Magnet Resonance Angiography versus Conventional Angiography for the Planning of Reconstructive Surgeries

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Christian KöhlerVolker Wedler

Abstract

Assessing the vascular status and anatomy of the lower extremity is of crucial importance when planning the coverage of a tissue defect with a free flap. The standard techniques comprise the clinical examination, Doppler ultrasound and Doppler sonography for healthy patients without suspected direct trauma to the vascular system, and conventional digital subtraction angiography (DSA), respectively, in case of traumatized vessels or patients with peripheral arterial obstructive disease. We have conducted a prospective study for the comparison of the magnetic resonance angiography (MRA) to the conventional DSA. Fourteen patients were examined presurgically by means of both a conventional DSA and an MRA before undergoing planned microvascular coverage of tissue defects of the lower extremity. The surgeon, based on a questionnaire, assessed and compared both examination results according to their information content. Furthermore, the presurgically planned level and localization of the vascular anastomoses and the intraoperative findings were compared postoperatively. The MRA examination yielded sufficient information on the vascular anatomy to enable the surgeon to carry out a detailed presurgical planning. Additionally, the use of...Continue Reading

References

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Citations

Feb 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ingo Marzi, John H Barker
Mar 22, 2018·International Psychogeriatrics·Han-Yun TsengChao A Hsiung
Sep 3, 2016·International Psychogeriatrics·Ravi S Bhat, Kenneth Rockwood
Aug 20, 2014·International Psychogeriatrics·G BellelliUNKNOWN AIP delirium study group
Sep 11, 2013·Journal of Nursing Management·Hannah M O'RourkeAnne E Sales

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