Breast Reconstruction Clinical Trial
Official title:
Pre-Operative Imaging of Abdominal Wall Perforators Using CT Angiography for DIEP Breast Reconstruction
Abdominal donor-site flaps, including the transverse rectus abdominis musculocutaneous
(TRAM) and deep inferior epigastric artery perforator flaps(DIEP), are standard in
autologous breast reconstruction. With significant variation in the vascular anatomy of the
abdominal wall, preoperative imaging is essential for preoperative planning and reducing
intraoperative error.
The quest continues for optimal preoperative assessment. Computed tomographic angiography
has recently been proposed as a noninvasive modality for this purpose. It provides the
location of the perforator vessels, diameter and anatomic course in regards to the rectus
muscle.
In this study we will perform preoperative lower abdominal computed tomographic angiography
in DIEP flap breast reconstruction patients.
Abdominal donor-site flaps, including the transverse rectus abdominis musculocutaneous
(TRAM) and deep inferior epigastric artery perforator flaps(DIEP), are standard in
autologous breast reconstruction. With significant variation in the vascular anatomy of the
abdominal wall, preoperative imaging is essential for preoperative planning and reducing
intraoperative error.
The quest continues for optimal preoperative assessment. Computed tomographic angiography
has recently been proposed as a noninvasive modality for this purpose. It provides the
location of the perforator vessels, diameter and anatomic course in regards to the rectus
muscle.
In this study we will perform preoperative lower abdominal computed tomographic angiography
in DIEP flap breast reconstruction patients.
We plan to study 20 patients, eligible for lower abdominal-based breast reconstruction.
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Observational Model: Case-Only, Time Perspective: Prospective
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