Improved clinical outcomes with preoperative imaging have been shown to include decreased length of surgery, decreased flap loss rate, decreased hernia rate, decreased intraoperative blood loss, shorter mean inpatient stay, reduced learning curve when compared with hand-held Doppler, and increased surgeon confidence [7-15]. Arteriography Abdomen and Pelvis Although catheter directed arteriography can aid in delineation of variant anatomy of the DIEA to guide surgical planning for breast reconstruction, it is an invasive procedure with risks that outweigh benefits compared to current alternative noninvasive imaging methods. Additionally, given the small caliber of the vessels and potentially tortuous course, this would likely lead to prolonged procedure times and potentially unreliable assessment of vessel caliber given variable source and detector distances. Furthermore, the course of perforator arteries in the abdominal wall musculature and subcutaneous tissues is not easily assessed with catheter directed arteriography. There is no relevant literature supporting the use of arteriography in evaluation of imaging of deep inferior epigastric arteries for surgical planning. CT Abdomen and Pelvis With IV Contrast To date, there is no relevant literature supporting the use of CT abdomen and pelvis with intravenous (IV) contrast in the evaluation of imaging of deep inferior epigastric arteries for surgical planning. CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature supporting the use of CT abdomen and pelvis without and with IV contrast in the evaluation of imaging of deep inferior epigastric arteries for surgical planning. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature supporting the use of CT abdomen and pelvis without IV contrast in the evaluation of imaging of deep inferior epigastric arteries for surgical planning.
Imaging of Deep Inferior Epigastric Arteries for Surgical Planning Breast Reconstruction Surgery . Improved clinical outcomes with preoperative imaging have been shown to include decreased length of surgery, decreased flap loss rate, decreased hernia rate, decreased intraoperative blood loss, shorter mean inpatient stay, reduced learning curve when compared with hand-held Doppler, and increased surgeon confidence [7-15]. Arteriography Abdomen and Pelvis Although catheter directed arteriography can aid in delineation of variant anatomy of the DIEA to guide surgical planning for breast reconstruction, it is an invasive procedure with risks that outweigh benefits compared to current alternative noninvasive imaging methods. Additionally, given the small caliber of the vessels and potentially tortuous course, this would likely lead to prolonged procedure times and potentially unreliable assessment of vessel caliber given variable source and detector distances. Furthermore, the course of perforator arteries in the abdominal wall musculature and subcutaneous tissues is not easily assessed with catheter directed arteriography. There is no relevant literature supporting the use of arteriography in evaluation of imaging of deep inferior epigastric arteries for surgical planning. CT Abdomen and Pelvis With IV Contrast To date, there is no relevant literature supporting the use of CT abdomen and pelvis with intravenous (IV) contrast in the evaluation of imaging of deep inferior epigastric arteries for surgical planning. CT Abdomen and Pelvis Without and With IV Contrast There is no relevant literature supporting the use of CT abdomen and pelvis without and with IV contrast in the evaluation of imaging of deep inferior epigastric arteries for surgical planning. CT Abdomen and Pelvis Without IV Contrast There is no relevant literature supporting the use of CT abdomen and pelvis without IV contrast in the evaluation of imaging of deep inferior epigastric arteries for surgical planning.