SPY Intra-Operative Angiography & Skin Perfusion in Immediate Breast Reconstruction w/ Implants

Breast cancer is the most common malignancy among women, and over 180,000 women will be
diagnosed with this disease in 2008. Last year, over 57,000 breast reconstructive procedures
were performed, of which prosthetic reconstruction constituted 76%. Immediate reconstruction
has been favored over delayed procedures for psychological and technical reasons. However,
immediate breast reconstruction is associated with significantly higher complication rates
(50-52%) than delayed procedures (32-36%), especially when a prosthetic technique is used.
For prosthetic reconstructions, the most significant early complications include necrosis of
the mastectomy skin flaps, infection, delayed wound healing and exposure of the implant. The
published incidence of these complications ranges between 10% and 40% and is predominantly
associated with malperfusion of mastectomy skin flaps. Thus, evaluation of skin perfusion
and elimination of poorly vascularized areas could help reduce the high rate of
complications in immediate breast reconstruction.

Inclusion Criteria:

3.1.0 Ability to understand and the willingness to sign a written informed consent
document.

3.1.1 Signed written informed consent.

3.1.2 Women with local or regional recurrences after previous breast conserving surgery.

3.1.3 Women undergoing delayed post mastectomy reconstruction.

3.1.4 Women undergoing prophylactic mastectomy.

3.1.5 Women with invasive or non-invasive breast cancer, receiving breast conserving
surgery with or without reduction mammoplasty or mastectomy, with or without immediate
reconstruction.

3.1.6 Women of 18 years of age or older.

3.1.7 ECOG or Karnofsky Performance Status 0,1,2.

3.1.8 Basic Metabolic Panel within 6 months

3.1.9 Psychiatric or addictive disorders or other conditions that, in the opinion of
the investigator, would preclude the patient from meeting the study requirements.

Exclusion Criteria:

3.2.1 History of liver or kidney failure will not be eligible.

3.2.2 Allergies to iodine containing products will not be eligible.

3.2.3 Women who are pregnant will not be eligible.