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Utilisation of contrast-enhanced magnetic resonance angiography in the assessment of deep inferior epigastric artery perforator flap for breast reconstruction surgery

Clinical Radiology Mar 07, 2019

Chong LW, et al. - Using magnetic resonance angiography (MRA), researchers identified and characterized the ideal-sized (defined as at least 2.7 mm based on the experience of plastic surgeons at Hull Royal Infirmary) perforators for assessing deep inferior epigastric artery perforator flap for breast reconstruction. In addition, they assessed a presumption that perforators on the left are generally larger than on the right. For this investigation, they involved 50 consecutive patients who had undergone MRA prior to deep inferior epigastric perforator (DIEP) reconstruction. The results obtained from the retrospective review indicate that contrast-enhanced MRA is a useful technique of preoperative imaging to find ideal DIEPs for breast reconstruction. There were statistically significantly larger perforators on the left than the right. On the left, superior region, and medial rows were more ideal-sized perforators. It was observed that lateral row perforators had a shorter intramuscular course.
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