alexa Anatomy of Lateral Femoral Circumflex Artery Perforator
ISSN: 2161-0940

Anatomy & Physiology: Current Research
Open Access

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Research Article

Anatomy of Lateral Femoral Circumflex Artery Perforators in Planning of Anterolateral Thigh Flap: Utility of CT. Pilot Study

Giulia Succio1, Bianca Bignotti2*, Andrea Antonini3, Matteo Ghidara1, Giovanni Serafini1, Mariano Bormioli3, Angela Cadoni4 and Alberto Tagliafico4

1Santa Corona Hospital, Department of Radiology, Pietra Ligure, SV, Italy

2Department of Heatlh Sciences, Section of Radiology, University of Genoa, Genoa, Italy

3Department of Plastic Surgery, Santa Corona Hospital, Pietra Ligure, SV, Italy

4Department of Experimental Medicine, Institute of Human Anatomy, University of Genoa, Genoa, Italy

Corresponding Author:
Bianca Bignotti
Department of Heatlh Sciences
Section of Radiology
University of Genoa, Genoa, Italy
Tel: +390105555248
E-mail: [email protected]

Received Date: February 14, 2014; Accepted Date: August 18, 2014; Published Date: August 20, 2014

Citation: Succio G, Bignotti B, Antonini A, Ghidara M, Serafini G, et al. (2014) Anatomy of Lateral Femoral Circumflex Artery Perforators in Planning of Anterolateral Thigh Flap: Utility of CT. Pilot Study. Anat Physiol 4:151. doi: 10.4172/2161-0940.1000151

Copyright: © 2014 Succio G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Purpose: To evaluate the utility of 64-multidetector computed tomographic (CT) angiography with 3D reformations for preoperative vascular anatomy evaluation, lateral femoral circumflex artery and course of perforator vessels assessment in anterolateral thigh flap planning.
Material and Methods: Informed consent and institutional review board approval were obtained. Seven patients underwent 64-multidetector CT angiography to identify the lateral femoral circumflex artery perforators prior to oncologic and post-traumatic reconstruction surgery (3/7 patients analyzed bilaterally). Preoperative color Doppler US evaluation was performed. Surgical findings were correlated to imaging using a 0-3 scale Image Relevance Score (IRS) of the multidetector CT.
Results: Perforator arteries suitable for surgery were identified in 7/7 patients. Surgical findings were consistent with CT findings for perforator caliber and course. CT identified several anatomical variants. In 1 patient preoperative imaging was performed with no difference in management (IRS=0); in 3 patients moderate intraoperative difficulties were found with increase of operative time (IRS=1); in 2 patients major intraoperative difficulties were encountered, with need for intraoperative change of surgical technique (IRS=2). In the remaining patient CT findings avoided surgical failure (IRS=3).
Conclusion: 64-multidetector CT angiography accurately mapped vessels for preoperative evaluation of lateral femoral circumflex artery perforators in anterolateral thigh flap planning in 7 patients.

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