Steven Lee MD, Presenter: Nothing to Disclose

John Ross McGrath MD, Abstract Co-Author: Nothing to Disclose

Ravinder Sidhu MD, Abstract Co-Author: Nothing to Disclose

Joel P. Thompson MD, Abstract Co-Author: Nothing to Disclose

1. Correct categorization of the branching pattern of Deep Inferior Epigastric Arteries (DIEA). 2. Identification of the different portions of the DIEA (i.e. intramuscular, subfascial, superificial). 3. Correctly describe the position of perforating branches with respect to the umbilicus. 4. Be familiar with entities that may jeopardize flap repair or render flap repair difficult. Be familiar with complications after flap repair.  

Breast reconstruction after mastectomy may be performed with a DIEP flap as opposed to a Transverse rectus abdominis myocutaneous (TRAM) flap. This technique offers the advantage of sparing the rectus muscle and this decreasing postsurgical morbidity [Blondeel, N., et al., The donor site morbidity of free DIEP flaps and free TRAM flaps for breast reconstruction]. This flap is comprised of the abdominal subcutaneous tissues and a portion of the DIEA. As such, surgeons rely on the radiologist to properly evaluate the DIEA for surgical planning.  1. DIEP flap repair vs TRAM flap repair. 2. Pictorial review of type I, II, and III DIEA’s. 3. Evaluation of the course and diameter of the different segments of the DIEA 4. Documenting the position of perforating branches in relation to the umbilicus. 5. Cases demonstrating pre- and post-surgical complications 

http://abstract.rsna.org/uploads/2014/14008988/14008988_4n5e.pdf

Lee, S, McGrath, J, Sidhu, R, Thompson, J, Evaluation of the Deep Inferior Epigastric Artery Perforator (DIEP) for Flap Repair after Mastectomy.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008988.html