Use of digital subtraction angiography for assessment of digital replantation

Wang, Liuhong; Zhang, Guangqiang

doi:10.1631/jzus.b1100223

Cited by 8 publications

(13 citation statements)

References 12 publications

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“…To date, studies have presented contrary data, with several authors citing arterial issues, whereas others have implicated venous etiologies. 14,16 We found a similar frequency of arterial versus venous compromise following replant. This may reflect a similar pathophysiology of the arterial versus venous systems following traumatic amputation.…”

Section: Discussionsupporting

confidence: 57%

“…This study evaluated 16 studies including 1,192 digital replant/revascularizations procedures. 14,16,19,20,[23][24][25][26][27][28][29][30][31][32][33][34] Studies were published between the years 1980 and 2016. Publications represented the following geographical locations: Italy, United States, United Kingdom, China, Taiwan, Singapore, Slovakia, Austria, Turkey, Japan, and India.…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, there exists contradictory evidence as J Hand Microsurg:2020;12:111-115 to whether arterial or venous anastomoses represent a major cause of vascular complication. Some studies indicate that arterial insufficiency is a common cause for digit replantation failure, [11][12][13][14] whereas others cite venous issues. 9,[15][16][17][18][19][20][21] Furthermore, the optimal treatment modality following vascular compromise is not well described in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Etiology and Survival of Secondary Revascularizations after Hand and Digit Replantations

Shaterian¹,

Sayadi²,

Anderson³

et al. 2020

Journal of Hand and Microsurgery

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Objective Hand and digit replantations can be complicated by vascular insufficiency necessitating revision of the original replantation. To date, few studies have evaluated outcomes in secondary revascularizations following replantation. Therefore, the objective of this study was to evaluate the incidence, etiology, and survival rates following secondary revascularization after hand and digit replantations. Materials and Methods A literature search was performed on NCBI for studies documenting secondary revascularization procedures following hand and digit replant. Studies were evaluated for the etiology of vascular failure, frequency of secondary revascularization, and survival rates following intervention. Statistical analysis was conducted across the pooled dataset. Results A total of 16 studies including 1,192 amputations were analyzed. We found that 16.9% (201/1,192) of replants were complicated by vascular compromise. The frequency of vascular compromise was not statistically different between arterial and venous etiologies. The survival rate following secondary revascularization was 55.6%, with no significant difference between the arterial and venous groups. Secondary arterial revascularization was often treated with arterial revision (nine of nine studies) and/or with vein grafting (two of nine studies). Secondary revascularization for venous insufficiency resulted in different survival rates for nonsurgical modalities (58%) versus vein revision (37.5%) versus vein grafting (100%). Conclusion Survival rates following secondary revascularization are lower; however, they may be improved using vein grafts following venous insufficiency. These data can be used to better understand the etiology of replant failure and guide decision-making.

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Section: Discussionsupporting

confidence: 57%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Etiology and Survival of Secondary Revascularizations after Hand and Digit Replantations

Shaterian¹,

Sayadi²,

Anderson³

et al. 2020

Journal of Hand and Microsurgery

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“…Bleeding after heparin dose (hours) 24 11. Perfusion 17,19,37,56 12. Success/survival 9,16,17,19,21,22, 13.…”

Section: Discussionmentioning

confidence: 99%

“…Success/survival 9,16,17,19,21,22, 13. Anastomosis success 18,45,49,56 14. Venous congestion 21,32,40,42 15.…”

Section: Discussionmentioning

confidence: 99%

Reporting Outcomes and Outcome Measures in Digital Replantation: A Systematic Review

Moltaji

Gallo

Wong

et al. 2020

Journal of Hand and Microsurgery

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Purpose There is a lack of consensus on what the critical outcomes in replantation are and how best to measure them. This review aims to identify all reported outcomes and respective outcome measures used in digital replantation. Materials and Methods Randomized controlled trials, cohort studies, and single-arm observational studies of adults undergoing replantation with at least one well-described outcome or outcome measure were identified. Primary outcomes were classified into six domains, and outcome measures were classified into eight domains. The clinimetric properties were identified and reported. A total of 56 observational studies met the inclusion criteria. Results In total, 29 continuous and 29 categorical outcomes were identified, and 87 scales and instruments were identified. The most frequently used outcomes were survival of replanted digit, sensation, and time in hospital. Outcomes and measures were most variable in domains of viability, quality of life, and motor function. Only eight measures used across these domains were validated and proven reliable. Conclusion Lack of consensus creates an obstacle to reporting, understanding, and comparing the effectiveness of various replantation strategies.

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Digital replantation/revascularization: predictive factors to microsurgery success—a single-center study

Navarro

Jordà

Alonso

2019

Eur J Trauma Emerg Surg

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Use of digital subtraction angiography for assessment of digital replantation

Cited by 8 publications

References 12 publications

Etiology and Survival of Secondary Revascularizations after Hand and Digit Replantations

Etiology and Survival of Secondary Revascularizations after Hand and Digit Replantations

Reporting Outcomes and Outcome Measures in Digital Replantation: A Systematic Review

Digital replantation/revascularization: predictive factors to microsurgery success—a single-center study

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