ArticlePlastic and reconstructive surgery. Global open2026
Computed Tomographic Angiography-guided Zero-CO
Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
Total loss of a free deep inferior epigastric perforator flap is a devastating complication in autologous breast reconstruction, particularly in low-body mass index Asian patients with limited salvage options. A reliable pedicled alternative that minimizes donor-site morbidity is therefore essential. We report a case of a 47-year-old woman who developed complete deep inferior epigastric perforator flap necrosis and was successfully salvaged using a computed tomographic angiography-guided endoscopic thoracodorsal artery perforator (TDAP) flap based on the lateral thoracodorsal artery. Through a single 8-cm posterior axillary incision, the TDAP pedicle was skeletonized endoscopically with minimal muscle harvest and without gas insufflation. The flap survived completely without seroma or shoulder dysfunction, and the donor-site scar was inconspicuous at 6-month follow-up. This case demonstrates that computed tomographic angiography-guided endoscopic TDAP flap harvest without CO
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