Evaluation of a temporary arteriovenous shunt to establish neovascularization in a musculocutaneous flap: an experimental study.

Abstract:

:On the dorsum of adult Sprague-Dawley rats, 3 x 7 cm pedicle flaps were raised and a temporary arteriovenous shunt (AVS) from anastomosis of the tail artery and vein was placed beneath. Fourteen, 21 and 28 days later, the pedicle flaps were converted to island flaps leaving only the AVS attachment. The degree of subsequent flap viability was directly related to the amount of time before flap conversion. At 14, 21 and 28 day intervals, there was 33.4%, 73.5% and 98% flap viability, respectively. Long-term AVS patency was found not to be required for flap survival. Normal hair growth, quantity and quality, occurred in only the 28 day delay group. Microangiography and histologic examination revealed extensive neovascularization from both the AVS artery and vein extending into the muscle, subcutaneous tissue and skin layers of each island flap. In summary, neovascularization of a large random pattern musculocutaneous island flap is possible using a temporary arteriovenous shunt. Flap survival is directly related to the length of time between AVS placement and cutaneous pedicle division, although long-term AVS patency is not required for continued flap viability. Hair growth may directly reflect the degree of underlying neovascular maturation. This AVS neovascularization technique could be applied to create new donor sites for free tissue transfer.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Zhou ZY,Nichter LS,West BR,Navarrette PM

doi

10.1002/micr.1920150115

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

63-9

issue

1

eissn

0738-1085

issn

1098-2752

journal_volume

15

pub_type

杂志文章
  • Partial tibial nerve transfer to tibialis anterior for traumatic peroneal nerve palsy.

    abstract:BACKGROUND:Partial tibial nerve transfer to the motor branches of tibialis anterior is an emerging reconstructive technique for the treatment of traumatic common peroneal nerve (CPN) injury; however, few papers in the literature describe clinical outcomes. METHODS:A prospective single-surgeon series of nine consecutiv...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30174

    authors: Ferris S,Maciburko SJ

    更新日期:2017-09-01 00:00:00

  • Microvascular replantation in a seven-month-old girl: a case report.

    abstract::Replantation of an amputated digit in a child demands special techniques for success. Our experiences with replantation in this age group have shown that although these patients have a lower viability rate after digital replantation, those digits that do survive develop excellent function. In this case report of a 7-m...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920090308

    authors: Gaul JS 3rd,Nunley JA

    更新日期:1988-01-01 00:00:00

  • Selective heparinization of venous anastomosis in latissimus dorsi free flaps to cover lower-extremity soft-tissue defects.

    abstract::Two groups of consecutive patients treated with latissimus dorsi free myocutaneous flaps to cover lower-extremity soft-tissue defects were compared for postoperative vascular occlusion. In the first group of 13 patients (group I), there were five (38%) venous occlusions and no arterial occlusions. The second group of ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920120414

    authors: Labosky DA

    更新日期:1991-01-01 00:00:00

  • Effects of some pharmacological agents on the survival of unipedicled venous flaps: an experimental study.

    abstract::Clinical and experimental studies have been conducted to improve the survival of venous flaps. As a result of these studies, although various survival mechanisms were raised, none obtained satisfactory information. Venous stasis, and the resultant venous thrombosis, is a factor that decreases the survival of venous fl...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.21801

    authors: Askar I,Saray A,Gurlek A,Sevin K,Sabuncuoglu BT

    更新日期:2001-01-01 00:00:00

  • Abdominoplasty as the patient impetus for selection of the deep inferior epigastric artery perforator free flap for knee coverage.

    abstract::Extensive wounds about the knee can rarely be covered with local or even regional flaps. Free flaps often then become obligatory. Many factors will determine the surgeon's selection of the best donor site. Yet the patients' concerns with donor site morbidity cannot be overlooked. Most would agree that a large, but rel...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22144

    authors: Hallock GG

    更新日期:2014-02-01 00:00:00

  • Small bowel transplantation.

    abstract::Small intestinal transplantation has had several clinical attempts based on extensive experimental work during the past two decades. Several models, such as auxiliary (heterotopic) or orthotopic models, have been developed in regard to problems with graft immunology and function. The question of mesenteric-portal or m...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.1920110411

    authors: Schroeder P,Gundlach M,Schweizer E,Deltz E

    更新日期:1990-01-01 00:00:00

  • Colon transplantation: a new microvascular technique.

