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J Reconstr Microsurg 1998; 14(1): 67-74
DOI: 10.1055/s-2007-1006904
ORIGINAL ARTICLE

© 1998 by Thieme Medical Publishers, Inc.

A Method for Prevention of Arterialized Venous Flap Necrosis

Akihiro Fukui, Yuji Inada, Keiichi Murata, Yasuo Ueda, Susumu Tamai
  • Department of Orthopedic Surgery, Nara Medical University, Nara, Japan
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Publication History

Accepted for publication 1997

Publication Date:
08 March 2008 (online)

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ABSTRACT

The authors used a delayed arteriovenous (A-V) shunt method to prevent congestion and necrosis of arterialized venous flaps. Two weeks before elevating the flap, an A-V shunt between the central artery and vein was created at the more proximal flap end. Twelve rabbits (24 flaps) were used for this experiment. Flaps were followed for 4 weeks. Twelve of 24 flaps survived completely; another 10 flaps showed partial necrosis, and two flaps became completely necrotic. These results demonstrated that this method is superior to a simple A-V shunt in preventing congestion and necrosis in the arterialized venous flap.