CT angiography prior to DIEP flap breast reconstruction: a randomized controlled trial

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dc.authorscopusid57218606079en_US
dc.authorwosidAAY-8678-2020en_US
dc.contributor.authorÇolakoğlu, Salih
dc.contributor.authorTebockhorst, Seth
dc.contributor.authorFreedman, Jonathan
dc.contributor.authorDouglass, Sara
dc.contributor.authorSıddıkoğlu, Duygu
dc.contributor.authorChong, Tae W.
dc.contributor.authorMathes, David W.
dc.date.accessioned2025-02-06T09:17:30Z
dc.date.available2025-02-06T09:17:30Z
dc.date.issued2022en_US
dc.departmentFakülteler, Tıp Fakültesi, Temel Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: CT angiogram (CTA) has become the preferred method for the planning of abdominal-based microsurgical breast reconstruction to gather information about location, number, caliber and trajectory of the abdominal perforators and to decrease overall flap dissection and operating room time. However, the high-level evidence to support its utility has been limited to nonrandomized retrospective and prospective studies. Methods: Patients undergoing deep inferior epigastric artery perforator (DIEP) flap breast reconstruction were prospectively randomized to preoperative CTA and no imaging groups. Patient demographics, operative times, selected row and number of perforators for flap harvest, agreement in perforator selection between radiologist and surgeon, and clinical outcomes data were collected. Two-way ANOVA, Fisher's exact and Student's t-tests were used for statistical analysis. Results: Overall, 37 patients with 63 flaps were included in this study. Seventeen patients had CT scan prior to surgery. Mean age was 50.5 ± 9.6 years. Flap dissection time was significantly shorter in the CT group (150.8 ± 17.8 vs 184.7 ± 25.1 min and p< 0.001). Although overall odds ratio (OR) time was also shorter in the CT group, this only reached a statistical significance in bilateral surgeries (575.9 ± 70.1 vs 641.9 ± 79.6 min and p = 0.038). Hemiabdomen side, selected DIEP row, and the number of dissected perforators did not affect the overall dissection time. Complication rates were similar between the two groups. Conclusion: This prospective, randomized study demonstrates that preoperative CTA analysis of perforators decreases flap harvest and overall OR time with equivalent postoperative outcomes.en_US
dc.identifier.citationÇolakoglu, S., Tebockhorst, S., Freedman, J., Douglass, S., Sıddıkoğlu, D., Chong, T. W., & Mathes, D. W. (2022). CT angiography prior to DIEP flap breast reconstruction: a randomized controlled trial. Journal of Plastic, Reconstructive & Aesthetic Surgery, 75(1), 45–51. https://doi.org/10.1016/j.bjps.2021.05.050en_US
dc.identifier.doi10.1016/j.bjps.2021.05.050en_US
dc.identifier.endpage51en_US
dc.identifier.issue1en_US
dc.identifier.pmidPMID: 34332925en_US
dc.identifier.scopus2-s2.0-85111480844en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage45en_US
dc.identifier.urihttps://doi.org/10.1016/j.bjps.2021.05.050
dc.identifier.uri1748-6815 / 1878-0539
dc.identifier.urihttps://hdl.handle.net/20.500.12428/29555
dc.identifier.volume75en_US
dc.identifier.wosWOS:000755074300005en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSıddıkoğlu, Duygu
dc.institutionauthorid0000-0002-5093-7948
dc.language.isoengen_US
dc.publisherElsevier Ltd.en_US
dc.relation.ispartofJournal of Plastic, Reconstructive and Aesthetic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBreast reconstructionen_US
dc.subjectDIEP flapen_US
dc.subjectImagingen_US
dc.subjectMicrosurgeryen_US
dc.subjectPerforator mappingen_US
dc.titleCT angiography prior to DIEP flap breast reconstruction: a randomized controlled trialen_US
dc.typearticleen_US

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