MedPath

Pre-Operative Imaging of Abdominal Wall Perforators Using CT Angiography

Conditions
Breast Reconstruction
Interventions
Device: CT Angiography
Registration Number
NCT00748722
Lead Sponsor
Tel-Aviv Sourasky Medical Center
Brief Summary

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.

Detailed 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.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
20
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

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
1CT AngiographyFemale patients, age 18-60 years, suitable for breast reconstruction using the lower abdominal tissue.
Primary Outcome Measures
NameTimeMethod
1 year from starting date1 year
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Tel-Aviv Medical Center

🇮🇱

Tel-Aviv, Israel

© Copyright 2025. All Rights Reserved by MedPath