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Magnetic Resonance Angiography for Free Fibula Flap Transfer
- Source :
- Journal of Reconstructive Microsurgery. 23:205-211
- Publication Year :
- 2007
- Publisher :
- Georg Thieme Verlag KG, 2007.
-
Abstract
- Recent refinements of magnetic resonance angiography (MRA) allow imaging vessels as small as the septocutaneous perforators (< or = 1 to 2 mm diameter), but a Medline review reveals no report of septocutaneous vessel imaging for free flap surgery. Challenges in fibula free flap preparation include knowledge of: (1) tibioperoneal anatomy, (2) the positions of the perforator vessels on the peroneal artery and their course in the posterolateral intermuscular septum, and (3) the cutaneous distribution of the perforators. Questioning whether high-resolution MRA could image these, we studied the lower extremities of nine healthy volunteers. MRA demonstrated tibioperoneal anatomy in sufficient detail to exclude anatomic variants and significant peripheral vascular disease and showed septocutaneous perforators arising from the peroneal artery and coursing in the posterolateral intermuscular septum to the skin. High-resolution MRA provided anatomic and clinical information that conventionally has been impossible to obtain preoperatively or has required multiple tests, often of an invasive nature.
- Subjects :
- Adult
Male
Peroneal Artery
medicine.medical_specialty
medicine.diagnostic_test
Vascular disease
business.industry
Free flap
Anatomy
medicine.disease
Surgical Flaps
Magnetic resonance angiography
Free fibula
Fibula
Healthy volunteers
cardiovascular system
medicine
Humans
Female
Surgery
Radiology
Free flap surgery
business
Magnetic Resonance Angiography
Subjects
Details
- ISSN :
- 10988947 and 0743684X
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Journal of Reconstructive Microsurgery
- Accession number :
- edsair.doi.dedup.....e70e429d8267a23af401e841c14cc441