    abstract::This paper describes a new transplantation technique, using the colon instead of the small bowel for intestinal transplantation. With microsurgical techniques, allogeneic colon transplantation was carried out in rats in a heterotopic fashion. The vascular pedicle containing the aortic cuff and the portal vein was anas...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920140313

    authors: Plapler H,Cohen Z

    更新日期:1993-01-01 00:00:00

  • Experimental vasospasm.

    abstract::Vasospasm is known to be present during most microvascular procedures. Not until recently has microsurgery made it possible to directly observe the dynamic nature of vascular spasm. This report reviews the physiologic events and the causes of vascular spasm during microsurgery. The current research models and the use ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920080413

    authors: Seaber AV

    更新日期:1987-01-01 00:00:00

  • Modified crush-avulsion anastomosis model on the rat femoral vein.

    abstract::A crush-avulsion anastomosis model was established on the rat femoral vein. Saline or heparin was used as a luminal topical agent and was allowed to contact the damaged endothelium for 10 min. Patency and coagulation parameters were investigated for 1 week. The heparin treated group had a patency rate of 93% at 1 hr v...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920160806

    authors: Fu K,Izquierdo R,Hubbard T,Fareed J

    更新日期:1995-01-01 00:00:00

  • Assessment of the patency of microvascular anastomoses using microscope-integrated near-infrared angiography: a preliminary study.

    abstract:BACKGROUND:: Technical problems at the site of the anastomosis compromise an underappreciated proportion of microsurgical free tissue transfers. Intraoperative identification of technical errors may be able to prevent reexploration surgery and early flap failure. We report the first human study on a new microscope-inte...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20645

    authors: Holm C,Mayr M,Höfter E,Dornseifer U,Ninkovic M

    更新日期:2009-01-01 00:00:00

  • Versatility of the thin groin flap.

    abstract::The groin flap is one of the most usable flaps. It provides a large amount of skin coverage with an easily concealed donor site. However, when the flap is used to reconstruct areas of the neck, hand, or foot, a secondary procedure for defatting is usually necessary. Thinner flaps are thought to be more useful in these...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(SICI)1098-2752(1996)17:1<41::AID-MICR8>3.

    authors: Murakami R,Fujii T,Itoh T,Tsutsui K,Tanaka K,Lio Y,Yano H

    更新日期:1996-01-01 00:00:00

  • Experimental study on the behavior of a transplanted vascular pedicle.

    abstract::The transparent chamber technique of the hamster cheek pouch was utilized to observe the behavior of a transplanted vascular pedicle within a relatively adverse environment. Observations included direct visualization with intravital microscopy, histology, scanning electron microscopy, and alkaline phosphatase staining...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920100307

    authors: Hung LK,Leung PC,Cheng GL

    更新日期:1989-01-01 00:00:00

  • Supermicrosurgical lymphaticovenular anastomosis and lymphaticovenous implantation for treatment of unilateral lower extremity lymphedema.

    abstract::Recent supermicrosurgical techniques have developed the possibility for vascular anastomosis of smaller vessels and it is now safe and sound to perform precise anastomoses between lymphatics and venules. Reported here is the 2 years experience on supermicrosurgical lymphaticovenular anastomosis and/or lymphaticovenous...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20665

    authors: Demirtas Y,Ozturk N,Yapici O,Topalan M

    更新日期:2009-01-01 00:00:00

  • Functional assessment of donor-site morbidity after harvest of a fibula chimeric flap with a sheet of soleus muscle for mandibular composite defect reconstruction.

    abstract::This study aims to compare donor-site morbidity between the traditional fibula osteocutaneous and chimeric fibula flaps for mandibular reconstruction. Twenty-three patients with head and neck cancer were recruited. Fifteen patients underwent the traditional fibula osteocutaneous flap. Eight patients received a chimeri...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20955

    authors: Huang YC,Leong CP,Pong YP,Liu TY,Kuo YR

    更新日期:2012-01-01 00:00:00

  • Experimental study and clinical observations on hypertrophy of vascularized bone grafts.

