Código numérico 158336Palabras clave Colgajos perforantes, Planificación preoperatoria Código numérico 158336La valoración preoperatoria precisa de la anatomía vascular es altamente valiosa para conseguir la mejor planificación quirúrgica y poder realizar colgajos de perforantes de una forma más rápida y segura. La localización de la mejor perforante y la valoración de su trayecto hasta el vaso origen es esencial para definir la perforante ideal para nuestro colgajo. Por tanto, después de estudiar el tipo de defecto a reconstruir, el punto clave será el encontrar una perforante con un flujo sanguíneo adecuado, una localización apropiada y una disección sencilla. An accurate preoperative evaluation of the vascular anatomy is extremely valuable in improving the surgical strategy in perforator flaps and performing safer and faster procedures. The placement of the best perforators and the assessment of their course to the source vessel is essential to define the ideal perforator for our chosen flap. Therefore, after assessing the quality and the dimensions of the soft tissue requirements, the key step in the surgical planning is to find a perforator with a good blood supply, a suitable location inside our flap and an easy dissection route. Planificación preoperatoria de los colgajos de perforantesMasià, J.

Computerized tomography angiography showed best results in the mapping of the supraclavicular artery, but with an inability to define the perforator perfusion territories, and also with risks of irradiation, while indocyanine green angiography is a good alternative as it could precisely map the superficial course of the artery and angiosomes, with no radiation exposure.

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