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In vivo vascular freezing in clinical microvascular transfer
Author(s) -
Cavadas Pedro C.
Publication year - 1996
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/(sici)1098-2752(1996)17:3<121::aid-micr3>3.0.co;2-p
Subject(s) - medicine , dissection (medical) , surgery , complication , refractory (planetary science) , in vivo , vascular disease , artery , free flap , microvascular surgery , microsurgery , physics , microbiology and biotechnology , astrobiology , biology
Free flap transfer to the lower limb in chronic post‐traumatic conditions is known to have a higher complication rate, with flap loss in up to 10% of cases, due mainly to the recipient vessels (Godina: Plast Reconstruct Surg 78:285–291, 1986]). The dissection of these vessels often leads to refractory spasm, due to the so‐called perivascular post‐traumatic disease (PVPTD) (Khouri [Clin Plast Surg 19:773–785, 1992]). A case is presented of the use of a fairly new spasmolytic maneuver, i.e., in vivo vascular freezing, in a patient who developed intractable spasm of the recipient artery. © 1996 Wiley‐Liss, Inc.