作者: Maxi Sacher , Roman N. Kapalschinski , Christoph Wallner , Johannes Maximilian Wagner , Mehran Dadras
DOI: 10.1016/J.BJPS.2019.10.014
关键词: Surgery 、 Abdominal wall 、 DIEP flap 、 Computed tomography angiography 、 Umbilicus (mollusc) 、 Deep Inferior Epigastric Artery 、 Body mass index 、 Radiology 、 Anterior superior iliac spine 、 Medicine 、 Breast reconstruction
摘要: Abstract Introduction The aim of the study was to investigate relationship BMI and abdominal wall thickness (AWT) with diameter dominant deep inferior epigastric artery perforator (DIEP) as well DIEA branching pattern in preoperatively performed computed tomography angiography (CTA). Patients methods We conducted a retrospective including all patients undergoing DIEP flap breast reconstruction available CTAs from November 2013 April 2018 our department. caliber-strongest detected after passage rectus fascia superficial (SIEA) correlated AWT 5 cm above below umbilicus, lateral at level umbilicus anterior superior iliac spine (ASIS), BMI. Results Seventy-seven met inclusion criteria (age: 47.3 ± 8.9 years). observed significant (p Conclusion demonstrated correlation both AWT. Focusing on diameter, high ASIS, SIEA, if present, may represent an alternative therapeutic option.