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.
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.
Authors: A Pellegrin; T Stocca; M Belgrano; M Bertolotto; F Pozzi-Mucelli; Z Marij Arnež; M A Cova Journal: Radiol Med Date: 2012-10-22 Impact factor: 3.469
Authors: T Gómez-Cía; P Gacto-Sánchez; D Sicilia; C Suárez; B Acha; C Serrano; C Parra; J De La Higuera Journal: Int J Comput Assist Radiol Surg Date: 2009-05-01 Impact factor: 2.924
Authors: Geoffrey C Gurtner; Glyn E Jones; Peter C Neligan; Martin I Newman; Brett T Phillips; Justin M Sacks; Michael R Zenn Journal: Ann Surg Innov Res Date: 2013-01-07
Authors: Carolyn L Mulvey; Carisa M Cooney; Francis F Daily; Elizabeth Colantuoni; Onyebuchi U Ogbuago; Damon S Cooney; Ariel N Rad; Michele A Manahan; Gedge D Rosson; Justin M Sacks Journal: Plast Reconstr Surg Glob Open Date: 2013-06-07