    abstract::In order to understand the mechanisms involved in the hypertrophy of vascularized bone grafts, a series of animal experiments were carried out and 32 clinical cases were studied. A defect in the tibial shaft was created in puppies and the ipsilateral fibula was transferred into the medullary cavity of the tibia with t...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920151012

    authors: Fujimaki A,Suda H

    更新日期:1994-01-01 00:00:00

  • Nail fold capillary observation in replanted severed fingers.

    abstract::Observation of circulation in replanted severed fingers often relies on the clinical experience of the doctor. This article discusses nail fold capillary loops (NFCL) observation in the monitoring of the perfusion and circumfluence of replanted digits. In our study, 30 patients with a total of 39 replanted digits were...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20445

    authors: Lu W,Wang D,Liu L,Xiong J,He Q

    更新日期:2008-01-01 00:00:00

  • Functional effects of local thyroid hormone administration after sciatic nerve injury in rats.

    abstract::This study investigates potential functional effects of thyroid hormone (T3) on peripheral nerve regeneration in rats. Forty adult male Lewis rats were included in this study. After complete transection of the right sciatic nerve, the gap between the stumps was bridged with a silicone tube. In the first experimental g...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20546

    authors: Papakostas I,Mourouzis I,Mourouzis K,Macheras G,Boviatsis E,Pantos C

    更新日期:2009-01-01 00:00:00

  • Effect of oblique nerve grafting on peripheral nerve regeneration in rats.

    abstract::Current methods of peripheral nerve repair are to rejoin cut nerve stumps directly or to bridge large gaps with autologous nerve grafts. In both cases the surface of nerve stump endings is typically cut perpendicularly to the long axis of the nerve. The outcome of such operations, however, is still not satisfactory. I...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20290

    authors: Kotulska K,Marcol W,Larysz-Brysz M,Tendera Z,Malinowska-Kołodziej I,Slusarczyk W,Jedrzejowska-Szypułka H,Lewin-Kowalik J

    更新日期:2006-01-01 00:00:00

  • Restoration of venous outflow by simultaneous creation of an arteriovenous shunt and pedicle flap using a rat model of foot replantation.

    abstract::Replantation of amputated rat feet utilizing an efferent arteriovenous shunt constructed between the distal posterior tibial artery and the proximal posterior tibial vein, in the absence of all other venous drainage, provides an alternative pathway to the normal venous drainage in a replanted rat foot. However, this s...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920130112

    authors: Zhou ZY,Rickard TA,Nichter LS,Zemel NP,Ashworth CR,Kassabian G

    更新日期:1992-01-01 00:00:00

  • Antigenic load and peripheral chimeric levels in entire and partial liver allograft recipients.

    abstract::Orthotopic partial liver transplantation (PLT) models were developed in rats to explore the unique role of the liver in transplant tolerance. In PVG rats, syngeneic PLT established that surgical reduction to one-third of the liver and orthotopic transplantation permitted survival. Allogeneic PLT in the PVG to DA liver...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1036

    authors: Sun J,Qin G,Wu L,Wang C,Sheil AG

    更新日期:2001-01-01 00:00:00

  • An analysis of free flap failure using the ACS NSQIP database. Does flap site and flap type matter?

    abstract:PURPOSE:We sought to use the NSQIP database to determine the national rate and predictors of free flap failure based upon flap sites and flap types. METHODS:Free flaps were identified using the 2005-2010 NSQIP database. We examined overall flap failure rates as well as failure rates based upon flap sites (head and nec...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30121

    authors: Kwok AC,Agarwal JP

    更新日期:2017-09-01 00:00:00

  • Fascicular nerve graft using an empty perineurial tube: an experimental study in the rabbit.

    abstract::An experimental model of a free, empty perineurial tube for use as a nerve graft is presented as an alternative to existing methods. The technique is described and the model compared with conventional nerve graft in the sciatic nerve of a rabbit. Results are evaluated with EMG studies, angiography, and histology. The ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920040207

    authors: Restrepo Y,Merle M,Michon J,Folliguet B,Petry D

    更新日期:1983-01-01 00:00:00

  • Spiral interrupted suturing technique for microvascular anastomosis: a comparative study.

