Pre-Operative Imaging of Abdominal Wall Perforators Using CT Angiography (DIEP)

Tel Aviv Sourasky Medical Center

Status: Unknown

Conditions: Breast Reconstruction

Treatments: Device: CT Angiography

Study type: Observational

Funder types: Other

Identifiers

NCT00748722

TASMC-08-YB-0181-CTIL

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 20 estimated patients

Sex: Female

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Female, age 18-60 years
• Appropriate for lower abdominal based breast reconstruction.
• Consented the use of CT Angiography

Exclusion criteria

• Age under 18 years or over 60.
• Pregnant women
• Allergy to iodine

Trial design

20 participants in 1 patient group

1

Description:

Female patients, age 18-60 years, suitable for breast reconstruction using the lower abdominal tissue.

Treatment:

Device: CT Angiography