Preoperative color Doppler ultrasonographic examination in the planning of thoracodorsal artery perforator flap with capillary perforators

Summary Introduction The thoracodorsal artery perforator flap with capillary perforators (TAPcp) is based on capillary perforators arising from the descending branch of the thoracodorsal artery and can overcome the drawbacks of the conventional TAP flap, which results in anatomical variations due to...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2016-03, Vol.69 (3), p.346-350
Main Authors: Tashiro, Kensuke, Yamashita, Shuji, Araki, Jun, Narushima, Mitsunaga, Iida, Takuya, Koshima, Isao
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arteries - diagnostic imaging
Arteries - surgery
Capillaries - diagnostic imaging
Capillaries - surgery
Child
Cohort Studies
Color Doppler ultrasonography
Female
Follow-Up Studies
Free Tissue Flaps - blood supply
Free Tissue Flaps - transplantation
Humans
Male
Microsurgery - methods
Middle Aged
Perforator flap
Perforator Flap - blood supply
Perforator Flap - transplantation
Plastic Surgery
Preoperative Care - methods
Reconstructive Surgical Procedures - methods
Retrospective Studies
Risk Assessment
Supermicrosurgery
TAP flap
TAPcp flap
Thoracic Wall - blood supply
Thoracodorsal artery perforator
Treatment Outcome
Ultrasonography, Doppler, Color - methods
Young Adult
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Summary:Summary Introduction The thoracodorsal artery perforator flap with capillary perforators (TAPcp) is based on capillary perforators arising from the descending branch of the thoracodorsal artery and can overcome the drawbacks of the conventional TAP flap, which results in anatomical variations due to the presence of a dominant muscle or septocutaneous perforators. We applied color Doppler ultrasonography (US) to preoperatively visualize capillary perforators of the descending branch of thoracodorsal artery to facilitate successful flap elevation. Patients and methods Using preoperative color Doppler US, we examined seven flaps in seven patients who had undergone reconstruction with TAPcp flaps between January 2014 and April 2015. Capillary perforators with diameters
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2015.10.026