The use of indocyanine green angiography in arterialized-venous free flaps: Case report and insight into flap vascular physiology.
Arterialized-venous free flap
Indocyanine green angiography
Journal
JPRAS open
ISSN: 2352-5878
Titre abrégé: JPRAS Open
Pays: Netherlands
ID NLM: 101680420
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
03
01
2022
accepted:
27
02
2022
entrez:
4
4
2022
pubmed:
5
4
2022
medline:
5
4
2022
Statut:
epublish
Résumé
Arterialized venous flaps (AVFs) are an innovative option in hand reconstruction. Their exact vascular physiology and survival mechanisms remain unclear. We report on two hand reconstruction cases with AVFs. Indocyanine green laser angiography was used to assess vascular perfusion of the flaps. A notable change in flap perfusion was seen by 48 h post-operatively with normalization of shunting and progression to a diffuse perfusion pattern resembling traditional flaps. Flap survival was attributed to reversed shunting at the microvascular level occurring within the first 48 h post-operatively.
Identifiants
pubmed: 35368582
doi: 10.1016/j.jpra.2022.02.010
pii: S2352-5878(22)00018-3
pmc: PMC8968199
doi:
Types de publication
Case Reports
Langues
eng
Pagination
116-121Informations de copyright
© 2022 The Author(s). Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.
Déclaration de conflit d'intérêts
None.
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