Computed Tomographic Angiography with VirSSPA Three-Dimensional Software for Perforator Navigation Improves Perioperative Outcomes in DIEP Flap Breast Reconstruction

Abstract

Computed tomographic angiography-guided VirSSPA three-dimensional reconstruction in the assessment of perforator flaps was proved to be safe and reliable. The main benefits of this technique were the reduction of surgical time and reduction of the number of complications.

Development of a three-dimensional hand model using 3D stereophotogrammetry: Evaluation of landmark reproducibility

“…6,10,41 With this study, we describe the first step in developing a 3D imaging technique of both soft and bony tissues, by combining the 3D image with CT scan data.…”

Anatomical features associated with venous congestion in DIEP flap using CT angiography with three-dimensional reconstruction

“…[15] Preoperative planning of DIEP flaps with computed tomographic angiography (CTA) followed by three-dimensional (3D) reconstruction has proved to be an effective technique to map the abdominal vascular anatomy, allowing a better tracking of the perforators, including their size, location and course, so as to shorten the operative time and number of complications. [16,17] On the other hand, little is known about the anatomical features related with the postoperative diffuse venous congestion and how new imaging technologies are able to identify aspects that can threaten the perfusion of the DIEP flap.…”

Contrast-Enhanced Magnetic Resonance Angiography for Preoperative Imaging of Deep Inferior Epigastric Artery Perforator Flaps

“…[13][14][15][17][18][19][20]26,38 The DIEP flap is associated with a steep learning curve, 39 a relatively tedious flap dissection, and a higher rate of flap complications than TRAM flap harvest. Presurgical imaging may, therefore, allow flap complications to be reduced while maintaining the benefit of reduced donor site morbidity.…”