In vivo vascular freezing in clinical microvascular transfer

✍ Scribed by Pedro C. Cavadas

• Book ID: 101273470
• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 194 KB
• Volume: 17
• Category: Article
• ISSN: 0738-1085
• DOI: 10.1002/(sici)1098-2752(1996)17:3<121::aid-micr3>3.0.co;2-p

✦ Synopsis

Free flap transfer to the lower limb in chronic post-traumatic conditions is known to have a higher complication rate, with flap loss in up to 10% of cases, due mainly to the recipient vessels (Godina: Plast Reconstruct Surg 78:285-291, who developed intractable spasm of the recipient artery. 1986l). The dissection of these vessels often leads to refrac-disease (PVPTD) (Khouri [Clin Plast Surg 19:773-785, 19921). A case is presented of the use of a fairly new spasmolytic maneuver, i.e., in vivo vascular freezing, in a patient 0 1996 Wiley-Liss, Inc. tory spasm, due to the so-called perivascular post-traumatic MICROSURGERY 17:121-122 1996

Las transferencias microvasculares para reconshuccion de patologias cronicas postraumaticas de miembro inferior tienen un indice de fracasos mayor, con perdida del colgajo en hasta un 10% de 10s casos, debido a problemas con 10s vasos receptores (enfermedad postaumatica perivascular) Se presenta un caso clinico de espasmo arterial refractario en el vaso receptor de un colgajo osteocutheo peroneo libre para reconstruccion de un defect0 segmentario en tibia por arma de fuego, sin posibilidad de vaso receptor altemativo El espasmo fue tratado mediante congelacion in vivo con cloruro de etilo, resultando en buen flujo arterial y exit0 del colgajo.