{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:20:10Z","timestamp":1783110010817,"version":"3.54.6"},"reference-count":18,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T00:00:00Z","timestamp":1781913600000},"content-version":"vor","delay-in-days":170,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The anterior intercostal artery perforator (AICAP) flap has emerged as a viable option in breast reconstructive surgery for salvaging implants compromised by infection or radiotherapy. However, its application in delayed implant exposure following prepectoral reconstruction remains limited in the literature. The authors report the case of a 54-year-old woman who presented with localized infection and implant exposure following nipple-sparing mastectomy and prepectoral breast reconstruction with a silicone implant. Oncologic recurrence was excluded. Conventional conservative therapy failed, and the defect was successfully managed with an AICAP flap for implant salvage. This case highlights the feasibility of this technique as a less invasive alternative to avoid implant removal and secondary reconstruction, particularly in selected patients without extensive soft tissue compromise.<\/jats:p>\n                  <jats:p>Level of Evidence: 5 (Therapeutic)<\/jats:p>\n                  <jats:p\/>","DOI":"10.1093\/asjof\/ojag113","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:13:29Z","timestamp":1781612009000},"source":"Crossref","is-referenced-by-count":0,"title":["Anterior Intercostal Artery Perforator Flap for Delayed Implant Exposure Salvage After Prepectoral Breast Reconstruction"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3608-6187","authenticated-orcid":false,"given":"Rossella","family":"Gioco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Caruso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaetano","family":"Castiglione","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariagloria","family":"Marino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ada","family":"Cinquerrui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Cannata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debora Simona","family":"Fichera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola Francesca","family":"Musmeci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantina","family":"Balafa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Latino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Rosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Catanuto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dario","family":"Virz\u00ec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,20]]},"reference":[{"key":"2026070315414758000_ojag113-B1","doi-asserted-by":"publisher","first-page":"e454","DOI":"10.1016\/j.clbc.2021.01.015","article-title":"Direct to implant breast reconstruction with prepectoral micropolyurethane foam-coated implant: analysis of patient satisfaction","volume":"21","author":"Salgarello","year":"2021","journal-title":"Clin Breast Cancer"},{"key":"2026070315414758000_ojag113-B2","doi-asserted-by":"publisher","first-page":"10e","DOI":"10.1097\/PRS.0000000000010493","article-title":"Prevention of postoperative complications by prepectoral versus subpectoral breast reconstruction: a systematic review and meta-analysis","volume":"153","author":"Kim","year":"2024","journal-title":"Plast Reconstr Surg"},{"key":"2026070315414758000_ojag113-B3","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1097\/SAP.0000000000002190","article-title":"Prepectoral versus subpectoral implant-based breast reconstruction: a meta-analysis","volume":"85","author":"Li","year":"2020","journal-title":"Ann Plast Surg"},{"key":"2026070315414758000_ojag113-B4","doi-asserted-by":"publisher","first-page":"690","DOI":"10.1055\/s-0041-1735939","article-title":"Exposed implant after immediate breast reconstruction\u2014presentation and analysis of a clinical management protocol","volume":"43","author":"Hassan","year":"2021","journal-title":"Rev Bras Ginecol Obstet"},{"key":"2026070315414758000_ojag113-B5","doi-asserted-by":"publisher","first-page":"1051","DOI":"10.1016\/j.bjps.2019.04.005","article-title":"A systematic review of complications in prepectoral breast reconstruction","volume":"72","author":"Wagner","year":"2019","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"2026070315414758000_ojag113-B6","doi-asserted-by":"publisher","first-page":"106988","DOI":"10.1016\/j.ejso.2023.106988","article-title":"Thoraco-dorsal artery perforator flap for totally autologous primary breast reconstruction. Assessment of feasibility with standard reporting scales","volume":"49","author":"Virz\u00ec","year":"2023","journal-title":"Eur J Surg