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Usefullness with 3D CT Angiography in Microsurgical Reconstruction  

Sung, Yong Duck (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University)
Kim, Hyo Heon (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University)
Publication Information
Archives of Plastic Surgery / v.33, no.2, 2006 , pp. 175-180 More about this Journal
Abstract
Preoperative angiography is frequently used in the planning of microsurgical reconstruction for identification of vascular abnormality that influence the planning of operation. But, recently 3D CT angiography is considered as new technique that can provide detailed information about vascular anatomy as well as soft and bony tissue without the risks of invasive angiography. 3D CT angiograms were performed in 19 patients before microsurgical reconstruction for the lower extremity and hand between May of 2003 and Oct of 2004. Sixteen of the studies were of the donor site and all of 19 studies were of the recipient site. No complications were found from the 3D CT angiograms. In one case of the bone exposed open wound, the injury of anterior tibial artery was identified and the zone of injury was adequately demonstrated. With the improvement in quality of CT imaging, 3D CT angiograms may provide a favorable alternative to invasive angiography. It is capable of providing high-resolution, three dimensional vascular imaging without the need for arterial puncture and prolonged post-procedure observation. The relation among blood vessels, bones, and soft tissue is well demonstrated in 3D CT angiogram. Also The acquisition time and examination cost were considerably lower in comparison with invasive angiography. In conclusion, this study demonstrates that 3D CT angiography may provide accurate, safe, and cost-effective preoperative imaging. The 3D CT angiography with relatively low morbidity, low cost, ease of image acquisition can have an broader role in microsurgical reconstructive surgery.
Keywords
Microsurgical reconstruction; 3D CT; Angiography;
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1 Young DM, Trabulsy PP, Anthony JP: The need for preoperative leg angiography in fibula free flaps. J Reconstr Microsurg 10: 283, 1994   DOI   ScienceOn
2 Heitmann C, Khan FN, Levin LS: Vasculature of the peroneal artery: an anatomic study focused on the perforator vessels. J Reconstr Microsurg 19: 157, 2003   DOI   ScienceOn
3 Sigstedt B, Lunderquist A: Complications of angiographic examinations. Am J Roentgenol 130: 455, 1978   DOI   ScienceOn
4 Klein ME, Karanas YL, Chow LC, Rubin GD, Chang J: Early experience with computed tomographic angiography in microsurgical reconstruction. Plast Reconstr Surg 112: 498, 2003   DOI   ScienceOn
5 Lutz BS, Wei FC, Ng SH, Chen IH, Chen IH: Routine donor leg angiography before vascularized free fibula transplantation is not necessary: a prospective study in 120 clinical cases. Plast Reconstr Surg 103: 121, 1999   DOI   ScienceOn
6 Nagler RM, Braun J, Daitzman M, Laufer D: Spiral CT angiography: an alternative vascular evaluation technique for head and neck microvascular reconstruction. Plast Reconstr Surg 100: 1697, 1997   DOI   ScienceOn
7 Sakamoto I, Hayashi K, Matsunaga N, Matsuoka Y, Uetani M, Fukuda T, Fujisawa H: Aortic dissection caused by angiographic procedures. Radiology 191: 467, 1994   DOI
8 Isenberg JS, Sherman R: The limited value of preoperative angiography in microsurgical reconstruction of the lower limb. J Reconstr Microsurg 12: 303, 1996   DOI   ScienceOn
9 Disa JJ, Cordeiro PG: The current role of preoperative arteriography in free fibula flaps. Plast Reconstr Surg 102: 1083, 1998   DOI
10 Jones NF: The need for preoperative leg angiography in fibula free flaps(Discussion). J Reconstr Microsurg 10: 287, 1994