Retrograde arterialized venous flap: An experimental study

An experimental model was established to study circulation in retrograde arterialized venous flaps (RAVF). Venous flaps measuring 7 × 4 cm with a matching venous system were harvested from both forearms of 10 fresh human cadavers. In each trial, both flaps were simultaneously perfused with hepariniz...

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Veröffentlicht in:Microsurgery 2003, Vol.23 (2), p.130-134
Hauptverfasser: Moshammer, Harald E.T., Schwarzl, Franz X., Haas, Franz M., Maechler, Heinrich, Pierer, Gerhard, Wiltgen, Marco, Koch, Horst
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container_end_page 134
container_issue 2
container_start_page 130
container_title Microsurgery
container_volume 23
creator Moshammer, Harald E.T.
Schwarzl, Franz X.
Haas, Franz M.
Maechler, Heinrich
Pierer, Gerhard
Wiltgen, Marco
Koch, Horst
description An experimental model was established to study circulation in retrograde arterialized venous flaps (RAVF). Venous flaps measuring 7 × 4 cm with a matching venous system were harvested from both forearms of 10 fresh human cadavers. In each trial, both flaps were simultaneously perfused with heparinized human blood driven by a pulsatile circulation model. In each trial there was one flap with retrograde perfusion, and one flap with antegrade perfusion. Clinical assessment, measurement of outflow, and angiographic examination with digitally assisted assessment after 3 h of perfusion showed better results for retrograde perfusion in 8 of the 10 trials. This study indicates that blood circulation in the periphery of arterialized venous flaps can be enhanced by retrograde arterialization. © 2003 Wiley‐Liss, Inc. MICROSURGERY 23:130–134 2003
doi_str_mv 10.1002/micr.10108
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Venous flaps measuring 7 × 4 cm with a matching venous system were harvested from both forearms of 10 fresh human cadavers. In each trial, both flaps were simultaneously perfused with heparinized human blood driven by a pulsatile circulation model. In each trial there was one flap with retrograde perfusion, and one flap with antegrade perfusion. Clinical assessment, measurement of outflow, and angiographic examination with digitally assisted assessment after 3 h of perfusion showed better results for retrograde perfusion in 8 of the 10 trials. This study indicates that blood circulation in the periphery of arterialized venous flaps can be enhanced by retrograde arterialization. © 2003 Wiley‐Liss, Inc. 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subjects Angiography
Arteries - physiopathology
Arteries - surgery
Biological and medical sciences
Forearm - blood supply
Forearm - diagnostic imaging
Forearm - surgery
Humans
Medical sciences
Microsurgery - methods
Models, Cardiovascular
Pulsatile Flow - physiology
Reconstructive Surgical Procedures - methods
Regional Blood Flow - physiology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps - blood supply
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Veins - physiopathology
Veins - surgery
title Retrograde arterialized venous flap: An experimental study
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