Intraluminal Monitoring of Micro Vessels. A Surgical Feasibility Study
Holger Sudhoff, Prof Dr med Dr rer nat, FRCS, FRCPath
Professor and Head of Department at Kopfzentrum Bielefeld, Germany
Leonard Walle 1,?Holger Sudhoff 2,?Onno Frerichs 1?and Ingop Todt 2*
1 Department of Otolaryngology, Head and Neck Surgery, Medical School OWL, Bielefeld University, Bielefeld, Germany
2 Department of Plastic Surgery, Medical School OWL, Bielefeld University, Bielefeld, Germany
Front. Surg., 21 July 2021 |?https://doi.org/10.3389/fsurg.2021.681797
Objective:?Monitoring of vessel perfusion is of high clinical importance in vascular anastomosis of free flaps. Current sensor systems are based on different principles and show limitations in validity and accuracy. Fiber optic pressure sensors exhibit high accuracy and are small in size. The aim of the present study was to evaluate the surgical feasibility of intraluminal pressure (ILP) measurements with a fiber optic pressure sensor in an animal model.
Methods:?In a microsurgical setting we sedated 10 Wistar rats with weight adapted phenobarbital, xylazine, and fentanyl. We performed a surgical approach to A. carotis communis and V. jugularis and introduced a 600 μm fiber optic pressure sensor into the vessels followed by measuring the ILP. The sensor was stabilized by the surrounding tissue, and the vessels were closed.
Results:?In all cases, surgical placement was uneventful. Measurement of intra-venous and intra-arterial pressure was possible and stable over the whole measurement period of an hour.
Conclusion:?Fiber optic pressure measurement in microvessels is possible and surgically feasible. An application to monitor the perfusion of free flaps seems possible.