Arteriovenous Fistula following Radial Forearm Free Flap
Autor: | Elliott H. Rose, Peter J. Taub, Aman Patel, Jeremy Nikfarjam |
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Rok vydání: | 2011 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Arteriovenous fistula Free flap Free Tissue Flaps Neck Injuries Postoperative Complications Forearm Humans Medicine Embolization business.industry Vascular disease Anastomosis Surgical Arteriovenous malformation Middle Aged medicine.disease Debulking Surgery medicine.anatomical_structure Arteriovenous Fistula Female Radiology Burns business Artery |
Zdroj: | Journal of Reconstructive Microsurgery. 27:295-298 |
ISSN: | 1098-8947 0743-684X |
Popis: | The authors describe the development of a right facial arteriovenous fistula following debulking of a radial forearm free flap for reconstruction of the neck due to a burn contraction scar. The arteriovenous fistula was immediately excised following interventional embolization, without recurrence on postoperative follow-up. The authors report this as being the first arteriovenous fistula following a secondary debulking procedure, likely due to cross-clamping of the vascular pedicle. Thus, the authors recommend that the vascular pedicle be identified and that the artery and vein be selectively ligated during secondary debulking procedure following microvascular free flap reconstruction to avoid communication of the respective vessels potentially predisposing to development of an unintended arteriovenous fistula. |
Databáze: | OpenAIRE |
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