The distally based, venous supercharged anterolateral thigh flap

Abstract

end-to-side to the saphenous vein with the interposition of a vein graft as a 3rd choice.The dissection of reasonable length (8-10 cm) of the proximal pedicle of the LCF vessels will facilitate the venous anastomosis without GSV sacrifice. Nevertheless, any attempt for venous supercharging with the superficial venous system is worthwhile only if has patency and competency, and a triplex ultrasound study must always precede the operation. We would like to congratulate Lin et al. for their contribution on the impact of venous supercharging of distally based ALT and excellent outcomes.

“Reverse tensor fascia latae perforator flap for reconstruction of knee defect: Anatomic study by computed tomographic angiography and a case report”

“…Restoration of antegrade venous drainage via the great saphenous vein or a superficial vein (supercharging) may have been proposed if some venous insufficiency was observed. (Gravvanis & Britto, 2017; Lin et al, 2016)…”

“…Restoration of antegrade venous drainage via the great saphenous vein or a superficial vein (supercharging) may have been proposed if some venous insufficiency was observed. (Gravvanis & Britto, 2017;Lin et al, 2016) Considering the variability of LCFA branching patterns, lower limb vascular imaging is mandatory for preoperative planning of a reverse TFL perforator flap. The author team prefers CTA as it allows: i. to explore the injured bone and plan the orthopedic procedure,…”

“…Concomitant exploration of the superficial venous system patency could be realized in anticipation of a venous supercharging. (Gravvanis & Britto, 2017)…”

Venous Supercharging Reduces Complications and Improves Outcomes of Distally Based Sural Flaps

“…6,7 Meanwhile, venous supercharging has been developed to improve the reliability of some useful pedicle flaps with arterial inflow and venous return that include a volumetric or spatial disproportion [8][9][10][11][12] or due to a nonphysiologic retrograde venous return. [13][14][15][16][17][18][19] Despite some interesting results, no studies have demonstrated the benefit of venous supercharging on the reliability of DBNCSF.…”