WebDec 20, 2024 · Patients with severe injury or vasculopathy of the extremities often require resurfacing of tissue defects as well as preservation of functional blood flow to distal areas. In conventional free flap transfer, the recipient vessel is sacrificed to facilitate pedicle anastomosis. On the other hand, a flow‐through flap can provide blood flow to distal … WebMay 12, 2024 · The arterial pedicle of the flap was prepared in a Y-shaped fashion and microanastomosed to the posterior tibial artery of intact leg in a flow-through style. A split-thickness skin graft was applied to wrap the vascular pedicle after anastomosis. The flap was designed in a single or bilobed fashion according to the shape of the tissue defect.
Flow‐through anastomosis for both the artery and vein in …
WebMar 1, 2024 · Discussion. The gold standard for free flap monitoring is clinical examination, but this is not possible in buried free flaps. 7 Devices such as venous flow couplers can increase detection rate of flap problems post-operatively and are less intrusive for patients than examination with a hand-held Doppler. 4 Previous practice was to include a … WebMay 17, 2024 · Flow-through flap. Flow-through free flaps are a valuable technique for lower extremity reconstruction in the setting of vascular injury. A flow-through flap is characterized by anastomosis at two sites along the recipient artery using a segment of flap artery as an interpositional graft to reconstruct the recipient artery. The blood flow ... dead man\u0027s game one piece
The use of venous anastomotic flow couplers to monitor …
WebSep 9, 2010 · A thin ALT p flap was used in the reconstruction. Case 3 was a 37-year-old man who had a skin defect on the dorsum caused by a degloving injury of the right hand. Although an ALT p flap was selected, a flow-through anastomosis was performed because the distal area and fingers require stable blood circulation. WebMay 27, 2024 · A flow-through ALT with anastomosis to the AT after resecting the stenotic portion was performed (Figs. 4, 5). The proximal anastomosis was performed in the … WebIndocyanine green (ICG) is injected into a peripheral vein. The vessels are illuminated with a laser, and the fluorescence is picked up by a charged couple device video camera. Flow is assessed by: (i) visual quality of the … genentech patient foundation pdf