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Use of vein loops in reconstructive procedures
Author(s) -
Giovanoli Pietro,
Meyer Viktor E.
Publication year - 1998
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(1998)18:4<242::aid-micr5>3.0.co;2-l
Subject(s) - medicine , microsurgery , surgery , reconstructive surgery , vein , radiation therapy , fistula , arteriovenous fistula
The use of a temporary arteriovenous fistula prior to flap harvesting was suggested by Threlfall in 1982 (Threlfall, Aust NZ J Surg 52: 182–184, 1982). The basic idea is to use long venous grafts that can be branched side‐to‐end to a main artery at an easily accessible level using one of the well‐established exposures from general vascular surgery. In reconstructive microsurgery, AV‐loops are used in limb salvage procedures and in cancer surgery. These patients have often undergone previous surgery and additional radiotherapy. AV‐loops facilitate the use of normal recipient vessels out of the zone of injury, or far away from scar or irradiated tissue. © 1998 Wiley‐Liss, Inc. MICROSURGERY 18:242–245, 1998