The branching pattern of the deep inferior epigastric artery revisited in-vivo: A new classification based on CT angiography

Clinical Anatomy

Volumn 23, Issue 1, 2010, Pages 87-92

  Rozen, Warren M ^a   Ashton, Mark W ^a   Grinsell, Damien ^a  

^a UNIVERSITY OF MELBOURNE   (Australia)

Author keywords

Breast reconstruction; Computed tomographic angiography; CT angio; DIEA perforator flap; DIEP flap

Indexed keywords

ABDOMINAL WALL; ARTICLE; BREAST RECONSTRUCTION; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; DEEP INFERIOR EPIGASTRIC PERFORATOR FLAP; HUMAN; INFERIOR EPIGASTRIC ARTERY; PRIORITY JOURNAL;

ADULT; AGED; ANGIOGRAPHY; EPIGASTRIC ARTERIES; FEMALE; HUMANS; MIDDLE AGED; RETROSPECTIVE STUDIES; SURGICAL FLAPS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 72249115868     PISSN: 08973806     EISSN: 10982353     Source Type: Journal    
DOI: 10.1002/ca.20898     Document Type: Article

References (24)

1. Boyd JB, Taylor GI, Corlett RJ. 1984. The vascular territories of the superior epigastric and deep inferior epigastric systems. Plast Reconstr Surg 73:1-16.
2. Godfrey PM, Godfrey NV, Romita MC. 1994. The "circummuscular" free TRAM pedicle: A trap. Plast Reconstr Surg 93:178-180.
3. Heo C, Yoo J, Minn K, Kim S. 2008. Circummuscular variant of the deep inferior epigastric perforator in breast reconstruction: Importance of preoperative multidetector computed tomographic angiography. Aesthetic Plast Surg 32:817-819.
4. Hill C, Millar R. 1997. Vascular asymmetry in a " circummuscular" free TRAM pedicle - A potential hazard. Plast Reconstr Surg 99: 1199-1200.
5. Jakubowicz M, Czarniawska-Grzesiñska M. 1996. Variability in origin and topography of the inferior epigastric and obturator arteries. Folia Morphol (Warsz) 55:121-126.
6. Kawai K, Honma S, Koizumi M, Kodama K. 2008. Inferior epigastric artery arising from the obturator artery as a terminal branch of the internal iliac artery and consideration of its rare occurrence. Ann Anat 190:541-548.
7. Kikuchi N, Murakami G, Kashiwa H, Homma K, Sato TJ, Ogino T. 2001. Morphometrical study of the arterial perforators of the deep inferior epigastric perforator flap. Surg Radiol Anat 23: 375-381.
8. Moon HK, Taylor GI. 1988. The vascular anatomy of rectus abdominis musculocutaneous flaps based on the deep superior epigastric system. Plast Reconstr Surg 82:815-832.
9. Rozen WM, Ashton MW, Pan WR, Taylor GI. 2007. Raising perforator flaps for breast reconstruction: The intramuscular anatomy of the deep inferior epigastric artery. Plast Reconstr Surg 120:1443-1449.
10. Rozen WM, Anavekar NS, Ashton MW, Stella DL, Grinsell D, Bloom R, Taylor GI. 2008a. Does the preoperative imaging of perforators with CT angiography improve operative outcomes in breast reconstruction? Microsurgery 28:516-523.
11. Rozen WM, Ashton MW, Grinsell D, Stella DL, Phillips TJ, Taylor GI. 2008b. Establishing the case for CT angiography in the preoperative imaging of perforators for DIEA perforator flaps. Microsurgery 28:227-232.
12. Rozen WM, Ashton MW, Stella DL, Phillips TJ, Grinsell D, Taylor GI. 2008c. The accuracy of computed tomographic angiography for mapping the perforators of the deep inferior epigastric artery: A blinded, prospective cohort study. Plast Reconstr Surg 122:1003-1009.
13. Rozen WM, Ashton MW, Stella DL, Phillips TJ, Taylor GI. 2008d. The accuracy of computed tomographic angiography for mapping the perforators of the DIEA: A cadaveric study. Plast Reconstr Surg 122:363-369.
14. Rozen WM, Ashton MW, Taylor GI. 2008e. Reviewing the vascular supply of the anterior abdominal wall: Redefining anatomy for increasingly refined surgery. Clin Anat 21:89-98.
15. Rozen WM, Palmer KP, Suami H, Pan WR, Ashton MW, Corlett RJ, Taylor GI. 2008f. The DIEA branching pattern and its relationship to perforators: The importance of preoperative computed tomographic angiography for DIEA perforator flaps. Plast Reconst Surg 121:367-373.
16. Rozen WM, Phillips TJ, Ashton MW, Stella DL, Gibson RN, Taylor GI. 2008g. Preoperative imaging for DIEA perforator flaps: A comparative study of Computed Tomographic Angiography and Doppler ultrasound. Plast Reconstr Surg 121:9-16.
17. Rozen WM, Houseman ND, Ashton MW. 2009a. The absent inferior epigastric artery: A unique anomaly and implications for deep inferior epigastric artery perforator flaps. J Reconstr Microsurg 25:289-293.
18. Rozen WM, Houseman ND, Ashton MW. 2009b. The circummuscular or paramuscular variants of deep inferior epigastric perforators detected with CTA: Should these be called variants at all? Aesthetic Plast Surg 33:119-120.
19. Smit JM, Dimopoulou A, Liss AG, Zeebregts CJ, Kildal M, Whitaker IS, Magnusson A, Acosta R. 2008. Preoperative CT angiography reduces surgery time in perforator flap reconstruction. J Plast Reconstr Aesthet Surg 62:1112-1117.
20. Taylor GI, Palmer JH. 1987. The vascular territories (angiosomes) of the body: Experimental study and clinical applications. Br J Plast Surg 40:113-141.
21. Taylor GI, Watterson PA, Zelt RG. 1991. The vascular anatomy of the anterior abdominal wall: The basis of flap design. Perspect Plast Surg 5:1-30.
22. Uppal RS, Casaer B, Van Landuyt K, Blondeel P. 2008. The efficacy of preoperative mapping of perforators in reducing operative times and complications in perforator flap breast reconstruction. J Plast Reconstr Aesthet Surg 62:859-864.
23. Whitaker IS, Rozen WM, Smit JM, Dimopoulou A, Ashton MW, Acosta R. 2009. Peritoneo-cutaneous perforators in deep inferior epigastric perforator flaps: A cadaveric dissection and computed tomographic angiography study. Microsurgery 29:124-127.
24. Yano K, Hosokawa K, Nakai K, Kubo T. 2003. A rare variant of the deep inferior epigastric perforator: Importance of preoperative color-flow duplex scanning assessment. Plast Reconstr Surg 111:1578-1579.