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Open Access
CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(04): 543-548
DOI: 10.1055/s-0042-1744424
Extremity/Lymphedema
Review Article

The Use of Arteriovenous Bundle Interposition Grafts in Microsurgical Reconstruction: A Systematic Review of the Literature

Authors

  • Aurora M. Kareh

    1   Division of Plastic and Reconstructive Surgery, Saint Louis University School of Medicine, St. Louis, Missouri

  • Kashyap Komarraju Tadisina

    1   Division of Plastic and Reconstructive Surgery, Saint Louis University School of Medicine, St. Louis, Missouri

  • Magnus Chun

    2   Tulane University School of Medicine, New Orleans, Louisiana

  • Sumesh Kaswan

    1   Division of Plastic and Reconstructive Surgery, Saint Louis University School of Medicine, St. Louis, Missouri

  • Kyle Y. Xu

    3   Division of Plastic Surgery, University of Miami Miller School of Medicine, Miami, Florida
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Abstract

Microvascular reconstruction frequently requires anastomosis outside of the zone of injury for successful reconstruction. Multiple options exist for pedicle lengthening including vein grafts, arteriovenous loops, and arteriovenous bundle interposition grafts. The authors performed a systematic review of arteriovenous bundle interposition grafts to elucidate indications and outcomes of arteriovenous grafts in microvascular reconstruction. A systematic review of the literature was performed using targeted keywords. Data extraction was performed by two independent authors, and descriptive statistics were used to analyze pooled data. Forty-four patients underwent pedicle lengthening with an arteriovenous graft from the descending branch of the lateral circumflex femoral artery. Most common indications for flap reconstruction were malignancy (n = 12), trauma (n = 7), and diabetic ulceration (n = 4). The most commonly used free flap was the anterolateral thigh flap (n = 18). There were five complications, with one resulting in flap loss. Arteriovenous bundle interposition grafts are a viable option for pedicle lengthening when free flap distant anastomosis is required. The descending branch of the lateral circumflex femoral artery may be used for a variety of defects and can be used in conjunction with fasciocutaneous, osteocutaneous, muscle, and chimeric free flaps.

Keywords

arteriovenous bundle interposition grafts - pedicle lengthening - arteriovenous loop - arteriovenous grafts

Author Contributions

All authors listed were involved equally in conceiving and designing the study, data collection and analysis, and manuscript writing and editing.




Publikationsverlauf

Artikel online veröffentlicht:
30. Juli 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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