| Magnetic resonance angiography in preoperative planning of deep inferior epigastric artery perforator flaps. | |
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MedLine Citation:
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PMID: 18993122 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Accurate preoperative localisation of deep inferior epigastric artery perforator (DIEaP) provides optimal surgical planning for DIEaP flaps. Cross-sectional imaging by contrast-enhanced magnetic resonance angiography (CE-MRA) has advantages over previously described techniques for perforator imaging including reduced radiation exposure and better muscle to vessel contrast. A retrospective series of 10 unilateral free breast reconstructions following preoperative CE-MRA of the anterior abdominal wall is presented. Mean age of the patients at the time of surgery was 50.3 years (range 44-63 years). An average of 2.8 perforators per study (range 1-5) was identified. Mean perforator luminal diameter was 2.6mm (1.4-4.0mm) with a mean intramuscular course length of 22.3mm (6.4-51.9 mm). Perforator course length was classified as 17% long intramuscular course (>4 cm), 80% short intramuscular course (<4 cm) and 3% paramedian. In all 10 patients, DIEaP flaps were successfully elevated. In all cases the flaps were elevated on vessels identified in preoperative review of the CE-MRA. There was a significant difference in the rates of conversion from DIEaP to transverse rectus abdominis myocutaneous (TRAM) flaps in the group who underwent CE-MRA in comparison to historical controls from the previous year (P=0.025). CE-MRA is an effective tool for DIEaP flap planning. |
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Authors:
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J G Neil-Dwyer; C N Ludman; M Schaverien; S J McCulley; A G B Perks |
Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2008-11-06 |
Journal Detail:
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Title: Journal of plastic, reconstructive & aesthetic surgery : JPRAS Volume: 62 ISSN: 1878-0539 ISO Abbreviation: J Plast Reconstr Aesthet Surg Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-16 Completed Date: 2009-12-23 Revised Date: 2010-04-02 |
Medline Journal Info:
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Nlm Unique ID: 101264239 Medline TA: J Plast Reconstr Aesthet Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 1661-5 Citation Subset: IM |
Affiliation:
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Department of Plastic Surgery, Nottingham City Hospital, Nottingham University Hospitals NHS Trust, Nottingham, UK. jneildwy@doctors.org.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Epigastric Arteries / anatomy & histology* Female Humans Magnetic Resonance Angiography / methods Mammaplasty / methods* Middle Aged Preoperative Care / methods* Retrospective Studies Surgical Flaps / blood supply* Tissue and Organ Harvesting / methods Treatment Outcome |
| Comments/Corrections | |
Comment In:
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J Plast Reconstr Aesthet Surg. 2010 Jan;63(1):e120-1
[PMID:
19232510
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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