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  • Title: Imaging Studies for Preoperative Planning of Perforator Flaps: An Overview.
    Author: Ono S, Hayashi H, Ohi H, Ogawa R.
    Journal: Clin Plast Surg; 2017 Jan; 44(1):21-30. PubMed ID: 27894580.
    Abstract:
    The vascular anatomy of perforators varies between individuals; thus, accurate preoperative assessment of perforators is essential for safely planning perforator flaps. Perforator computed tomographic angiography (P-CTA) with multidetector-row computed tomography (MDCT) is one of the best available methods to precisely reveal the 3-dimensional anatomic details of perforators. The aim of this report is to describe the authors' experience using P-CTA with MDCT for detecting the perforating vessel preoperatively and a step-by-step approach to harvest perforator flaps based on this technique. This report also provides a comprehensive review of literature on other preoperative assessment tools of perforators.
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