Free flap failure in an anticardiolipin antibody-positive patient with neoplasm--a case report.

Abstract:

:We present herein a case of massive arterial thrombosis of a free rectus abdominal musculocutaneous flap used for reconstructive surgery of gingival carcinoma that could not be rescued. A 54-year-old woman underwent the operation. She had experienced two miscarriages in her 20s, but medical history was otherwise uneventful. Intraoperatively, the anastomosed artery often showed massive arterial thrombosis, and the flaps had become necrotic after bilateral flaps were used. Laboratory findings, 7 days postoperatively, showed high levels of immunoglobulin G anticardiolipin antibody. This value normalized by 2 months postoperatively after using chemotherapy. This case does not match the criteria for antiphospholipid syndrome, but some English-language reports have shown rising antiphospholipid antibody levels, particularly anticardiolipin antibodies, in patients with neoplasm. In those cases, levels have normalized after successful therapy. Antiphospholipid antibody levels should be examined before surgery to identify risks of hypercoagulability.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Asai E,Okouchi M,Momiyama M,Kajikawa A,Ueda K

doi

10.1002/micr.20734

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

238-41

issue

3

eissn

0738-1085

issn

1098-2752

journal_volume

30

pub_type

杂志文章
  • Recovery of touch after median nerve lesion and subsequent repair.

    abstract::Many techniques have been developed for the evaluation of peripheral nerve function. Consequently, physicians use different techniques in the clinic. This study describes the evaluation of touch after median nerve lesions in the forearm and repair. In order to evaluate touch, 25 patients, aged 11-51 years (mean, 29 ye...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10087

    authors: Meek MF,Coert JH,Wong KH

    更新日期:2003-01-01 00:00:00

  • Experimental study on vascularized island pedicle bone graft: bony fusion between the graft and the recipient floor.

    abstract::To evaluate the process of bony fusion between the recipient floor and the bone graft, where a muscle sleeve has been interposed, an experimental model for a vascularized island pedicle bone graft was prepared using rats. The proximal two thirds of the tibia pedicled with the popliteal artery and vein was collected to...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1999)19:5<239::aid-micr6>3

    authors: Arai K,Toh S,Harata S

    更新日期:1999-01-01 00:00:00

  • Phrenic nerve neurotization of the musculocutaneous nerve with end-to-side neurorrhaphy: a short report in a rabbit model.

    abstract::This experimental study was performed to evaluate the efficacy of end-to-side coaptation between the musculocutaneous nerve and the phrenic nerve for brachial plexus injuries with nerve-root avulsions. In an experimental rabbit model, neurotization of the musculocutaneous nerve with the phrenic nerve was compared usin...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20238

    authors: Stamatoukou A,Papadogeorgou E,Zhang Z,Pavlakis K,Zoubos AB,Soucacos PN

    更新日期:2006-01-01 00:00:00

  • Longitudinally implanted intrafascicular electrodes for stimulating and recording fascicular physioelectrical signals in the sciatic nerve of rabbits.

    abstract::The purpose of this experiment was to determine the stimulating and recording characters of fascicular physioelectrical signals in the activity of peripheral nerves by longitudinally implanted intrafascicular electrodes (LIFEs) in a rabbit sciatic nerve model, and discuss the future application of LIFEs in functional ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10116

    authors: Zheng X,Zhang J,Chen T,Chen Z

    更新日期:2003-01-01 00:00:00

  • A more versatile and reliable method for renal transplantation in the rat.

    abstract::This study describes the authors' experience with a new method of orthotopic renal transplantation in the rat. This technique combines previously described modifications with the use of the donor inferior vena cava as a conduit to perform an end-to-side venous anastomosis. Survival was 87% and 80% at 3 and 120 days, r...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1998)18:4<267::aid-micr10>

    authors: Blom D,Orloff MS

    更新日期:1998-01-01 00:00:00

  • One hundred sixty-seven thumb replantations and revascularisations: early microvascular results.

    abstract::One hundred sixty-seven thumb replantations and revascularisations were performed from 1977 to 1987 by the Ljubljana microsurgical team. Early microvascular results of thumb replantations and early reoperations were analysed retrospectively. Age of the patients, level of traumatic amputation, mechanism of injury, use ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(SICI)1098-2752(1996)17:5<259::AID-MICR4>3

    authors: Janezic TF,Arnez ZM,Solinc M,Zaletel-Kragelj L

    更新日期:1996-01-01 00:00:00

  • Significant role of intragraft lymphoid tissues in preventing insulin-dependent diabetes mellitus recurrence in whole pancreaticoduodenal transplantation.

    abstract::Graft recurrence of insulin-dependent diabetes mellitus (IDDM) was examined. Islet transplantation or pancreas-alone transplantation excluding the duodenum and peripancreatic lymph nodes was compared with whole pancreaticoduodenal transplantation. A Wistar Furth (WF; RT1(u), RT6.2) to major histocompatibility complex ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1999)19:7<338::aid-micr10>

    authors: Tori M,Ito T,Yumiba T,Maeda A,Sawai T,Miyasaka M,Kiyono H,Matsuda H,Nozawa M,Shirakura R

