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.
1
The extracorporeal loop technique
2
may also suffice in some unique situations as in this case.To read this article in full you will need to make a payment
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References
- 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
Article info
Publication history
Published online: July 28, 2007
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
