Abstract:
Identification of vascularization of cutaneous skin flaps is an important step in reconstructive surgery, both in
humans and veterinary medicine. Choosing the right cutaneous flap imply evaluation of its perforators vessels
abundancy also reducing the morbidity of the donor and the receivers site. Cutaneous perforators represent a reliable
source of vascularity allowing reconstruction of defects in plastic surgery base on the principle of reconstructive
similarity. Materials and methods. The study was conducted on 5 pigs, PIC-F 11-337 hybrid, with a weight between
35-55kg. The pigs were subjected to sedation and anesthesia. The contrast agent used for Angio CT was
VISIPAQUE 320 that was automatically injected using a CT 9000 ADV Contrast Delivery System. Scanning
procedure was performed on SIEMENS SOMATOMSCOPE system. Results and discussions. After contrast agent
injection, the scan was performed at 3 mm slice thickness, 110-130 kV and 25-66 mAs, and the reconstruction was made
at 0.5 mm and 1 mm per slice. In the arterial time were identify the cutaneous perforators that irrigate the abdominal
skin. Base on Angio CT images, the vessels identify with contrast agent were tried to by highlighted using surgical
procedures. Conclusion. CT Angiography is a technique that help chart the cutaneous perforator, being an imaging
technique that have a real potential in establishing the proper cutaneous flap in case of plastic surgery.
