Importance of Incidental Findings in Preoperative Computed Tomography Angiography for Abdominally Based Free Flap Breast Reconstruction: A Multi-Institutional Study

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dc.authoridMureau, Marc/0000-0001-6941-7734
dc.contributor.authorColakoglu, Salih
dc.contributor.authorYang, Jerry
dc.contributor.authorFrench, Mackenzie M.
dc.contributor.authorWinocour, Julian
dc.contributor.authorUm, Grace T.
dc.contributor.authorBlumenauer, Brian
dc.contributor.authorSiddikoglu, Duygu
dc.date.accessioned2025-01-27T20:14:31Z
dc.date.available2025-01-27T20:14:31Z
dc.date.issued2022
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground: In addition to its intended purpose of perforator mapping, computed tomography angiography can also identify incidental findings that may require further evaluation. In this multi-institutional study, the authors evaluated the frequency of incidental findings and their significance and effects on treatment course and aimed to identify risk factors for detecting such findings. Methods: A retrospective review of patients who underwent perforator mapping with computed tomography angiography was performed over a 5-year period from three academic institutions. Relevant sociodemographic and clinicopathologic information, computed tomography angiography reports, follow-up visits, and treatment outcomes were reviewed. Univariate and multivariate analyses were performed to assess the relationship between risk factors and incidental findings. Results: From January of 2015 to July of 2020, a total of 656 patients were identified who met inclusion criteria. Overall, 342 incidental findings were found, 76 of which required additional imaging or consultation. Ultimately, 10 patients (1.5 percent) had findings that altered reconstructive management, including five patients (0.8 percent) having severe disease that resulted in the cancellation of their reconstruction. Advanced age and immediate reconstruction timing were independent risk factors for incidental findings. Conclusions: Incidental findings are commonly identified on preoperative computed tomography angiography for deep inferior epigastric perforator flap breast reconstruction. Suspicious findings should be investigated thoroughly because they can alter the reconstructive course. Understanding of high-risk groups for incidental findings can further advance patient education during initial consultation.
dc.identifier.doi10.1097/PRS.0000000000009388
dc.identifier.endpage535
dc.identifier.issn0032-1052
dc.identifier.issn1529-4242
dc.identifier.issue3
dc.identifier.pmid35748758
dc.identifier.startpage527
dc.identifier.urihttps://doi.org/10.1097/PRS.0000000000009388
dc.identifier.urihttps://hdl.handle.net/20.500.12428/21122
dc.identifier.volume150
dc.identifier.wosWOS:000847541300011
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofPlastic and Reconstructive Surgery
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectArtery Perforator Flap
dc.subjectCt-Angiography
dc.subjectCommittee Ii
dc.subjectPelvic Ct
dc.subjectWhite Paper
dc.subjectCancer
dc.subjectAdnexal
dc.subjectTime
dc.subjectMri
dc.titleImportance of Incidental Findings in Preoperative Computed Tomography Angiography for Abdominally Based Free Flap Breast Reconstruction: A Multi-Institutional Study
dc.typeArticle

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