Preoperative Color Duplex Echographical Venous Mapping Before Autologous Fat Graft for Calf Augmentation: A Case Report of Superficial Vein Thrombosis and Prevalence of Intersaphenic Anastomosis
ABSTRACTAutologous fat grafting for calf augmentation is considered an easy and safe technique. Only few cases of potential complications have been described in literature; among them, vein thrombosis was never reported. We report a case of superficial vein thrombosis of the intersaphenic anastomosi...
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| Veröffentlicht in: | Annals of plastic surgery 2014-08, Vol.73 (2), p.137-140 |
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| creator | Fraccalvieri, Marco Contessa, Luigi Salomone, Marco Zingarelli, Enrico Maria Bruschi, Stefano |
| description | ABSTRACTAutologous fat grafting for calf augmentation is considered an easy and safe technique. Only few cases of potential complications have been described in literature; among them, vein thrombosis was never reported. We report a case of superficial vein thrombosis of the intersaphenic anastomosis after fat graft for calf symmetrization in club-foot syndrome. A color duplex echographical study showed that such intersaphenic anastomoses are present in all patients, but they have an ectatic diameter in 70% of patients with great saphenous vein insufficiency and in 50% of patients without insufficiency. The plastic surgeon should be aware of the presence and topography of such anatomical variations before performing the procedure. Moreover, a preoperative color duplex echographical venous mapping may help the surgeon in avoiding the trauma on vein variants and subsequent complications. |
| doi_str_mv | 10.1097/SAP.0b013e318271007b |
| format | Article |
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Only few cases of potential complications have been described in literature; among them, vein thrombosis was never reported. We report a case of superficial vein thrombosis of the intersaphenic anastomosis after fat graft for calf symmetrization in club-foot syndrome. A color duplex echographical study showed that such intersaphenic anastomoses are present in all patients, but they have an ectatic diameter in 70% of patients with great saphenous vein insufficiency and in 50% of patients without insufficiency. The plastic surgeon should be aware of the presence and topography of such anatomical variations before performing the procedure. 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Only few cases of potential complications have been described in literature; among them, vein thrombosis was never reported. We report a case of superficial vein thrombosis of the intersaphenic anastomosis after fat graft for calf symmetrization in club-foot syndrome. A color duplex echographical study showed that such intersaphenic anastomoses are present in all patients, but they have an ectatic diameter in 70% of patients with great saphenous vein insufficiency and in 50% of patients without insufficiency. The plastic surgeon should be aware of the presence and topography of such anatomical variations before performing the procedure. Moreover, a preoperative color duplex echographical venous mapping may help the surgeon in avoiding the trauma on vein variants and subsequent complications.</description><subject>Adult</subject><subject>Aged</subject><subject>Cosmetic Techniques</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Leg - abnormalities</subject><subject>Leg - blood supply</subject><subject>Leg - diagnostic imaging</subject><subject>Leg - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Preoperative Care - methods</subject><subject>Saphenous Vein - anatomy & histology</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Subcutaneous Fat, Abdominal - transplantation</subject><subject>Transplantation, Autologous</subject><subject>Ultrasonography, Doppler, Duplex</subject><subject>Venous Thrombosis - diagnostic imaging</subject><subject>Venous Thrombosis - etiology</subject><subject>Venous Thrombosis - prevention & control</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAURS0EokPhDxDykk2K7Th2wm4Y2lKpiIoWtpHjvEwMjh1sp4Xf48twmMKCBStLfufe93QvQs8pOaGkka-ut1cnpCO0hJLWTFJCZPcAbWhViqKUpH6INoTyupCEl0foSYxfCKGs5uIxOmJlxWpRsg36eRXAzxBUMreAd976gN8us4Xv-FSPfh_UPBqtLP4Mzi8Rv1fzbNwev4HBB8DbJWXJfp2cqYTPgxoSzhO8U3bI0_0ELmVv717jbf6MgD_C7EPCfsDXS148GG1-2xuHb8bgp85HE7FyPc6n3SoLTsNKX7gEIeZzwBmNt07F5KeVfYoeDcpGeHb_HqNPZ6c3u3fF5Yfzi932stAlqbqiq2rGlRSgBlVJJkSTA6OaN7XoRdNRRvpeCq67istBSEIzJ2Xf9Yw1lVS0PEYvD75z8N8WiKmdTNRgrXKQA2hpxbnkjNYryg-oDj7GAEM7BzOp8KOlpF3ba3N77b_tZdmL-w1LN0H_V_SnrgzUB-DO2zWNr3a5g9COoGwa_-_9C7Qaq6o</recordid><startdate>201408</startdate><enddate>201408</enddate><creator>Fraccalvieri, Marco</creator><creator>Contessa, Luigi</creator><creator>Salomone, Marco</creator><creator>Zingarelli, Enrico Maria</creator><creator>Bruschi, Stefano</creator><general>by Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201408</creationdate><title>Preoperative Color Duplex Echographical Venous Mapping Before Autologous Fat Graft for Calf Augmentation: A Case Report of Superficial Vein Thrombosis and Prevalence of Intersaphenic Anastomosis</title><author>Fraccalvieri, Marco ; 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Only few cases of potential complications have been described in literature; among them, vein thrombosis was never reported. We report a case of superficial vein thrombosis of the intersaphenic anastomosis after fat graft for calf symmetrization in club-foot syndrome. A color duplex echographical study showed that such intersaphenic anastomoses are present in all patients, but they have an ectatic diameter in 70% of patients with great saphenous vein insufficiency and in 50% of patients without insufficiency. The plastic surgeon should be aware of the presence and topography of such anatomical variations before performing the procedure. Moreover, a preoperative color duplex echographical venous mapping may help the surgeon in avoiding the trauma on vein variants and subsequent complications.</abstract><cop>United States</cop><pub>by Lippincott Williams & Wilkins</pub><pmid>23528632</pmid><doi>10.1097/SAP.0b013e318271007b</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Cosmetic Techniques Female Follow-Up Studies Humans Leg - abnormalities Leg - blood supply Leg - diagnostic imaging Leg - surgery Male Middle Aged Postoperative Complications - diagnostic imaging Postoperative Complications - etiology Postoperative Complications - prevention & control Preoperative Care - methods Saphenous Vein - anatomy & histology Saphenous Vein - diagnostic imaging Subcutaneous Fat, Abdominal - transplantation Transplantation, Autologous Ultrasonography, Doppler, Duplex Venous Thrombosis - diagnostic imaging Venous Thrombosis - etiology Venous Thrombosis - prevention & control |
| title | Preoperative Color Duplex Echographical Venous Mapping Before Autologous Fat Graft for Calf Augmentation: A Case Report of Superficial Vein Thrombosis and Prevalence of Intersaphenic Anastomosis |
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