A comparative study of selective CT arteriography versus CT angiography on three-dimensional display of perforators in anterolateral thigh perforator flap

HE Ji-qiang, TANG Ju-yu, QING Li-ming, LI Wen-zheng, YI Xiao-ping, ZHOU Zheng-bing, WU Pan-feng, YU Fang, CAO Zhe-ming

Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (5) : 508-512.

Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (5) : 508-512. DOI: 10.13418/j.issn.1001-165x.2017.05.007

A comparative study of selective CT arteriography versus CT angiography on three-dimensional display of perforators in anterolateral thigh perforator flap

  • HE Ji-qiang1, TANG Ju-yu1, QING Li-ming1, LI Wen-zheng2, YI Xiao-ping2, ZHOU Zheng-bing1, WU Pan-feng1, YU Fang1, CAO Zhe-ming1
Author information +
History +

Abstract

Objective To explore the feasibility of selective lateral circumflex femoral artery(LCFA) CT arteriography for in vivo three-dimensional display of perforators in anterolateral thigh perforator (ALTP) flap. Methods We selected 15 patients who required the ALTP flap for repairing soft tissue defects of low extremities. In the experimental group, the method of selective LCFA catheterization was employed. The catheter was inserted into the ostia of LCFA in healthy side of the extremity and confirmed to be in a predetermined position and fixed, then the patient was transferred to the CT room. Transcatheter injecting contrast agent 20 ml, triggering CT scan at the same time. 10 minutes later, injecting contrast agent 100 ml via median cubital vein used as a control group. The two-dimensional images obtained by CT-DICOM format and output, Mimics software (version17.0) was used to visualize the perforators of LCFA. And the anatomical parameters of LCFA were observed and measured. All data analyses were performed using SPSS version 22.0 software. Results In 15 patients, one case was excluded because of artery catheter insertion into deep femoral artery. In the other 14 cases, the LCFA originated from the femoral artery in 3 cases (accounting for 21.43%), and from the deep femoral artery in 11 cases (accounting for 78.57%). The diameter of the LCFA and its branches in the experimental group was larger than those in the control group. The length of the ascending, transverse and descending branches in the experimental group were longer than those of the control group. The smallest inner diameter of the ascending, transverse and descending branches in the experimental group were smaller than those of the control group. The number of perforators in the experimental group were more than the control group. Conclusion Selective CT arteriography of the LCFA can display the LCFA and its perforators clearly an obviously superior effect over non-selective CT angiography

Key words

 Selective CT arteriography; CT angiography /  Perforator Flap

Cite this article

Download Citations
HE Ji-qiang, TANG Ju-yu, QING Li-ming, LI Wen-zheng, YI Xiao-ping, ZHOU Zheng-bing, WU Pan-feng, YU Fang, CAO Zhe-ming. A comparative study of selective CT arteriography versus CT angiography on three-dimensional display of perforators in anterolateral thigh perforator flap[J]. Chinese Journal of Clinical Anatomy. 2017, 35(5): 508-512 https://doi.org/10.13418/j.issn.1001-165x.2017.05.007

References

[1]  徐达传,钟世镇,刘牧之,等. 股前外侧部皮瓣的解剖学一个新的游离皮瓣供区[J]. 临床应用解剖学杂志,1984, 2(3):158-160.
[2]  Wei F C, Jain V, Celik N, et al. Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps[J]. Plast Reconstr Surg, 2002, 109(7):2219-2230.
[3]  唐举玉,李康华. 股前外侧皮瓣的临床研究进展[J]. 中国临床解剖学杂志, 2009, 27(1):111-113.
[4]  Yang JF, Wang BY, Zhao ZH, et al. Clinical applications of preoperative perforator planning using CT angiography in the anterolateral thigh perforator flap transplantation[J]. Clinical Radiology,2013,68(6):568-573.
[5]  庄跃宏. CT血管造影在皮瓣外科的研究进展[J]. 中国临床解剖学杂志, 2010,28(4):469-472.
[6]   朱洪章,杨有优,范淼,等. CT血管造影在旋股外侧动脉3D可视化与穿支体表导航定位中的应用[J]. 中华显微外科杂志, 2013, 36(3):287-291.
[7]  段家章,何晓清,徐永清,等. 数字化技术在股前外侧皮瓣修复手足创面中的应用[J]. 中国修复重建外科杂志, 2015,29(7):807-811.
[8]  刘智伟. 基于三维重建技术的旋股外侧动脉降支侧支皮瓣的临床应用[D]. 南方医科大学,2011.
[9] Garvey PB, Selber JC, Madewell JE, et al. A prospective study of preoperative computed tomographic angiography for head and neck reconstruction with anterolateral thigh flaps[J]. Plast Reconstr Surg,2011,127(4):1505-1514.
[10] 任义军,任高宏,金丹,等. 数字化股前外侧皮瓣的可视技术在临床中的初步应用[J]. 中华创伤骨科杂志, 2008,10(5):432-435.
[11] Kim EK, Kang BS, Hong JP. The Distribution of the perforators in the anterolateral thigh and the utility of multidetector row computed tomography angiography in preoperative planning [J]. Ann Plastic Surg, 2010, 65(2):155-160.
[12]Mei J, Yin Z, Zhang J, et al. A mini pig model for visualization of perforator flap by using angiography and MIMICS[J]. Surg Radiol Anat, 2010,32(5):477-484.
[13]卿黎明,贺继强,唐举玉,等. 基于活体造影数据的股深动脉穿动脉穿支血管的数字解剖学研究[J]. 中国临床解剖学杂志, 2016, 34(1):12-15.
[14]冯运垒,叶淦湖,腾范文,等. 旋股外侧血管蒂复(联)合组织瓣移植的解剖学基础[J]. 中国临床解剖学杂志, 2004, 22(5):533-535.
[15] 陈胜华,徐达传,周小兵,等. 以旋股外侧动脉降支为蒂分叶股前外侧肌皮瓣设计的解剖学研究[J]. 中国临床解剖学杂志, 2010, 28(3):237-241.
[16] 刘会仁,李瑞国,曹磊,等. 旋股外侧动脉降支分叶肌皮瓣的设计与临床应用[J]. 中华显微外科杂志, 2006, 29(1):10-13.

Accesses

Citation

Detail

Sections
Recommended

/