3D CT angiography of abdominal wall vascular perforators to plan DIEAP flaps

Gedge D. Rosson, Christopher G. Williams, Elliot K. Fishman, Navin K. Singh

Research output: Contribution to journalArticlepeer-review

80 Scopus citations


Purpose: Since the first report of TRAM flap reconstruction, there have been numerous studies to reduce complications of elective breast reconstruction. Current methods of preoperative perforator localization can be time-consuming, inaccurate, and imprecise. Thus, we sought to evaluate ultra-high resolution 3D CT angiography for the preoperative mapping of DIEAP flap perforating vessels. Methods: We reviewed all perforator-based breast reconstructions performed over a 5-month period. Candidates for DIEAP flap reconstruction were sent for a focused CT scan of the abdominal wall, using the 64 slice multi-detector CT scanner. Results: This article presents our first 23 flaps in 17 patients with preoperative ultra-high resolution 3D CT angiography. The reconstruction plan changed in three patients (18%). There was one take-back for venous congestion, but no partial or total flap loss. Conclusions: Preoperative perforator flap planning for breast reconstruction utilizing 3D CT angiogram is safe, easy to read, and can change the operative plan.

Original languageEnglish (US)
Pages (from-to)641-646
Number of pages6
Issue number8
StatePublished - 2007

ASJC Scopus subject areas

  • Surgery


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