Preoperative CT angiography reduces surgery time in perforator flap reconstruction
| Autor: | Anders Magnusson, Jeroen M. Smit, Morten Kildal, Clark J. Zeebregts, Iain S. Whitaker, Rafael Acosta, Anders G. Liss, Angeliki Dimopoulou |
|---|---|
| Přispěvatelé: | Man, Biomaterials and Microbes (MBM), Vascular Ageing Programme (VAP) |
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Time Factors Mammaplasty medicine.medical_treatment Population Free flap DIEP Preoperative care Surgical Flaps BREAST RECONSTRUCTION Preoperative Care medicine Humans cardiovascular diseases education Retrospective Studies education.field_of_study medicine.diagnostic_test business.industry musculoskeletal neural and ocular physiology Angiography Middle Aged Perforator flap Surgery DOPPLER SONOGRAPHY Dissection CT angiography Patient Satisfaction EXPERIENCE Female Radiology Tomography X-Ray Computed business Breast reconstruction psychological phenomena and processes Perforator flaps Surgery time |
| Zdroj: | Journal of Plastic Reconstructive and Aesthetic Surgery, 62(9), 1112-1117. ELSEVIER SCI LTD |
| ISSN: | 1748-6815 |
| Popis: | The use of perforator flaps in breast reconstructions has increased considerably in the past decade. A disadvantage of the perforator flap is difficult dissection, which results in a longer procedure. During spring 2006, we introduced CT angiography (CTA) as part of the diagnostic work-up in perforator flap reconstructions to visualise each perforator more accuratety. The main objectives were to reduce surgery time and the number of complications. A chart review was conducted 1 year after CTA introduction to investigate if these objectives were met.Materials and methods: Patients with a deep inferior epigastric perforator (DIEP) flap who underwent preoperative analysis through CTA were retrospectively evaluated. The populationResults: One hundred and thirty-eight DIEP breast reconstructions were done; 70 underwent preoperative CTA analysis, and 68 had preoperative Doppler investigation. Surgery time in the CTA group was significantly lower (P Conclusions: Preoperative CTA in the assessment of vascular anatomy during perforator flap reconstruction was safe and reliable. It helped reduce surgery time, and may prevent the number of postoperative complications. (C) 2008 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. |
| Databáze: | OpenAIRE |
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