Multiple Vascular Anastomoses with Vein Grafts for Salvage of Congestive Flaps

Yuzaburo Namba; Yoshio Takahashi; Seiko Ito; Isao Koshima

doi:10.1055/s-2004-815639

Journal of Reconstructive Microsurgery, Table of Contents

J Reconstr Microsurg 2003; 19(8): 531-536
DOI: 10.1055/s-2004-815639

Multiple Vascular Anastomoses with Vein Grafts for Salvage of Congestive Flaps

Yuzaburo Namba, Yoshio Takahashi, Seiko Ito , Isao Koshima

Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

Abstract

ABSTRACT

The authors present two cases in which the venous drainage of transferred flaps was compromised and the flaps were salvaged by vein grafts. Traditionally, once transferred free flaps had become congestive, surgeons would re-anastomose the thrombosed veins, and administer anticoagulants or carry out peripheral vessel dilation. These authors recommend not only re-anastomosis of veins, but also additional venous drainage, with or without vein grafts.

KEYWORDS

Multiple vascular anastomoses - vein graft - congestive flap

Full Text

References

REFERENCES

1 Serletti J M, Moran S L, Orland G S. et al . Urokinase protocol for free-flap salvage following prolonged venous thronbosis. Plast Reconstr Surg . 1998; 102 1947-1953
2 May J W, Rothkopf D M. Salvage of failing microvascular free muscle flap by direct continuous intravascular infusion of heparine: a case report. Plast Reconstr Surg . 1989; 83 1045-1048
3 Yii N W, Evans G R, Reece G P. et al . Thrombolytic therapy: what is its role in free flap salvage?. Ann Plast Surg . 2001; 46 601-604
4 de Chalain M T. Exploring the use of the medicinal leech: a clinical risk-benefit analysis. J Reconstr Microsurg . 1996; 3 165-172
5 Kato H, Takada T, Yukawa M. et al . External venous shunt as solution to venous thrombosis in microvascular surgery. Br J Plast Surg . 2001; 54 164-166
6 Ueno S, Lovsund P, Oberg P A. Effect of alternating magnetic fields and low-frequency electric currents on human skin blood flow. Med Biol Eng Comput . 1986; 24 57-61
7 Wei F C, Jain V, Suominen S. et al . Confusion among perforator flaps: what is a true perforator flap?. Plast Reconstr Surg . 2001; 107 874-876
8 Wei F C, Jain V, Celik N. et al . Have we found an ideal soft-tissue flap?. An experience with 672 anterolateral thigh flaps. Plast Reconstr Surg . 2002; 109 2219-2226
9 Koshima I, Inagawa K, Yamamoto M. et al . New microsurgical breast reconstruction using free paraumbilical perforator adiposal flaps. Plast Reconstr Surg . 2000; 106 61-65