Angiotomografía en la evaluación de arterias perforantes para reconstrucción mediante colgajos: lo que el cirujano quiere saber y el radiólogo debe informar

Felipe Aluja-Jaramillo, S. Cifuentes, C. López
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Abstract

Since the introduction of the concept of “angiosomes”, the perforating arteries and their potential for use in flaps was described. Angiotomography is an excellent imaging modality for preoperative evaluation in reconstructive surgery and is very important in presurgical assessment. This imaging technique requires a multidisciplinary approach in which the radiologist and the plastic surgeon participate. The radiological report must include the origin of the artery, detail it’s course, quantify the caliber and determine the position where it emerges through the fascial plane to give the surgeon the possible information in presurgical planning and surgical procedure. The main advantage of this technique is the reduction of surgical timing and possible complications. The radiologist should be familiar with the most commonly used types of flaps, the anatomy of the arteries and their perforators to guide the plastic surgeon in presurgical planning and decision making.
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血管断层扫描在评估穿支动脉皮瓣重建中的作用:外科医生想知道的事情和放射科医生应该报告的事情
自从引入“血管体”的概念以来,对穿通动脉及其在皮瓣中的应用潜力进行了描述。血管断层扫描是重建外科术前评估的一种极好的成像方式,在术前评估中非常重要。这种成像技术需要放射科医生和整形外科医生参与的多学科方法。放射学报告必须包括动脉的起源,详细说明其路线,量化口径,并确定其通过筋膜平面出现的位置,以便为外科医生提供术前计划和手术程序中可能的信息。这种技术的主要优点是减少了手术时间和可能的并发症。放射科医生应该熟悉最常用的皮瓣类型、动脉及其穿支的解剖结构,以指导整形外科医生进行术前计划和决策。
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来源期刊
Revista Argentina de Radiologia
Revista Argentina de Radiologia Medicine-Radiology, Nuclear Medicine and Imaging
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