    更新日期:1999-01-01 00:00:00

  • Omental free-tissue transfer: indications and results from personal experience.

    abstract::Between 1987-2002, omental free-tissue transfer was used in 11 patients, aged 6-65 years (mean age, 37.6). The omentum was used for the treatment of brachial plexus injury pain (3 cases), Romberg's disease (1 case), defects of the extremities occurring with chronic obstructive arterial disease (2 cases), posttraumatic...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10130

    authors: Ciuce C,Seddiq F,Fodor M,Constantinescu D,Todoran M,Andercou A,Demco D

    更新日期:2003-01-01 00:00:00

  • Resurfacing of a complex upper extremity injury: an excellent indication for the dorsal thoracic fascial flap.

    abstract::We report a case of a 24-year-old patient who sustained a mutilating crush injury to the left forearm. After thorough debridement and stabilization of the skeletal injury, the dorsal thoracic fascial flap was used to resurface the circumferential wound, protect the underlying structures, and provide a gliding surface ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20603

    authors: Hazani R,Brooks D,Buntic RF

    更新日期:2009-01-01 00:00:00

  • Cotransplanted hepatic stellate cells enhance vascularization of islet allografts.

    abstract::Islet transplantation is an alternative to whole pancreas transplantation in curative therapy of diabetics. The outcome of engraftment of islet, however, remains disappointing. Rapid and adequate islet revascularization is crucial for the survival and function of transplanted islets. In this study, hepatic stellate ce...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20365

    authors: Yin Z,Wu W,Fung JJ,Lu L,Qian S

    更新日期:2007-01-01 00:00:00

  • Preoperative vascular mapping for anterolateral thigh flap surgeries: A clinical trial of photoacoustic tomography imaging.

    abstract:BACKGROUND:Photoacoustic tomography (PAT) is a noninvasive vascular imaging modality that uses near-infrared pulse laser beams and ultrasound (US) to visualize vessels. We previously demonstrated the utility of PAT for visualizing anterolateral thigh (ALT) perforators in a clinical study of 10 thighs in 5 healthy adult...

    journal_title:Microsurgery

    pub_type: 临床试验,杂志文章

    doi:10.1002/micr.30531

    authors: Tsuge I,Saito S,Yamamoto G,Sekiguchi H,Yoshikawa A,Matsumoto Y,Suzuki S,Toi M

    更新日期:2020-03-01 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

  • Free medial plantar artery perforator flap for finger pulp reconstruction: report of a series of 10 cases.

    abstract:PURPOSE:Treatment of composite tissue loss in the finger pulp is often difficult. The purpose of this report is to present our experience on using medial plantar artery perforator flap for repair of finger pulp defects and to restore fingertip sensation after traumatic injury. PATIENTS AND METHODS:The free medial plan...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20718

    authors: Huang SH,Wu SH,Lai CH,Chang CH,Wangchen H,Lai CS,Lin SD,Chang KP

    更新日期:2010-01-01 00:00:00

  • Microsurgical second dorsal metacarpal artery cutaneous and tenocutaneous flap for distal finger reconstruction: anatomic study and clinical application.

    abstract::In this paper, we report on the anatomical study of 34 cadaveric forearms with red latex injection and the clinical application of this study to 11 cases of microsurgical second dorsal metacarpal artery (SDMA) flaps. There were 8 cutaneous cases and 3 tenocutaneous cases using SDMA flaps for distal finger reconstructi...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20077

    authors: Yu GR,Yuan F,Chang SM,Zhang F

    更新日期:2005-01-01 00:00:00

  • The free vascularised fibular transfer as a definitive treatment in femoral septic non-unions.

    abstract::Free vascularised bone transfer (fibula, iliac crest, or rib) is an accepted method of bone grafting in malignant and non-union bone surgery. The vascular microanastomoses have transformed the bone healing by creeping substitution seen after non-vascularised grafting (a long and often insufficient process) into normal...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920160607

    authors: Nonnenmacher J,Bahm J,Moui Y

    更新日期:1995-01-01 00:00:00

  • Proximal nerve elongation vs nerve grafting in repairing segmental nerve defects in rabbits.

    abstract::If segmental nerve defects could be repaired by elongating the proximal or distal segments, nerve grafting might be unnecessary. We elongated a 40-mm proximal segment of an injured median nerve, in the rabbit right forelimb, at a rate of 1 mm/day for 10 days in 10 rabbits and for 15 days in another 10. On the left for...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20039

    authors: Baoguo J,Shibata M,Matsuzaki H,Takahashi HE

    更新日期:2004-01-01 00:00:00

  • Inter- and intraobserver reliability of walking-track analysis used to assess sciatic nerve function in rats.

