title: [Application of MDCT angiography for breast reconstruction with deep inferior epigastric artery perforator flaps].
abstract: OBJECTIVE
  To investigate the significance of preoperative MDCT angiography for breast reconstruction with abdominal flap.
  
  
  METHODS
  Preoperative MDCT angiography scans were performed on 34 patients who underwent breast reconstruction with abdominal flaps during December 2006 to June 2009. The operation was designed based on the MDCT results. Then the MDCT results were proved intraoperatively. Another 22 cases who underwent breast reconstruction with abdominal flap without preoperative MDCT were selected as controls. The rate of operative method change, the operation time and the flap necrosis were compared between the two groups.
  
  
  RESULTS
  The preoperative design changed in 23.53% of the patients, based on the MDCT results. No one had any method change intraoperatively in the group with MDCT. The operative method was changed intraoperatively in 13.64% of the patients in the control group. The mean time spending on flap harvesting was (2.51 +/- 0.64) h in the experimental group and (4.42 +/- 0.21) h in the controlled group (P < 0.05). The rate of complication was 6.12% in the experimental group and 12.5% in the control group (P = 0.017).
  
  
  CONCLUSIONS
  Preoperative MDCT angiography is an easy and reliable method for breast reconstruction with abdominal flap. The preoperative design can be more reasonable. It helps to save the operation time and reduce the risk.
authors.affiliation: Breast Plastic and Reconstructive Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100144, China.
authors.forename: Min-Qiang
authors.initials: MQ
authors.lastname: Xin
authors.forename: Lan-Hua
authors.initials: LH
authors.lastname: Mu
authors.forename: Jie
authors.initials: J
authors.lastname: Luan
authors.forename: Da-Li
authors.initials: DL
authors.lastname: Mu
authors.forename: Wei-Zhen
authors.initials: WZ
authors.lastname: Su
mesh_terms: D000328:Adult; D000792:Angiography / Q000379:methods*; D019074:Epigastric Arteries / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods; D011300:Preoperative Care; D013524:Surgical Flaps / Q000098:blood supply; D036542:Tomography, Spiral Computed