Myocutaneous flap failure: Early detection with Gd-DTPA-enhanced MR imaging

R. M. Varnell, Paul Flint, R. W. Dalley, K. R. Maravilla, C. W. Cummings, W. P. Shuman

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Magnetic resonance (MR) imaging was used to evaluate myocutaneous flap viability in an animal model. Bilateral myocutaneous panniculus carnosus groin flaps were created in 14 piglets. Eight of the piglets underwent early occlusion of the vascular pedicle to one flap that resulted in flap failure in all cases. Six piglets underwent late occlusion of the vascular pedicle to one flap that resulted in flap survival in all cases. Spin-echo T1- and T2-weighted MR images were obtained from all piglets 2 and 24 hours after occlusion. Additional gadolinium diethylenetriaminepentaacetic acid (DTPA)-enhanced serial T1-weighted images were obtained in four piglets who underwent early occlusion and in four piglets who underwent late occlusion of the pedicle. The T2-weighted images showed increased signal intensity in both occluded and control flaps and thus did not help predict flap viability. Gd-DTPA-enhanced images enabled accurate prediction of flap viability. The images of early-occluded (non-viable) flaps demonstrated no contrast material enhancement, while both the late-occluded (viable) flaps and the control flaps were contrast enhanced. The authors conclude that Gd-DTPA-enhanced MR imaging can help predict myocutaneous flap variability in piglets.

Original languageEnglish (US)
Pages (from-to)755-758
Number of pages4
JournalRadiology
Volume173
Issue number3
StatePublished - 1989
Externally publishedYes

Fingerprint

Myocutaneous Flap
Magnetic Resonance Imaging
Acids
Blood Vessels
Groin
Gadolinium
Contrast Media
Magnetic Resonance Spectroscopy
Animal Models

Keywords

  • Gadolinium
  • Muscles
  • Muscles, ischemia
  • Muscles, MR studies

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Varnell, R. M., Flint, P., Dalley, R. W., Maravilla, K. R., Cummings, C. W., & Shuman, W. P. (1989). Myocutaneous flap failure: Early detection with Gd-DTPA-enhanced MR imaging. Radiology, 173(3), 755-758.

Myocutaneous flap failure : Early detection with Gd-DTPA-enhanced MR imaging. / Varnell, R. M.; Flint, Paul; Dalley, R. W.; Maravilla, K. R.; Cummings, C. W.; Shuman, W. P.

In: Radiology, Vol. 173, No. 3, 1989, p. 755-758.

Research output: Contribution to journalArticle

Varnell, RM, Flint, P, Dalley, RW, Maravilla, KR, Cummings, CW & Shuman, WP 1989, 'Myocutaneous flap failure: Early detection with Gd-DTPA-enhanced MR imaging', Radiology, vol. 173, no. 3, pp. 755-758.
Varnell RM, Flint P, Dalley RW, Maravilla KR, Cummings CW, Shuman WP. Myocutaneous flap failure: Early detection with Gd-DTPA-enhanced MR imaging. Radiology. 1989;173(3):755-758.
Varnell, R. M. ; Flint, Paul ; Dalley, R. W. ; Maravilla, K. R. ; Cummings, C. W. ; Shuman, W. P. / Myocutaneous flap failure : Early detection with Gd-DTPA-enhanced MR imaging. In: Radiology. 1989 ; Vol. 173, No. 3. pp. 755-758.
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