Optimising Computed Tomography Angiogram Assessment in Breast Reconstruction

Methods: An algorithm for logical assessment of the CTA has been developed over the senior author's 9.5-year experience, which guides hemi-abdomen and perforator choice, number of perforators required and whether a muscle sparing TRAM or even a TRAM flap is the optimal choice for each individual.Results: This algorithm has been used successfully and taught locally.Total flap loss rate in 350 flaps was 0.57%, partial flap loss rate 0.28% and fat necrosis rate 2.57%.Conclusions: This simple, methodical and reliable CTA algorithm represents a way to limit the learning curve for less experienced surgeons.