| Angio computed tomography preoperative evaluation for anterolateral thigh flap harvesting. | |
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MedLine Citation:
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PMID: 19325338 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The vascular anatomy of the anterolateral thigh flap (ALTF) has many possible variations, and none of the currently used mapping techniques (eg, Echo Color Doppler) gives a thorough knowledge of all details. Among the last generation of angiographic diagnostic techniques, multi detector computed tomography, popularly known as Angio CT, has emerged as an outstanding noninvasive operator independent option, and has been described for deep inferior epigastric perforator and pedicled transverse rectus abdominis muscle planning. This study was conducted to evaluate its usefulness prior to ALTF harvesting.Nine consecutive patients were considered for oral or lower extremity reconstruction with the ALTF. After written informed consent was obtained from all patients, a preoperative Angio-CT study was performed for surgical planning. Accurate identification of septocutaneous or musculocutaneous perforator vessels was achieved and their location, course, and anatomic variations were reported and influenced surgery. Angio CT allows a complete vascular study of the donor area of the ALTF and evaluation of the best perforator vessels before surgery allows surgeons to get an ideal planning of the flap. This imaging method is currently proposed to every patient undergoing ALT flap reconstruction. |
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Authors:
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Diego Ribuffo; Matteo Atzeni; Luca Saba; Arianna Milia; Maristella Guerra; Giorgio Mallarini |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of plastic surgery Volume: 62 ISSN: 1536-3708 ISO Abbreviation: Ann Plast Surg Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-27 Completed Date: 2009-05-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7805336 Medline TA: Ann Plast Surg Country: United States |
Other Details:
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Languages: eng Pagination: 368-71 Citation Subset: IM |
Affiliation:
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Department of Surgery, Section of Plastic Surgery, Cagliari University Hospital, Monserrato, Italy. diegoribuffo@libero.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angiography* Female Humans Lower Extremity / surgery Male Mouth Neoplasms / surgery* Preoperative Care Reconstructive Surgical Procedures / methods* Surgical Flaps / blood supply* Thigh Tissue and Organ Harvesting / methods* Tomography, X-Ray Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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