    abstract::This is an experimental study comparing the suturing time and patency rate of a spiral interrupted suturing technique to those of conventional interrupted and continuous suturing technique in end-to-end as well as end-to-side anastomosis. The spiral interrupted suturing technique requires less time for either end-to-e...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920070205

    authors: Chen L,Chiu DT

    更新日期:1986-01-01 00:00:00

  • Continuous- and interrupted-suture technique in microsurgical end-to-end anastomosis.

    abstract::Microsurgical end-to-end anastomosis of the carotid artery of the rat is discussed. The continuous-suture technique is found to be less time consuming than the interrupted-suture technique. Comparison of the flow rate of each anastomosis doesn't reveal a marked difference. Patency rate of each technique is 100%. ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920050206

    authors: Firsching R,Terhaag PD,Müller W,Frowein RA

    更新日期:1984-01-01 00:00:00

  • Neuropathological changes in vibration injury: an experimental study.

    abstract::Vibration syndrome, a clinical condition arising from chronic use of vibrating tools, is associated with a spectrum of neurovascular symptoms. To date, only its vascular pathology has been extensively studied; we sought to determine what direct neurologic injury, if any, is caused by vibration. Hindlimbs of anesthetiz...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20081

    authors: Matloub HS,Yan JG,Kolachalam RB,Zhang LL,Sanger JR,Riley DA

    更新日期:2005-01-01 00:00:00

  • A scaffold-free Bio 3D nerve conduit for repair of a 10-mm peripheral nerve defect in the rats.

    abstract:INTRODUCTION:A Bio 3D printed nerve conduit was reported to promote nerve regeneration in a 5 mm nerve gap model. The purpose of this study was to fabricate Bio 3D nerve conduits suitable for a 10 mm nerve gap and to evaluate their capacity for nerve regeneration in a rat sciatic nerve defect model. MATERIALS AND METH...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30533

    authors: Takeuchi H,Ikeguchi R,Aoyama T,Oda H,Yurie H,Mitsuzawa S,Tanaka M,Ohta S,Akieda S,Miyazaki Y,Nakayama K,Matsuda S

    更新日期:2020-02-01 00:00:00

  • Dual innervated index to thumb cross finger or island flap reconstruction.

    abstract::Partial volar amputations of the entire thumb pulp require soft tissue coverage that provides not only padding and protection for exposed bone and tendons, but also restoration of discriminative sensation. A modification of the radial sensory innervated cross finger flap from index to thumb is described, which include...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920080312

    authors: Hastings H 2nd

    更新日期:1987-01-01 00:00:00

  • Reconstruction of a long defect of the ulnar artery and nerve with an arterialized neurovenous free flap in a teenager: A case report and literature review.

    abstract::There is evidence that nerve flaps are superior to nerve grafts for bridging long nerve defects. Moreover, arterialized neurovenous flaps (ANVFs) have multiple potential advantages over traditional nerve flaps in this context. This paper describes a case of reconstruction of a long defect of the ulnar artery and nerve...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.30265

    authors: Casal D,Pais D,Mota-Silva E,Pelliccia G,Iria I,Videira PA,Mendes MM,Goyri-O'Neill J,Mouzinho MM

    更新日期:2018-02-01 00:00:00

  • Do leukocytes contribute to impaired microvascular tissue perfusion after arterial repair?

    abstract::Impaired capillary perfusion may result in flap failure. Platelet emboli, polymorphonuclear leukocytes (PMNs), and/or vasospasm have been identified as possible causes. This study investigates the role of PMNs in causing impaired capillary perfusion in a free flap model. PMN concentrations were depleted using antineut...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1998)18:1<23::aid-micr6>3.

    authors: Peter FW,Schuschke DA,Wang WZ,Anderson GL,Franken RJ,Pierangeli S,Barker JH

    更新日期:1998-01-01 00:00:00

  • A simple microretractor.

    abstract::The use of bulky retractors in experimental microsurgical procedures creates interference with the limited operative field. The current article describes a small but effective retractor made from ordinary staples, which are inexpensive and easily accessible. ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920080416

    authors: Narayanan K,Ramasastry SS

    更新日期:1987-01-01 00:00:00