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Pre-Operative Imaging of Abdominal Wall Perforators Using CT Angiography (DIEP)
This study is ongoing, but not recruiting participants.
First Received: July 15, 2008   Last Updated: September 7, 2008   History of Changes
Sponsored by: Tel-Aviv Sourasky Medical Center
Information provided by: Tel-Aviv Sourasky Medical Center
ClinicalTrials.gov Identifier: NCT00748722
  Purpose

Abdominal donor-site flaps, including the transverse rectus abdominis musculocutaneous (TRAM) and deep inferior epigastric artery perforator flaps(DIEP), are standard in autologous breast reconstruction. With significant variation in the vascular anatomy of the abdominal wall, preoperative imaging is essential for preoperative planning and reducing intraoperative error.

The quest continues for optimal preoperative assessment. Computed tomographic angiography has recently been proposed as a noninvasive modality for this purpose. It provides the location of the perforator vessels, diameter and anatomic course in regards to the rectus muscle. In this study we will perform preoperative lower abdominal computed tomographic angiography in DIEP flap breast reconstruction patients.


Condition Intervention
Breast Reconstruction
Device: CT Angiography

MedlinePlus related topics: Breast Reconstruction
Drug Information available for: Iodine
U.S. FDA Resources
Study Type: Observational
Study Design: Case-Only, Prospective
Official Title: Pre-Operative Imaging of Abdominal Wall Perforators Using CT Angiography for DIEP Breast Reconstruction

Further study details as provided by Tel-Aviv Sourasky Medical Center:

Primary Outcome Measures:
  • 1 year from starting date [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Biospecimen Retention:   None Retained

Biospecimen Description:

Estimated Enrollment: 20
Study Start Date: September 2008
Estimated Study Completion Date: August 2009
Estimated Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
1
Female patients, age 18-60 years, suitable for breast reconstruction using the lower abdominal tissue.
Device: CT Angiography
Injection of contrast material (iodine)

Detailed Description:

Abdominal donor-site flaps, including the transverse rectus abdominis musculocutaneous (TRAM) and deep inferior epigastric artery perforator flaps(DIEP), are standard in autologous breast reconstruction. With significant variation in the vascular anatomy of the abdominal wall, preoperative imaging is essential for preoperative planning and reducing intraoperative error.

The quest continues for optimal preoperative assessment. Computed tomographic angiography has recently been proposed as a noninvasive modality for this purpose. It provides the location of the perforator vessels, diameter and anatomic course in regards to the rectus muscle. In this study we will perform preoperative lower abdominal computed tomographic angiography in DIEP flap breast reconstruction patients.

We plan to study 20 patients, eligible for lower abdominal-based breast reconstruction.

  Eligibility

Ages Eligible for Study:   18 Years to 60 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Female patients, age 18-60 years eligible for lower abdominal breast reconstruction

Criteria

Inclusion Criteria:

  • Female, age 18-60 years
  • Appropriate for lower abdominal based breast reconstruction.
  • Consented the use of CT Angiography

Exclusion Criteria:

  • Age under 18 years or over 60.
  • Pregnant women
  • Allergy to iodine
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00748722

Locations
Israel
Tel-Aviv Medical Center
Tel-Aviv, Israel, 64239
Sponsors and Collaborators
Tel-Aviv Sourasky Medical Center
Investigators
Study Chair: Yoav Barnea, MD Tel Aviv Medical Center
Principal Investigator: Arie Blachar, MD Tel Aviv Medical Center
Principal Investigator: Eyal Gur, MD Tel Aviv Medical Center
  More Information

Publications:
Responsible Party: Tel Aviv Medical Center ( Yoav Barnea, MD )
Study ID Numbers: TASMC-08-YB-0181-CTIL
Study First Received: July 15, 2008
Last Updated: September 7, 2008
ClinicalTrials.gov Identifier: NCT00748722     History of Changes
Health Authority: Israel: Ministry of Health

Keywords provided by Tel-Aviv Sourasky Medical Center:
Breast reconstruction
Perforator flaps
CT Angiography

Study placed in the following topic categories:
Iodine

ClinicalTrials.gov processed this record on May 07, 2009