## Abstract Three weeks after radial forearm free flap phalloplasty, a 28βyearβold femaleβtoβmale transsexual presented with ischaemia of the neophallus. A salvage procedure was started 7 hours after onset of ischemia. Thrombectomy of the arterial pedicle did not result in venous return of the arte
Salvage of free flaps after venous thrombosis: Case report
β Scribed by Christian T. Bonde; Lars Heslet; Erik Jansen; Jens J. Elberg
- Publisher
- John Wiley and Sons
- Year
- 2004
- Tongue
- English
- Weight
- 84 KB
- Volume
- 24
- Category
- Article
- ISSN
- 0738-1085
No coin nor oath required. For personal study only.
β¦ Synopsis
Venous thrombosis of a free flap is a serious complication in microsurgery. Several agents with the ability to dissolve an occluding thrombus exist. Recombinant tissue plasminogen activator (rt-PA) seems the most effective. We present our experience with a procedure that was successful in elimination of the occluding thrombus in two patients.
π SIMILAR VOLUMES
## Abstract The internal jugular vein (IJV) is used as the optimal recipient for freeβtissue transfer in reconstruction following modified radical neck dissection. Some reports documented rare cases of flap compromise following IJV thrombosis, but large sample studies are few. We present cases of e
## Abstract A case is presented in which a myocutaneous free flap survived with only superficial marginal necrosis after being subjected to 15 hours of ischemia. The role of hypothermia and perfusion in preserving the flap are discussed.
## Abstract Free flap vascular pedicle avulsion represents an extremely rare complication in reconstructive microsurgery. Very few cases have been reported in the literature, most of them identified in free flap breast reconstruction. As a result, little data is currently available on the etiology