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Article

Three-dimensional contrast-enhanced magnetic resonance angiography for anterolateral thigh flap outlining: A retrospective case series of 68 patients

  • Authors:
    • Chunjing Jiang
    • Ping Lin
    • Xiaoyan Fu
    • Jiner Shu
    • Huimin Li
    • Xiaogang Hu
    • Jianrong He
    • Mingxing Ding
  • View Affiliations / Copyright

    Affiliations: Department of Radiology, Jinhua Municipal Central Hospital, Jinhua, Zhejiang 321000, P.R. China, Department of Hand‑Foot Surgery, Jinhua Municipal Central Hospital, Jinhua, Zhejiang 321000, P.R. China, Department of Medical Sciences, Jinhua College of Profession and Technology, Jinhua, Zhejiang 321007, P.R. China, Department of Radiology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, P.R. China
  • Pages: 1067-1074
    |
    Published online on: May 25, 2016
       https://doi.org/10.3892/etm.2016.3387
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Abstract

Flap transfer is increasingly used for repairing limb defects secondary to trauma or tumor, and appropriate preoperative planning plays a critical role. The present study aimed to examine the use of three-dimensional (3D) contrast-enhanced magnetic resonance angiography (CE-MRA) in evaluating the blood supply distribution and perforating branch pattern of anterolateral thigh (ALT) flaps. Bilateral donor lower limbs were scanned in 68 patients (136 limbs) using a Siemens Avanto 1.5 T magnetic resonance imaging scanner with a 3D fast low‑angle shot sequence, following the thin‑slab maximum intensity projection (TS‑MIP) technique. The lateral femoral circumflex artery (LFCA) was visualized in all patients: 101 limbs (101/136, 74.3%) were type I; 20 limbs (20/136, 14.7%) were type II; 3 limbs (3/136, 2.2%) were type III; and 12 limbs (12/136, 8.8%) were type IV. Tertiary branches were identified in 94 limbs (94/136, 69.1%). Donor flaps were outlined according to MRA TS‑MIP findings in 4 patients. All flaps survived uneventfully following the transfer. In donor flap outlining, 3D CE‑MRA with the TS‑MIP technique allowed an accurate, direct visualization of the branching pattern and distribution profile of the LFCA supplying the ALT flap.
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Copy and paste a formatted citation
Spandidos Publications style
Jiang C, Lin P, Fu X, Shu J, Li H, Hu X, He J and Ding M: Three-dimensional contrast-enhanced magnetic resonance angiography for anterolateral thigh flap outlining: A retrospective case series of 68 patients. Exp Ther Med 12: 1067-1074, 2016.
APA
Jiang, C., Lin, P., Fu, X., Shu, J., Li, H., Hu, X. ... Ding, M. (2016). Three-dimensional contrast-enhanced magnetic resonance angiography for anterolateral thigh flap outlining: A retrospective case series of 68 patients. Experimental and Therapeutic Medicine, 12, 1067-1074. https://doi.org/10.3892/etm.2016.3387
MLA
Jiang, C., Lin, P., Fu, X., Shu, J., Li, H., Hu, X., He, J., Ding, M."Three-dimensional contrast-enhanced magnetic resonance angiography for anterolateral thigh flap outlining: A retrospective case series of 68 patients". Experimental and Therapeutic Medicine 12.2 (2016): 1067-1074.
Chicago
Jiang, C., Lin, P., Fu, X., Shu, J., Li, H., Hu, X., He, J., Ding, M."Three-dimensional contrast-enhanced magnetic resonance angiography for anterolateral thigh flap outlining: A retrospective case series of 68 patients". Experimental and Therapeutic Medicine 12, no. 2 (2016): 1067-1074. https://doi.org/10.3892/etm.2016.3387
Copy and paste a formatted citation
x
Spandidos Publications style
Jiang C, Lin P, Fu X, Shu J, Li H, Hu X, He J and Ding M: Three-dimensional contrast-enhanced magnetic resonance angiography for anterolateral thigh flap outlining: A retrospective case series of 68 patients. Exp Ther Med 12: 1067-1074, 2016.
APA
Jiang, C., Lin, P., Fu, X., Shu, J., Li, H., Hu, X. ... Ding, M. (2016). Three-dimensional contrast-enhanced magnetic resonance angiography for anterolateral thigh flap outlining: A retrospective case series of 68 patients. Experimental and Therapeutic Medicine, 12, 1067-1074. https://doi.org/10.3892/etm.2016.3387
MLA
Jiang, C., Lin, P., Fu, X., Shu, J., Li, H., Hu, X., He, J., Ding, M."Three-dimensional contrast-enhanced magnetic resonance angiography for anterolateral thigh flap outlining: A retrospective case series of 68 patients". Experimental and Therapeutic Medicine 12.2 (2016): 1067-1074.
Chicago
Jiang, C., Lin, P., Fu, X., Shu, J., Li, H., Hu, X., He, J., Ding, M."Three-dimensional contrast-enhanced magnetic resonance angiography for anterolateral thigh flap outlining: A retrospective case series of 68 patients". Experimental and Therapeutic Medicine 12, no. 2 (2016): 1067-1074. https://doi.org/10.3892/etm.2016.3387
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