Mechanical failure of a Fogarty catheter in a microsurgical procedure: A case report

Summary Although microvascular free-tissue transfer has become a reliable reconstructive method, vascular compromise of the flap necessitating surgical exploration and attempts at flap salvage commonly occurs. Thrombectomy using Fogarty vascular catheters can be used in the setting of vascular pedic...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2011-07, Vol.64 (7), p.966-968
Main Authors: Rizis, D, Bibeau Poirier, J, Nikolis, A, Brutus, J.-P, Cordoba, C
Format: Article
Language:English
Subjects:
Aged
Anastomosis, Surgical - adverse effects
Anastomosis, Surgical - methods
Biological and medical sciences
Catheterization - adverse effects
Catheterization - instrumentation
Device Removal
Equipment Failure
Fogarty catheter
Follow-Up Studies
Forearm - blood supply
Forearm - surgery
Humans
Male
Mechanical failure
Medical sciences
Microsurgery
Microsurgery - adverse effects
Microsurgery - methods
Microsurgical free-flap salvage
Mouth Neoplasms - pathology
Mouth Neoplasms - surgery
Plastic Surgery
Reconstructive Surgical Procedures - adverse effects
Reconstructive Surgical Procedures - methods
Risk Assessment
Salvage Therapy - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps - adverse effects
Surgical Flaps - blood supply
Thrombectomy
Thrombectomy - methods
Thrombosis - etiology
Thrombosis - therapy
Treatment Outcome
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Summary:Summary Although microvascular free-tissue transfer has become a reliable reconstructive method, vascular compromise of the flap necessitating surgical exploration and attempts at flap salvage commonly occurs. Thrombectomy using Fogarty vascular catheters can be used in the setting of vascular pedicle thrombosis. However, this is not without potential complications. The following report describes a case in which the use of a Fogarty vascular catheter during a thrombectomy for microsurgical flap salvage resulted in complete separation of the balloon from the catheter.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2010.10.012