Oncol"},{"key":"2026070315414758000_ojag113-B7","doi-asserted-by":"publisher","first-page":"416","DOI":"10.21037\/atm-23-1384","article-title":"Management of complications following implant-based breast reconstruction: a narrative review","volume":"11","author":"Meshkin","year":"2023","journal-title":"Ann Transl Med"},{"key":"2026070315414758000_ojag113-B8","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1016\/j.jpra.2024.09.002","article-title":"Anterior intercostal artery flap for implant salvation procedure in aesthetic breast surgery. Case report","volume":"42","author":"Miguel-Escuredo","year":"2024","journal-title":"JPRAS Open"},{"key":"2026070315414758000_ojag113-B9","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1097\/SAP.0000000000001196","article-title":"A simple flap design for the salvage of immediate implant-based breast reconstruction","volume":"80","author":"Yazar","year":"2018","journal-title":"Ann Plast Surg"},{"key":"2026070315414758000_ojag113-B10","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000004798","article-title":"Comparing polyurethane and acellular dermal matrix implant cover in prepectoral breast reconstruction: short-term complications","volume":"11","author":"Correia-Pinto","year":"2023","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"2026070315414758000_ojag113-B11","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1002\/micr.30884","article-title":"Anterior intercostal artery perforator flap for immediate reconstruction following breast conservation surgery","volume":"43","author":"Adler","year":"2023","journal-title":"Microsurgery"},{"key":"2026070315414758000_ojag113-B12","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1097\/00000637-197905000-00008","article-title":"The intercostal flap: an anatomical and hemodynamic approach","volume":"2","author":"Kerrigan","year":"1979","journal-title":"Ann Plast Surg"},{"key":"2026070315414758000_ojag113-B13","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1016\/j.bjps.2006.01.006","article-title":"The versatility of the inter-costal artery perforator (ICAP) flaps","volume":"59","author":"Hamdi","year":"2006","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"2026070315414758000_ojag113-B14","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1097\/SAP.0b013e31818d4570","article-title":"The island anterior intercostal artery perforator flap as another option for the difficult epigastric abdominal wound","volume":"63","author":"Hallock","year":"2009","journal-title":"Ann Plast Surg"},{"key":"2026070315414758000_ojag113-B15","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1002\/micr.30171","article-title":"Anterior intercostal artery perforator flap in immediate breast reconstruction: anatomical study and clinical application","volume":"37","author":"Carrasco-L\u00f3pez","year":"2017","journal-title":"Microsurgery"},{"key":"2026070315414758000_ojag113-B16","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000004548","article-title":"Intercostal artery perforator flap for salvage breast reconstruction with exposed breast implants","volume":"10","author":"Mesa","year":"2022","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"2026070315414758000_ojag113-B17","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000005957","article-title":"New applications of the anterior intercostal artery perforator flap for prosthetic breast reconstruction in the setting of postoperative radiotherapy","volume":"12","author":"Marruzzo","year":"2024","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"2026070315414758000_ojag113-B18","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1093\/asj\/sjad301","article-title":"One-stage implant-based breast reconstruction with polyurethane-coated device: standardized assessment of outcomes","volume":"44","author":"Catanuto","year":"2024","journal-title":"Aesthet Surg J"}],"container-title":["Aesthetic Surgery Journal Open Forum"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/asjopenforum\/advance-article-pdf\/doi\/10.1093\/asjof\/ojag113\/68563072\/ojag113.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/doi\/10.1093\/asjof\/ojag113\/68563072\/ojag113.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/doi\/10.1093\/asjof\/ojag113\/68563072\/ojag113.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T19:41:54Z","timestamp":1783107714000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article\/doi\/10.1093\/asjof\/ojag113\/8712134"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":18,"URL":"https:\/\/doi.org\/10.1093\/asjof\/ojag113","relation":{},"ISSN":["2631-4797"],"issn-type":[{"value":"2631-4797","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026]]},"published":{"date-parts":[[2026]]},"article-number":"ojag113"}}