[Preoperative angiographic CT-scan for perforator flap transfer. Clinical applications in an emergency unit of reconstructive surgery: four clinical cases].
Our experience of the deep inferior epigastric artery perforator flap has led us to perform systematically an abdominal CT-scan for the pretherapeutic checking. This exam gives us a precise vascular mapping of musculocutaneous and septocutaneous perforators artery of the flap, may enable a better orientation in the dissection and reduce the surgery time. We have enlarged the indication of this exam to the members flaps who needs the dissection of a musculocutaneous or a septocutaneous perforators vessels: Nakajima's et al. classification [1]. The mapping of perforating vessels on 3D reconstruction pictures helps us to planify the vascular cutaneous autologous grafts.
Bosc
R
R
Hôpital Henri-Mondor, AP-HP, Creteil, France. romainbosc@free.fr
Hivelin
M
M
Benjoar
M-D
MD
Pigneur
F
F
Lantieri
L
L
D034861:Abdominal Wall / Q000098:blood supply; D000328:Adult; D000792:Angiography; D001158:Arteries / Q000601:surgery; D001943:Breast Neoplasms / Q000601:surgery; D002081:Buttocks / Q000098:blood supply; D004636:Emergency Service, Hospital; D019074:Epigastric Arteries / Q000000981:diagnostic imaging; D005145:Face / Q000601:surgery; D005260:Female; D005528:Foot / Q000601:surgery; D006801:Humans; D007866:Leg / Q000601:surgery; D008297:Male; D016462:Mammaplasty / Q000379:methods; D008875:Middle Aged; D011300:Preoperative Care / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D013848:Thigh / Q000098:blood supply; D020858:Tissue and Organ Harvesting; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000601:surgery