Use of vein loops in reconstructive procedures

The use of a temporary arteriovenous fistula prior to flap harvesting was suggested by Threlfall in 1982 (Threlfall, Aust NZ J Surg 52: 182–184, 1982). The basic idea is to use long venous grafts that can be branched side‐to‐end to a main artery at an easily accessible level using one of the well‐es...

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Bibliographic Details
Published in:Microsurgery 1998, Vol.18 (4), p.242-245
Main Authors: Giovanoli, Pietro, Meyer, Viktor E.
Format: Article
Language:English
Subjects:
Arteriovenous Shunt, Surgical - methods
Extremities - surgery
Humans
Microsurgery - methods
Neoplasms - surgery
Surgical Flaps
Transplantation, Autologous - methods
Veins - transplantation
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Summary:The use of a temporary arteriovenous fistula prior to flap harvesting was suggested by Threlfall in 1982 (Threlfall, Aust NZ J Surg 52: 182–184, 1982). The basic idea is to use long venous grafts that can be branched side‐to‐end to a main artery at an easily accessible level using one of the well‐established exposures from general vascular surgery. In reconstructive microsurgery, AV‐loops are used in limb salvage procedures and in cancer surgery. These patients have often undergone previous surgery and additional radiotherapy. AV‐loops facilitate the use of normal recipient vessels out of the zone of injury, or far away from scar or irradiated tissue. © 1998 Wiley‐Liss, Inc. MICROSURGERY 18:242–245, 1998
ISSN:0738-1085
1098-2752
DOI:10.1002/(SICI)1098-2752(1998)18:4<242::AID-MICR5>3.0.CO;2-L