateral DIEP flap is needed.However, it need two groups of recipient vessels.
So it is unavailable in cases short of two groups of recipient vessels after radiotherapy.
This study is aimed to solve the problems by interconnecting one of the branches of DIEA each side.
The MDCT will be used to predict the branches and perforators of DIEA both sides.
According to the branches of DIEAs, one branch will be anastomosed with that on contralateral side with only one vessel pedicle preserved on one side.
We believe that the whole flap can be completely nourished with only one vessel pedicle by means of vessel interconnection.
Study Type
Interventional
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Beijing, China, 100041
- Plastic Surgery Hospital
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 65 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Breast lost after mastectomy
- With good general condition
- No pregnancy demand
- With additional soft tissue needed for reconstruction
Exclusion Criteria:
- With bad general condition
- DIEA damaged by previous surgery
- Limited abdominal tissue
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: 1
Patients who receive breast reconstruction with bilateral DIEP flap based on bilateral vessel pedicles
|
flap survival, operation time, flap complications, donor site morbidity.
|
EXPERIMENTAL: 2
Patient who receive breast reconstruction with vessel interconnected DIEP flap based on one vessel pedicle
|
flap survival, operation time, flap complications, donor site morbidity.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
the whole flap may survived on the single vessel pedicle.
Time Frame: more than one year after srugery
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more than one year after srugery
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Chair: Jie Luan, MD, Plastic Surgery Hospital Affilicated to Chinese Academy of Medical Science
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Bains RD, Stanley PR, Riaz M. Avoiding donor-site complications with bilateral DIEP flaps in patients with subcostal scars. Plast Reconstr Surg. 2007 Jun;119(7):2337-2339. doi: 10.1097/01.prs.0000261064.22785.74. No abstract available.
- Bains RD, Riaz M, Stanley P. Bilateral free DIEP breast reconstruction using contralateral internal mammary and ipsilateral thoracodorsal vessels. Plast Reconstr Surg. 2007 Apr 1;119(4):1385-1386. doi: 10.1097/01.prs.0000255180.17788.8c. No abstract available.
- Lasso JM, Sancho M, Campo V, Jimenez E, Perez Cano R. Epiperitoneal vessels: more resources to perform DIEP flaps. J Plast Reconstr Aesthet Surg. 2008 Jul;61(7):826-9. doi: 10.1016/j.bjps.2007.03.004. Epub 2007 Apr 18.
- Schoeller T, Wechselberger G, Roger J, Hussl H, Huemer GM. Management of infraumbilical vertical scars in DIEP-flaps by crossover anastomosis. J Plast Reconstr Aesthet Surg. 2007;60(5):524-8. doi: 10.1016/j.bjps.2006.11.008. Epub 2007 Jan 22.
- Das-Gupta R, Busic V, Begic A. Deep inferior epigastric perforator flap (DIEP) breast reconstruction in the presence of a midline vertical scar. J Plast Reconstr Aesthet Surg. 2006;59(6):675-6. doi: 10.1016/j.bjps.2005.07.003. No abstract available.
- Holm C, Mayr M, Hofter E, Ninkovic M. Perfusion zones of the DIEP flap revisited: a clinical study. Plast Reconstr Surg. 2006 Jan;117(1):37-43. doi: 10.1097/01.prs.0000185867.84172.c0.
- Gill PS, Hunt JP, Guerra AB, Dellacroce FJ, Sullivan SK, Boraski J, Metzinger SE, Dupin CL, Allen RJ. A 10-year retrospective review of 758 DIEP flaps for breast reconstruction. Plast Reconstr Surg. 2004 Apr 1;113(4):1153-60. doi: 10.1097/01.prs.0000110328.47206.50.
- Garcia-Tutor E, Murillo J. The ideal patient for the first breast reconstruction using a diep flap. Plast Reconstr Surg. 2003 Feb;111(2):947-8. doi: 10.1097/00006534-200302000-00087. No abstract available.
- Vesely J, Stupka I, Drazan L, Holusa P, Licata P, Corradini B. DIEP flap breast reconstruction--new experience. Acta Chir Plast. 2001;43(1):3-6.
- Tran NV, Buchel EW, Convery PA. Microvascular complications of DIEP flaps. Plast Reconstr Surg. 2007 Apr 15;119(5):1397-1405. doi: 10.1097/01.prs.0000256045.71765.96.
- Blondeel PN. One hundred free DIEP flap breast reconstructions: a personal experience. Br J Plast Surg. 1999 Mar;52(2):104-11. doi: 10.1054/bjps.1998.3033.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
January 1, 2007
Primary Completion (ACTUAL)
August 1, 2008
Study Completion (ACTUAL)
May 1, 2009
Study Registration Dates
First Submitted
August 9, 2007
First Submitted That Met QC Criteria
August 9, 2007
First Posted (ESTIMATE)
August 10, 2007
Study Record Updates
Last Update Posted (ESTIMATE)
June 24, 2009
Last Update Submitted That Met QC Criteria
June 23, 2009
Last Verified
June 1, 2009
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 621125-2
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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