Plastic and Reconstructive Surgery, Global Open (Jun 2022)

FlapMap Visual Language System for Vascular Imaging Prior to Microvascular Free Tissue Transfer

  • Taylor J. Ibelli, BS, MSc,
  • Farah Sayegh, MD,
  • Alexander C. Kagen, MD,
  • Peter W. Henderson, MD, MBA, FACS

DOI
https://doi.org/10.1097/GOX.0000000000004351
Journal volume & issue
Vol. 10, no. 6
p. e4351

Abstract

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Summary:. Preoperative vascular imaging has been shown to be beneficial before free tissue transfer procedures, especially for deep inferior epigastric perforator flap breast reconstruction. Although computerized tomography angiography and magnetic resonance angiogram are increasingly frequently performed, there is no standardized method for recording, analyzing, and communicating the vast amount of clinically relevant information that is obtained from these tomographic imaging studies. Herein, the authors propose a new visual language system for preoperative imaging called “FlapMap,” which allows for the creation of a clinically actionable, easily understood, and easily communicated single image that aids in preoperative planning before microvascular free tissue transfer.