PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 12740885

Retrograde arterialized venous flap: an experimental study.

Harald E T Moshammer·Franz X Schwarzl·Franz M Haas·Heinrich Maechler·Gerhard Pierer·Marco Wiltgen·Horst Koch
View original source ↗Export metadata ↓

Abstract

An experimental model was established to study circulation in retrograde arterialized venous flaps (RAVF). Venous flaps measuring 7 x 4 cm with a matching venous system were harvested from both forearms of 10 fresh human cadavers. In each trial, both flaps were simultaneously perfused with heparinized human blood driven by a pulsatile circulation model. In each trial there was one flap with retrograde perfusion, and one flap with antegrade perfusion. Clinical assessment, measurement of outflow, and angiographic examination with digitally assisted assessment after 3 h of perfusion showed better results for retrograde perfusion in 8 of the 10 trials. This study indicates that blood circulation in the periphery of arterialized venous flaps can be enhanced by retrograde arterialization.

Explore related subjects

AngiographyArteriesForearmHumansMicrosurgeryModels, CardiovascularPulsatile FlowPlastic Surgery ProceduresRegional Blood FlowSurgical FlapsVeinsJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Harald E T Moshammer, Franz X Schwarzl, Franz M Haas, Heinrich Maechler, Gerhard Pierer, Marco Wiltgen, Horst Koch. 2003. Retrograde arterialized venous flap: an experimental study.. https://doi.org/10.1002/micr.10108

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Transhepatic vascular access for diagnostic and interventional procedures: techniques, outcome, and complications.

Early or multiple cardiac catheterizations may result in occlusion of the femoral veins prohibiting their use. The internal jugular or sub-clavian approach may be an appropriate alternative. However, these approaches may not be suitable in patients with surgical interruption of the superior vena cava. In other patients, they may not allow easy access to certain areas of the heart. The transhepatic approach is an important alternative route for performing cardiac catheterization and interventions. Depending on the planned procedure, it may be the preferred route to perform the cardiac catheterization even in the presence of patent femoral veins. The indications, technical details and potential complications of this approach are discussed.

Angiography↗
PubMed2007

Embolization for a bleeding pelvic fracture in a patient with persistent sciatic artery.

Emergency embolization for a bleeding pelvic fracture was performed in a patient with persistent sciatic artery, a rare anatomic variation in which the internal iliac artery continues to the popliteal artery. Successful hemostasis was achieved without complications by means of selective catheterization into each branch of the internal iliac artery. Awareness of this unusual vascular anatomy is critically important to avoid serious complication of emergency embolization.

Angiography↗