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Early experience with computed tomographic angiography in microsurgical reconstruction.

Publication ,  Journal Article
Klein, MB; Karanas, YL; Chow, LC; Rubin, GD; Chang, J
Published in: Plast Reconstr Surg
August 2003

Preoperative angiography is frequently used in the planning of microsurgical reconstruction. However, several potentially devastating complications can result from angiography, including arterial occlusion and pseudoaneurysm. Computed tomographic angiography is a relatively new technique that can provide detailed information about vascular anatomy as well as soft and bony tissue without the risks of traditional angiography. In addition, three-dimensional image reconstruction uniquely demonstrates anatomical relationships among blood vessels, bones, and soft tissue. Fourteen computed tomographic angiograms were obtained in 10 patients undergoing microsurgical reconstruction of the head and neck, lower extremity, or upper extremity. The average patient age was 46.9 years (range, 22 to 67 years). Charges related to the computed tomographic procedure were compared with those of conventional preoperative imaging for microsurgical repair. At our institution, the average computed tomographic angiogram charge was 1140 US dollars, whereas the average charge for traditional arteriography was 3900 US dollars. When compared with intraoperative evaluation, computed tomographic angiograms demonstrated clinically relevant surgical anatomy. No complications were noted for the radiographic procedure or after free flap reconstruction. Computed tomographic angiography provides high-resolution, three-dimensional arterial, venous, and soft-tissue imaging without the risks of traditional angiogram and at a lower cost.

Duke Scholars

Published In

Plast Reconstr Surg

DOI

ISSN

0032-1052

Publication Date

August 2003

Volume

112

Issue

2

Start / End Page

498 / 503

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Surgical Flaps
  • Surgery
  • Preoperative Care
  • Plastic Surgery Procedures
  • Neck
  • Middle Aged
  • Microsurgery
  • Male
  • Imaging, Three-Dimensional
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Klein, M. B., Karanas, Y. L., Chow, L. C., Rubin, G. D., & Chang, J. (2003). Early experience with computed tomographic angiography in microsurgical reconstruction. Plast Reconstr Surg, 112(2), 498–503. https://doi.org/10.1097/01.PRS.0000070990.97274.FA
Klein, Matthew B., Yvonne L. Karanas, Lawrence C. Chow, Geoffrey D. Rubin, and James Chang. “Early experience with computed tomographic angiography in microsurgical reconstruction.Plast Reconstr Surg 112, no. 2 (August 2003): 498–503. https://doi.org/10.1097/01.PRS.0000070990.97274.FA.
Klein MB, Karanas YL, Chow LC, Rubin GD, Chang J. Early experience with computed tomographic angiography in microsurgical reconstruction. Plast Reconstr Surg. 2003 Aug;112(2):498–503.
Klein, Matthew B., et al. “Early experience with computed tomographic angiography in microsurgical reconstruction.Plast Reconstr Surg, vol. 112, no. 2, Aug. 2003, pp. 498–503. Pubmed, doi:10.1097/01.PRS.0000070990.97274.FA.
Klein MB, Karanas YL, Chow LC, Rubin GD, Chang J. Early experience with computed tomographic angiography in microsurgical reconstruction. Plast Reconstr Surg. 2003 Aug;112(2):498–503.

Published In

Plast Reconstr Surg

DOI

ISSN

0032-1052

Publication Date

August 2003

Volume

112

Issue

2

Start / End Page

498 / 503

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Surgical Flaps
  • Surgery
  • Preoperative Care
  • Plastic Surgery Procedures
  • Neck
  • Middle Aged
  • Microsurgery
  • Male
  • Imaging, Three-Dimensional