The success of microsurgical free-flap transfer depends primarily on microvascular anastomosis; however, the flap pedicle length may not always be sufficient for direct microanastomosis. A long venous graft to create an arteriovenous loop in a recipient vessel is usually the solution for these difficult situations.
1The extracorporeal loop technique
- Lee J.W.
- Chen C.L.
- Chiu H.Y.
Femoral-saphenous arteriovenous shunt for free-flap reconstruction of contralateral hip wound.
Br J Plast Surg. 1999; 52: 159-160
2may also suffice in some unique situations as in this case.
- Topalan M.
- Bilgin-Karabulut A.
- Ermis I.
“Extracorporeal loop” (blind loop): an alternative microsurgical technique for prelaminated flap transfer.
J Reconstr Microsurg. 2002; 18: 155-158
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- Femoral-saphenous arteriovenous shunt for free-flap reconstruction of contralateral hip wound.Br J Plast Surg. 1999; 52: 159-160
- “Extracorporeal loop” (blind loop): an alternative microsurgical technique for prelaminated flap transfer.J Reconstr Microsurg. 2002; 18: 155-158
- Sixty-five clinical cases of free tissue transfer using long arteriovenous fistulas or vein grafts.J Trauma. 2004; 56: 1107-1117
- Concept of arteriovenous loupes in high-risk free-tissue transfer: history and clinical experiences.Microsurgery. 2004; 24: 104-113
- Refinements in lower extremity free flap surgery.Clin Plast Surg. 1990; 17: 733-744
Published online: July 28, 2007
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.