scholarly journals Preoperative Computed Tomography Angiography in Autologous Breast Reconstruction—Incidence and Impact of Incidentalomas

2018 ◽  
Vol 6 (12) ◽  
pp. e2019 ◽  
Author(s):  
Ruth Tevlin ◽  
Mimi R. Borrelli ◽  
Dung Nguyen ◽  
Arash Momeni
Keyword(s):  
Computed Tomography ◽  
Breast Reconstruction ◽  
Computed Tomography Angiography ◽  
Autologous Breast Reconstruction

Estimation of Profunda Artery Perforator Flap Weight Using Preoperative Computed Tomography Angiography

2020 ◽  
Vol 36 (09) ◽  
pp. 645-650
Author(s):  
Nicolas Greige ◽  
David Nash ◽  
Ara A. Salibian ◽  
Steven M. Sultan ◽  
Joseph A. Ricci ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Breast Reconstruction ◽  
Computed Tomography Angiography ◽  
Subcutaneous Tissue ◽  
Perforator Flap ◽  
Biceps Femoris ◽  
Accurate Estimation ◽  
Parsimonious Model ◽  
Artery Perforator ◽  
Gluteal Fold

Abstract Background Given the relatively small size of thigh-based flaps and the possible necessity for a multiflap reconstruction, it is imperative to arrive at an accurate estimation of flap weight during preoperative planning. It was our objective to develop a novel technique for the preoperative estimation of profunda artery perforator (PAP) flap weight. Methods All patients that underwent transverse PAP flap breast reconstruction at two institutions were retrospectively reviewed. Subcutaneous tissue thicknesses were measured on axial computed tomography angiography scans at several predetermined points. The distance from the inferior gluteal crease to the PAP was also recorded. Linear regression was used to estimate flap weight. Results A total of 18 patients (32 flaps) were analyzed. The median intraoperative flap weight was 299 g (interquartile range [IQR]: 235–408). The parsimonious model (R 2 = 0.80) estimated flap weight using the Eq. 77.9x + 33.8y + 43.4z – 254.3, where x is subcutaneous tissue thickness (cm) at the lateral border of long head of the biceps femoris at a level 4.5 cm caudal to the inferior gluteal fold, y is distance (cm) from the inferior gluteal fold to the dominant PAP, and z has a value of 1 if the patient was scanned in the supine position or 0 if prone. The aforementioned formula yielded a median estimated flap weight of 305 g (IQR: 234–402) and a median percent error of 10.5% (IQR: 6.1–16.2). Conclusion The authors demonstrate a simple and accurate formula for the preoperative estimation of transverse PAP flap weight for breast reconstruction.

Mid-aortic syndrome: computed tomography angiography depicting extensive collateral circulation in an 11-year-old patient with thoracoabdominal aortic coarctation

VASA ◽  
2012 ◽  
Vol 41 (2) ◽  
pp. 132-135 ◽  
Author(s):  
Krohn ◽  
Gebauer ◽  
Hübler ◽  
Beck
Keyword(s):  
Computed Tomography ◽  
Computed Tomography Angiography ◽  
Collateral Circulation ◽  
Intestinal Ischemia ◽  
Clinical Presentation ◽  
Lower Limbs ◽  
Upper Body ◽  
Descending Aorta ◽  
Before And After ◽  
Blood Pressures

The mid-aortic syndrome is an uncommon clinical condition characterized by severe narrowing of the descending aorta, usually with involvement of its renal and visceral branches, presenting with uncontrollably elevated blood pressures of the upper body, renal and cardiac failure, intestinal ischemia, encephalopathy symptoms and claudication of the lower limbs, although clinical presentation is variable. In this article we report the case of an eleven-year-old patient with the initial diagnosis of a mid-aortic syndrome and present the computed tomography angiography pictures and reconstructions before and after surgical therapy.

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