Flap salvage in a "flow-through" flap by manual thrombectomy plus thrombolytic therapy

被引:12
作者
Wechselberger, G [1 ]
Schoeller, T [1 ]
Ohler, K [1 ]
Anderl, H [1 ]
Ninkovic, M [1 ]
机构
[1] Univ Innsbruck, Univ Hosp Plast & Reconstruct Surg, A-6020 Innsbruck, Austria
关键词
D O I
10.1055/s-2007-1000155
中图分类号
R61 [外科手术学];
学科分类号
摘要
A delay in identifying incipient flap failure may inevitably lead to complete pedicle thrombosis and the no-reflow phenomenon. The authors report a clinical case of a lateral arm free flap that suffered complete pedicle thrombosis. They successfully salvaged this flap, a type C fasciocutaneous "flow-through" flap, by manually moving the thrombus from proximal to distal in the main flap artery. This freed the septofasciocutaneous upward-perforating branches, by smoothing and applying firm pressure to the vessel, combined with thrombolytic therapy. Their technique is offered as an alternative procedure for salvaging a failing flow-through flap.
引用
收藏
页码:127 / 129
页数:3
相关论文
共 14 条
[1]  
AMES A, 1968, AM J PATHOL, V52, P437
[2]   EFFECTS OF STREPTOKINASE AND UROKINASE ON MICROARTERIAL THROMBOSIS AND HEMOSTASIS - AN EXPERIMENTAL-STUDY IN RABBITS [J].
ARNLJOTS, B ;
DOUGAN, P ;
SALEMARK, L ;
BERGQVIST, D .
SCANDINAVIAN JOURNAL OF PLASTIC AND RECONSTRUCTIVE SURGERY AND HAND SURGERY, 1994, 28 (01) :9-13
[3]   STREPTOKINASE IN THE MANAGEMENT OF LIMB ARTERIAL THROMBOSIS FOLLOWING FREE-FLAP SURGERY [J].
CANGE, S ;
LABERGE, LC ;
RIVARD, GE ;
GAREL, L .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1987, 79 (06) :974-976
[4]   EFFECTS OF PERFUSION OF VARIOUS SOLUTIONS ON NO-REFLOW PHENOMENON IN EXPERIMENTAL FREE FLAPS [J].
CHAIT, LA ;
MAY, JW ;
OBRIEN, BM ;
HURLEY, JV .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1978, 61 (03) :421-430
[5]   A CLASSIFICATION OF FASCIO-CUTANEOUS FLAPS ACCORDING TO THEIR PATTERNS OF VASCULARIZATION [J].
CORMACK, GC ;
LAMBERTY, BGH .
BRITISH JOURNAL OF PLASTIC SURGERY, 1984, 37 (01) :80-87
[6]   REPERFUSION OF SKELETAL-MUSCLE AFTER WARM ISCHEMIA [J].
ERIKSSON, E ;
REPLOGLE, RL ;
GLAGOV, S .
ANNALS OF PLASTIC SURGERY, 1987, 18 (03) :224-229
[7]   IMPROVED EFFICACY OF UROKINASE FURTHER PROLONGS ISCHEMIC SKIN-FLAP SURVIVAL [J].
HIRIGOYEN, MB ;
PRABHAT, A ;
ZHANG, WX ;
URKEN, ML ;
WEINBERG, H .
JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 1995, 11 (02) :151-155
[8]   MICRO-VASCULAR FIBRINOLYSIS AFTER ISCHEMIA - ITS RELATION TO VASCULAR PATENCY AND TISSUE SURVIVAL [J].
JACOBS, GR ;
REINISCH, JF ;
PUCKETT, CL .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1981, 68 (05) :737-741
[9]   STREPTOKINASE SALVAGE OF A FREE-TISSUE TRANSFER - CASE-REPORT AND REVIEW OF THE LITERATURE [J].
LIPTON, HA ;
JUPITER, JB .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1987, 79 (06) :977-981
[10]   LATE SALVAGE OF A FREE-FLAP PHALLOPLASTY - A CASE-REPORT [J].
NOORDANUS, RP ;
HAGE, JJ .
MICROSURGERY, 1993, 14 (09) :599-600