Abstract
Background Among the many factors involved in reconstructive microsurgery, identifying a good
recipient vessel is one of the key elements leading to a successful result.
Methods Multiple modalities have been used to identify recipient vessels from simple palpation
of axial arteries to hand-held Doppler, duplex ultrasound, computed tomography angiograms,
and other advanced techniques. Although these various modalities bring their own unique
advantages, using the duplex ultrasound can provide far superior and real-time information
based on the anatomy and physiology of the recipient vessel.
Results Duplex ultrasound is a valuable and powerful tool for reconstructive surgeons who
are interested in performing microsurgery or supermicrosurgery.
Conclusion As we enter the era of individualized/customized reconstruction using superthin flaps,
perforator-to-perforator anastomosis, and supermicrosurgery, understanding and becoming
versatile with duplex ultrasound will be critical especially in choosing recipient
vessels.
Keywords
ultrasound - microsurgery - recipient selection
