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J Reconstr Microsurg Open 2016; 01(02): 088-091
DOI: 10.1055/s-0036-1587338
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Lateral Femoral Circumflex Arterial System as Donor Vessels for Extremity Replantation

Erin M. Taylor
1   Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Department of Surgery, Harvard Medical School, Boston, Massachusetts
,
Matthew L. Iorio
1   Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Department of Surgery, Harvard Medical School, Boston, Massachusetts
› Institutsangaben
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Publikationsverlauf

26. Mai 2016

07. Juni 2016

Publikationsdatum:
17. August 2016 (online)

   Lizenzen und Reprints

Abstract

Background Forearm replantation presents with many challenges, including the need for vascular graft material for revascularization. Although frequently harvested for vascular reconstruction, the saphenous vein is often suboptimal for use as vascular conduit due to peripheral vascular disease, atherosclerosis, or size and length limitations.

Methods We describe the use of the lateral femoral circumflex arterial (LFCA) system for arterial and venous graft in the case of a proximal forearm replantation.

Results The LFCA system provided significant amounts of arterial and venous graft after the saphenous vein was found to be suboptimal for conduit in the case of forearm replantation. Postoperatively, the patient developed wound-healing complications at the saphenous vein harvest site but not at the LFCA donor site. The forearm revascularization was successful with recovery of sensation in his digits by 15 months postoperative.

Conclusion The LFCA system is a viable and possible superior alternative to the saphenous vein in vascular reconstruction, providing significant amounts of venous and arterial graft with potentially decreased donor site morbidity and through a well-known approach.

Keywords

extremity replantation - LFCA - vascular grafting
 

  • References

  • 1 Park JH, Min KH, Eun SC, Lee JH, Hong SH, Kim CW. Scalp free flap reconstruction using anterolateral thigh flap pedicle for interposition artery and vein grafts. Arch Plast Surg 2012; 39 (1) 55-58
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 2 Bianchi B, Copelli C, Ferrari S, Ferri A, Sesenna E. Anterolateral thigh flap pedicle for interposition artery and vein grafts in head and neck reconstruction: a case report. Microsurgery 2009; 29 (2) 136-137
    CrossrefPubMedGoogle Scholar
  • 3 Echo A, Bullocks JM. Use of the descending branch of the lateral femoral circumflex vessels as a composite interposition graft in lower extremity reconstruction. Microsurgery 2011; 31 (3) 241-245
    CrossrefPubMedGoogle Scholar
  • 4 Zenn MR, Pribaz J, Walsh M. Use of the descending lateral femoral circumflex artery and vein for vascular grafting: a better alternative to an arteriovenous loop. Plast Reconstr Surg 2010; 126 (1) 140-142
    CrossrefPubMedGoogle Scholar
  • 5 de Niet A, Van Uchelen JH. Hypothenar hammer syndrome: long-term follow-up after ulnar artery reconstruction with the lateral circumflex femoral artery. J Hand Surg Eur Vol 2015; [Epub ahead of print]
    PubMedGoogle Scholar
  • 6 Dethmers RS, Houpt P. Surgical management of hypothenar and thenar hammer syndromes: a retrospective study of 31 instances in 28 patients. J Hand Surg Br 2005; 30 (4) 419-423
    CrossrefPubMedGoogle Scholar
  • 7 Halvorson EG, Taylor HO, Orgill DP. Patency of the descending branch of the lateral circumflex femoral artery in patients with vascular disease. Plast Reconstr Surg 2008; 121 (1) 121-129
    PubMedGoogle Scholar
  • 8 Masden DL, Seruya M, Higgins JP. A systematic review of the outcomes of distal upper extremity bypass surgery with arterial and venous conduits. J Hand Surg Am 2012; 37 (11) 2362-2367
    CrossrefPubMedGoogle Scholar