Abstract
The use of autologous abdominal tissue for breast reconstruction has become the gold standard. The highly variable anatomy of the inferior epigastric system has caused an increase in pre-operative computed tomographic angiography (CTA) studies to determine the dominant vascular pedicle of which to base the DIEP or SIEA flap. The use of a coding system based on the dominant perforators increases the utility of the CTA by improving communication between the radiologist and the surgeon, and also enhancing documentation of these perforators for research purposes. The authors describe their coordinate system of identifying perforators so that preoperatively the unique anatomy of the patient can be understood in order to shorten operating time and improve patient outcomes.
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Gillis, J.A., Al-Dhamin, A., Morris, S.F. (2016). Coding System for CT Angiography of Inferior Epigastric Artery Perforators in DIEP Flaps. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_17
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DOI: https://doi.org/10.1007/978-3-319-18726-6_17
Publisher Name: Springer, Cham
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