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

来源：

JOURNAL OF RECONSTRUCTIVE MICROSURGERY | 1998年 / 14卷 / 02期

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

页码：127 / 129

页数：3

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