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Abdominal donor-site flaps, including the transverse rectus abdominis musculocutaneous (TRAM) and deep inferior epigastric artery perforator flaps(DIEP), are standard in autologous breast reconstruction. With significant variation in the vascular anatomy of the abdominal wall, preoperative imaging is essential for preoperative planning and reducing intraoperative error.
The quest continues for optimal preoperative assessment. Computed tomographic angiography has recently been proposed as a noninvasive modality for this purpose. It provides the location of the perforator vessels, diameter and anatomic course in regards to the rectus muscle.
In this study we will perform preoperative lower abdominal computed tomographic angiography in DIEP flap breast reconstruction patients.
Abdominal donor-site flaps, including the transverse rectus abdominis musculocutaneous (TRAM) and deep inferior epigastric artery perforator flaps(DIEP), are standard in autologous breast reconstruction. With significant variation in the vascular anatomy of the abdominal wall, preoperative imaging is essential for preoperative planning and reducing intraoperative error.
The quest continues for optimal preoperative assessment. Computed tomographic angiography has recently been proposed as a noninvasive modality for this purpose. It provides the location of the perforator vessels, diameter and anatomic course in regards to the rectus muscle.
In this study we will perform preoperative lower abdominal computed tomographic angiography in DIEP flap breast reconstruction patients.
We plan to study 20 patients, eligible for lower abdominal-based breast reconstruction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Female patients, age 18-60 years, suitable for breast reconstruction using the lower abdominal tissue. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CT Angiography | Device | Injection of contrast material (iodine) |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| 1 year from starting date | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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Female patients, age 18-60 years eligible for lower abdominal breast reconstruction
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| Name | Affiliation | Role |
|---|---|---|
| Yoav Barnea, MD | Tel Aviv Medical Center | Study Chair |
| Arie Blachar, MD | Tel Aviv Medical Center | Principal Investigator |
| Eyal Gur, MD | Tel Aviv Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tel-Aviv Medical Center | Tel Aviv | 64239 | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18300951 | Result | Rozen WM, Palmer KP, Suami H, Pan WR, Ashton MW, Corlett RJ, Taylor GI. The DIEA branching pattern and its relationship to perforators: the importance of preoperative computed tomographic angiography for DIEA perforator flaps. Plast Reconstr Surg. 2008 Feb;121(2):367-373. doi: 10.1097/01.prs.0000298313.28983.f4. | |
| 18213740 | Result |
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| ID | Term |
|---|---|
| D000072226 | Computed Tomography Angiography |
| D013960 | Thyroid Function Tests |
| ID | Term |
|---|---|
| D014057 | Tomography, X-Ray Computed |
| D007090 | Image Interpretation, Computer-Assisted |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
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| Rozen WM, Phillips TJ, Ashton MW, Stella DL, Gibson RN, Taylor GI. Preoperative imaging for DIEA perforator flaps: a comparative study of computed tomographic angiography and doppler ultrasound. Plast Reconstr Surg. 2008 Jan;121(1 Suppl):1-8. |
| D003933 | Diagnosis |
| D064847 | Multimodal Imaging |
| D011856 | Radiographic Image Enhancement |
| D007089 | Image Enhancement |
| D010781 | Photography |
| D011859 | Radiography |
| D014056 | Tomography, X-Ray |
| D014054 | Tomography |
| D003940 | Diagnostic Techniques, Endocrine |