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3D CT angiography of abdominal wall vascular perforators to plan DIEAP flaps
Author(s) -
Rosson Gedge D.,
Williams Christopher G.,
Fishman Elliot K.,
Singh Navin K.
Publication year - 2007
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20423
Subject(s) - medicine , angiography , radiology , abdominal wall , surgery
Abstract Purpose : Since the first report of TRAM flap reconstruction, there have been numerous studies to reduce complications of elective breast reconstruction. Current methods of preoperative perforator localization can be time‐consuming, inaccurate, and imprecise. Thus, we sought to evaluate ultra‐high resolution 3D CT angiography for the preoperative mapping of DIEAP flap perforating vessels. Methods : We reviewed all perforator‐based breast reconstructions performed over a 5‐month period. Candidates for DIEAP flap reconstruction were sent for a focused CT scan of the abdominal wall, using the 64 slice multi‐detector CT scanner. Results : This article presents our first 23 flaps in 17 patients with preoperative ultra‐high resolution 3D CT angiography. The reconstruction plan changed in three patients (18%). There was one take‐back for venous congestion, but no partial or total flap loss. Conclusions : Preoperative perforator flap planning for breast reconstruction utilizing 3D CT angiogram is safe, easy to read, and can change the operative plan. © 2007 Wiley‐Liss, Inc. Microsurgery, 2007.