2015
DOI: 10.1002/micr.22476
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Flow‐through anastomosis for both the artery and vein in leg free flap transfer

Abstract: The key to successful leg free flap transfer is to prevent venous failure; thus, flow-through venous anastomosis may be a breakthrough solution. Preferential use of flow-through anastomosis for both the artery and vein can provide predictable results in leg free flap transfer.

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Cited by 28 publications
(22 citation statements)
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“…According to previous studies, a flow-through conduit may provide a good balance between blood supply and pressure inside the flap and simultaneously contribute to a normograde flow from both proximal and distal stumps of the recipient artery. 12,13 Moreover, flow-through flaps allow future microsurgical intervention and multistage flap procedures without increased risk of vascular compromise of the extremity in case of recurring disease. 14 Even though the latissimus dorsi muscle flap and the anterolateral thigh flap are mostly described for the flow-through procedure, this technique is applicable in many other flaps 7,8,[15][16][17][18][19][20][21][22][23][24][25][26] with the only requirement being the presence of a side branch with an acceptable diameter for the anastomosis to the distal stump of the recipient artery.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…According to previous studies, a flow-through conduit may provide a good balance between blood supply and pressure inside the flap and simultaneously contribute to a normograde flow from both proximal and distal stumps of the recipient artery. 12,13 Moreover, flow-through flaps allow future microsurgical intervention and multistage flap procedures without increased risk of vascular compromise of the extremity in case of recurring disease. 14 Even though the latissimus dorsi muscle flap and the anterolateral thigh flap are mostly described for the flow-through procedure, this technique is applicable in many other flaps 7,8,[15][16][17][18][19][20][21][22][23][24][25][26] with the only requirement being the presence of a side branch with an acceptable diameter for the anastomosis to the distal stump of the recipient artery.…”
Section: Discussionmentioning
confidence: 99%
“…Similarly, the evolution of the musculocutaneous flap to the perforator flap might be expected from a "regular" single endto-end anastomosis to a flow-through procedure, minimizing the donor-site morbidity. 13,14 An important drawback of the flow-through flap procedure is the increase of the potential risk of complications in performing a second arterial anastomosis in the absence of an arterial gap. In spite of the increased number of anastomosis, previous studies recognized that this procedure is valuable, safe and a comfortable alternative in selected cases.…”
Section: Discussionmentioning
confidence: 99%
“…This also present other advantages such as increasing direct venous return and reducing edema formation, therefore improving the salvage rates [114] . Fujiki et al [115] analyzed whether flow-through anastomosis affects the failure rate of free flaps, compared with traditional end-to-end and end-to-side anastomosis techniques. According to their clinical findings, in the leg, flow-through anastomosis for both the artery and vein had an excellent success rate.…”
Section: Devascularized Limbsmentioning
confidence: 99%
“…8 In summary, all of the above-mentioned factors may add up to result in an injury of the inner vessel wall, the endothelium, and can potentially lead to thrombosis and obstruction of arteries and veins, representing the greatest risk factors for flap failure. 9,10 In a recent study, we assessed the impact of different defect configurations on thrombosis formation immediately following intimal injury and found that vertical defects were associated with the highest risk of early thrombus formation. 11 In this article, we focused on the changes of diversely shaped endothelial defects seven days after intimal injury.…”
mentioning
confidence: 99%