TY - JOUR
T1 - Contrast-enhanced magnetic resonance angiography for preoperative imaging of deep inferior epigastric artery perforator flaps
T2 - Advantages and disadvantages compared with computed tomography angiography: A United Kingdom perspective
AU - Schaverien, Mark V.
AU - Ludman, Catherine N.
AU - Neil-Dwyer, Jason
AU - McCulley, Stephen J.
N1 - Copyright:
Copyright 2011 Elsevier B.V., All rights reserved.
PY - 2011/12
Y1 - 2011/12
N2 - The anatomy of the anterior abdominal wall is highly variable and leads to uncertainty when harvesting a deep inferior epigastric artery perforator flap. Presurgical imaging has been shown to reduce the operating time, as well as reduce the rates of flap and donor site complications. The importance of imaging of the venous system has also been recognized for reducing the risk of venous congestion. The modalities currently available for presurgical imaging include handheld Doppler ultrasound, duplex ultrasound, computed tomographic angiography (CTA), and contrast-enhanced magnetic resonance angiography (CE-MRA). Of these, the most promising are CTA and CE-MRA, and advantages and disadvantages exist for both modalities. In this article, we review the use of CE-MRA for preoperative flap imaging and report our experience with its use in deep inferior epigastric artery perforator flap harvest, as well as compare it with CTA. We also explore the future directions for presurgical flap imaging.
AB - The anatomy of the anterior abdominal wall is highly variable and leads to uncertainty when harvesting a deep inferior epigastric artery perforator flap. Presurgical imaging has been shown to reduce the operating time, as well as reduce the rates of flap and donor site complications. The importance of imaging of the venous system has also been recognized for reducing the risk of venous congestion. The modalities currently available for presurgical imaging include handheld Doppler ultrasound, duplex ultrasound, computed tomographic angiography (CTA), and contrast-enhanced magnetic resonance angiography (CE-MRA). Of these, the most promising are CTA and CE-MRA, and advantages and disadvantages exist for both modalities. In this article, we review the use of CE-MRA for preoperative flap imaging and report our experience with its use in deep inferior epigastric artery perforator flap harvest, as well as compare it with CTA. We also explore the future directions for presurgical flap imaging.
KW - advantages
KW - computed tomographic angiography
KW - contrast-enhanced magnetic resonance angiography
KW - deep inferior epigastric artery perforator flap
KW - disadvantages
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U2 - 10.1097/SAP.0b013e3181fab9ea
DO - 10.1097/SAP.0b013e3181fab9ea
M3 - Review article
C2 - 21407061
AN - SCOPUS:82655181297
SN - 0148-7043
VL - 67
SP - 671
EP - 674
JO - Annals of plastic surgery
JF - Annals of plastic surgery
IS - 6
ER -