The lumbar artery perforator flap: clinical review and guidance on image reporting

Bilal Mujtaba, A. K. Hanafy, R. D. Largo, A. Taher, J. E. Madewell, Colleen Costelloe, Rick Robert Layman, A. C. Morani

Research output: Contribution to journalReview article

Abstract

The lumbar artery perforator (LAP) flap is a relatively new procedure that can be utilized to manage lumbosacral defects in addition to reconstructing distal body parts as well, such as breast reconstruction. This fasciocutaneous flap is designed based on the LAPs small arteries that emerge from the lumbar arteries then move superficially piercing overlying tissues to perforate the lumbar fascia and supply the skin and subcutaneous tissue; However, anatomical and clinical studies regarding the LAP flap and its perforators are sparse in the literature, and the results are even contradicting. This article will discuss the LAP flap, the anatomy of its perforators, and the clinical aspects about its usage. In addition, we explore its preoperative imaging evaluation, and deliver a guide on image reporting and radiological data that will benefit the surgeon most during the procedure.

Original languageEnglish (US)
Pages (from-to)756-762
Number of pages7
JournalClinical Radiology
Volume74
Issue number10
DOIs
StatePublished - Oct 1 2019

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Perforator Flap
Arteries
Back Muscles
Mammaplasty
Subcutaneous Tissue
Human Body
Anatomy
Research Design
Skin

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

The lumbar artery perforator flap : clinical review and guidance on image reporting. / Mujtaba, Bilal; Hanafy, A. K.; Largo, R. D.; Taher, A.; Madewell, J. E.; Costelloe, Colleen; Layman, Rick Robert; Morani, A. C.

In: Clinical Radiology, Vol. 74, No. 10, 01.10.2019, p. 756-762.

Research output: Contribution to journalReview article

Mujtaba, Bilal ; Hanafy, A. K. ; Largo, R. D. ; Taher, A. ; Madewell, J. E. ; Costelloe, Colleen ; Layman, Rick Robert ; Morani, A. C. / The lumbar artery perforator flap : clinical review and guidance on image reporting. In: Clinical Radiology. 2019 ; Vol. 74, No. 10. pp. 756-762.
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