Computed tomography angiographic study of internal mammary perforators and their use as recipient vessels for free tissue transfer in breast reconstruction
Context: The internal mammary artery perforator vessels (IMPV) as a recipient in free flap breast reconstruction offer advantages over the more commonly used thoracodorsal vessels and the internal mammary vessels (IMV). Aims: This study was designed to assess the anatomical consistency of the IMPV a...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-01-01
|
| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_168_16 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850246309291753472 |
|---|---|
| author | Aditya V. Kanoi Karnav B. Panchal Saugata Sen Gautam Biswas |
| author_facet | Aditya V. Kanoi Karnav B. Panchal Saugata Sen Gautam Biswas |
| author_sort | Aditya V. Kanoi |
| collection | DOAJ |
| description | Context: The internal mammary artery perforator vessels (IMPV) as a recipient in free flap breast reconstruction offer advantages over the more commonly used thoracodorsal vessels and the internal mammary vessels (IMV). Aims: This study was designed to assess the anatomical consistency of the IMPV and the suitability of these vessels for use as recipients in free flap breast reconstruction. Patients and Methods: Data from ten randomly selected female patients who did not have any chest wall or breast pathology but had undergone a computed tomography angiography (CTA) for unrelated diagnostic reasons from April 2013 to October 2013 were analysed. Retrospective data of seven patients who had undergone mastectomy for breast cancer and had been primarily reconstructed with a deep inferior epigastric artery perforator free flap transfer using the IMPV as recipient vessels were studied. Results: The CTA findings showed that the internal mammary perforator was consistently present in all cases bilaterally. In all cases, the dominant perforator arose from the upper four intercostal spaces (ICS) with the majority (55%) arising from the 2nd ICS. The mean distance of the perforators from the sternal border at the level of pectoralis muscle surface on the right side was 1.86 cm (range: 0.9–2.5 cm) with a mode value of 1.9 cm. On the left side, a mean of 1.77 cm (range: 1.5–2.1 cm) and a mode value of 1.7 cm were observed. Mean perforator artery diameters on the right and left sides were 2.2 mm and 2.4 mm, respectively. Conclusions: Though the internal mammary perforators are anatomically consistent, their use as recipients in free tissue transfer for breast reconstruction eventually rests on multiple variables. |
| format | Article |
| id | doaj-art-0eea9a6be0c94bc68aafc12a0823d770 |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-0eea9a6be0c94bc68aafc12a0823d7702025-08-20T01:59:13ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2017-01-01500105005510.4103/ijps.IJPS_168_16Computed tomography angiographic study of internal mammary perforators and their use as recipient vessels for free tissue transfer in breast reconstructionAditya V. Kanoi0Karnav B. Panchal1Saugata Sen2Gautam Biswas3Department of Plastic and Reconstructive Surgery, TATA Medical Center, Kolkata, West Bengal, IndiaDepartment of Plastic and Reconstructive Surgery, TATA Medical Center, Kolkata, West Bengal, IndiaDepartment of Radiodiagnosis, TATA Medical Center, Kolkata, West Bengal, IndiaDepartment of Plastic and Reconstructive Surgery, TATA Medical Center, Kolkata, West Bengal, IndiaContext: The internal mammary artery perforator vessels (IMPV) as a recipient in free flap breast reconstruction offer advantages over the more commonly used thoracodorsal vessels and the internal mammary vessels (IMV). Aims: This study was designed to assess the anatomical consistency of the IMPV and the suitability of these vessels for use as recipients in free flap breast reconstruction. Patients and Methods: Data from ten randomly selected female patients who did not have any chest wall or breast pathology but had undergone a computed tomography angiography (CTA) for unrelated diagnostic reasons from April 2013 to October 2013 were analysed. Retrospective data of seven patients who had undergone mastectomy for breast cancer and had been primarily reconstructed with a deep inferior epigastric artery perforator free flap transfer using the IMPV as recipient vessels were studied. Results: The CTA findings showed that the internal mammary perforator was consistently present in all cases bilaterally. In all cases, the dominant perforator arose from the upper four intercostal spaces (ICS) with the majority (55%) arising from the 2nd ICS. The mean distance of the perforators from the sternal border at the level of pectoralis muscle surface on the right side was 1.86 cm (range: 0.9–2.5 cm) with a mode value of 1.9 cm. On the left side, a mean of 1.77 cm (range: 1.5–2.1 cm) and a mode value of 1.7 cm were observed. Mean perforator artery diameters on the right and left sides were 2.2 mm and 2.4 mm, respectively. Conclusions: Though the internal mammary perforators are anatomically consistent, their use as recipients in free tissue transfer for breast reconstruction eventually rests on multiple variables.http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_168_16computed tomography angiographyfree flap breast reconstructionhand-held dopplerinternal mammary perforatorsrecipient vessels |
| spellingShingle | Aditya V. Kanoi Karnav B. Panchal Saugata Sen Gautam Biswas Computed tomography angiographic study of internal mammary perforators and their use as recipient vessels for free tissue transfer in breast reconstruction Indian Journal of Plastic Surgery computed tomography angiography free flap breast reconstruction hand-held doppler internal mammary perforators recipient vessels |
| title | Computed tomography angiographic study of internal mammary perforators and their use as recipient vessels for free tissue transfer in breast reconstruction |
| title_full | Computed tomography angiographic study of internal mammary perforators and their use as recipient vessels for free tissue transfer in breast reconstruction |
| title_fullStr | Computed tomography angiographic study of internal mammary perforators and their use as recipient vessels for free tissue transfer in breast reconstruction |
| title_full_unstemmed | Computed tomography angiographic study of internal mammary perforators and their use as recipient vessels for free tissue transfer in breast reconstruction |
| title_short | Computed tomography angiographic study of internal mammary perforators and their use as recipient vessels for free tissue transfer in breast reconstruction |
| title_sort | computed tomography angiographic study of internal mammary perforators and their use as recipient vessels for free tissue transfer in breast reconstruction |
| topic | computed tomography angiography free flap breast reconstruction hand-held doppler internal mammary perforators recipient vessels |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_168_16 |
| work_keys_str_mv | AT adityavkanoi computedtomographyangiographicstudyofinternalmammaryperforatorsandtheiruseasrecipientvesselsforfreetissuetransferinbreastreconstruction AT karnavbpanchal computedtomographyangiographicstudyofinternalmammaryperforatorsandtheiruseasrecipientvesselsforfreetissuetransferinbreastreconstruction AT saugatasen computedtomographyangiographicstudyofinternalmammaryperforatorsandtheiruseasrecipientvesselsforfreetissuetransferinbreastreconstruction AT gautambiswas computedtomographyangiographicstudyofinternalmammaryperforatorsandtheiruseasrecipientvesselsforfreetissuetransferinbreastreconstruction |