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- Title
Reconstruction mammaire par TRAM-flap après mastectomie : place de l'embolisation des artères épigastriques inférieures.
- Authors
Goyault, Gilles; Piat, Jean-Marc
- Abstract
First described at the beginning of the 1980s, and then progressively neglected in favor of the DIEP technique due to a high necrosis rate, breast reconstruction by autologous myocutaneous muscle flap or TRAM-flap benefit from a renewed interest, following the development of TRAM-flap delay. Following the development of TRAM-flap delay. Delayed TRAM-flap consists of redirecting the lower epigastric flow through the upper epigastric arteries in order to maximize the cranio-caudal vascularization of the flap. Various surgical and embolization techniques have been described. Embolization, minimally invasive and as effective as surgery in our series, has become a first-line technique. The joint realization of an abdominal wall angio-CT four to six weeks after embolization made it possible to reduce the necrosis rate from 10 to less than 1% by selecting the patients with the optimal vascularization.
- Subjects
BREAST surgery; NECROSIS; MUSCULOCUTANEOUS flaps; THERAPEUTIC embolization; COMPUTED tomography
- Publication
Sang Thrombose Vaisseaux, 2017, Vol 29, Issue 4, p157
- ISSN
0999-7385
- Publication type
Article
- DOI
10.1684/stv.2017.0981