    abstract::The inter- and intraobserver reliability of the walking-track analysis of sciatic nerve function in the rat was assessed. Twenty-five walking tracks were assessed on three different occasions by four observers. Whereas the interobserver reliability was found to be excellent (r = 0.92), the intraobserver reliability wa...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920120204

    authors: Brown CJ,Evans PJ,Mackinnon SE,Bain JR,Makino AP,Hunter DA,Hare G

    更新日期:1991-01-01 00:00:00

  • Distal radial and ulnar arteries perforator-based adipofascial flaps for covering hand traumatic defects.

    abstract:AIM:The clinical value of adipofascial flaps based on distal ulnar or radial-artery perforators is demonstrated in a series of 14 patients with severe hand injuries and significant soft tissue defects requiring coverage. MATERIAL AND METHODS:There were 10 male and 4 female patients, aged between 23 and 72 years. The d...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20374

    authors: Ignatiadis IA,Xeinis SF,Tsiamba VA,Yiannakopoulos CK,Nomikos GN,Gerostathopoulos NE

    更新日期:2007-01-01 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

  • Medialis pedis flap for reconstruction of weight bearing heel.

    abstract:BACKGROUND:Among the various flaps available for the reconstruction of the heel, a medial plantar flap has been widely accepted as the most ideal. This flap, however, involves the medial plantar nerve and its cutaneous branches, which may lead to postoperative hyperesthesia and dual sensation. The purpose of this repor...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30198

    authors: Park JS,Lee JH,Lee JS,Baek JH

    更新日期:2017-10-01 00:00:00

  • Pedicled chimeric sensitive fasciocutaneous anterolateral thigh (ALT) and vastus lateralis muscle (VLM) flap for groin defect reconstruction: A case report.

    abstract::The anterolateral thigh (ALT) flap is one of the most commonly used flap worldwide, as both free flap and pedicled local flap. Here, we report the use of a pedicled chimeric sensitive ALT and vastus lateralis muscle (VLM) flap in a patient with a 12 cm × 8 cm contaminated soft tissue defect of the right inguinal regio...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30157

    authors: Scaglioni MF,Franchi A,Giovanoli P

    更新日期:2018-05-01 00:00:00

  • Application of Kunlin's technique in vascular micro-anastomosis: experimental and clinical study.

    abstract::Vascular microanastomosis of vessels that presents marked discrepancy in size can be performed without difficulty by making a longitudinal incision of the end of the smallest vessel, forming a kind of "spatula," and joined to the vessel of greater diameter. ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920060111

    authors: Fossati E,Asurey N,Irigaray A

    更新日期:1985-01-01 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

  • Cross-leg tibial posterior perforator flap.

    abstract:BACKGROUND:In the lower leg posttraumatic pathology, we are frequently confronted with tissue defects that are difficult to cover by local or distance means, because of either the poor tissue quality or the precarious local vessels. One of the still available methods for solving these cases remains the cross-leg flap. ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20375

    authors: Georgescu AV,Irina C,Ileana M

    更新日期:2007-01-01 00:00:00

  • Peripheral hemodynamic stability during prolonged anesthesia in the rat.

    abstract::The present study tests the hypothesis that peripheral hemodynamics in the rat femoral artery remain relatively stable during 3 hours of general anesthesia. Hemodynamic variables (pulse period, maximal centerline velocity, lumen diameter, and mean volumetric flow) were measured by the 20 MHz-pulsed ultrasonic Doppler ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920070410

    authors: Joos KM,Blair WF,Brown TD,Gabel RH

    更新日期:1986-01-01 00:00:00

  • Persistent genital arousal disorder: Treatment by neurolysis of dorsal branch of pudendal nerve.

    abstract:BACKGROUND:Persistent genital arousal disorder (PGAD) is a woman's perception that she is in a state of sexual arousal, without the ability of arousal to be satisfied by orgasm. It is the hypothesis of this study that PGAD results from a minimal degree of nerve compression of the dorsal branch of the pudendal nerve. If...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30464

    authors: Klifto K,Dellon AL

    更新日期:2020-02-01 00:00:00

  • Reduction of reperfusion injury edema with corticotropin-releasing factor (CRF): a pilot study.

    abstract::Regulation of capillary permeability with ischemic reperfusion injury is a complex interaction between vascular endothelium and circulating blood factors. Corticotropin-releasing factor (CRF), a 41 -amino acid peptide CNS neurotransmitter known to modulate the pituitary-adrenal axis during stress response, has been sh...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(1998)18:2<76::aid-micr3>3.

    authors: Whitney TM,Bentz ML,Johnson PC

    更新日期:1998-01-01 00:00:00

  • Survival of microvascular free flaps in mandibular reconstruction: A systematic review and meta-analysis.

    abstract:BACKGROUND:Free tissue transfer is commonly used in the reconstruction of post-ablative defects of the mandible. Due to lack of statistical power, comparing the survival of various free flaps, even in large studies, is challenging. The purpose of this study was to perform a meta-analysis comparing the survival of the m...

    journal_title:Microsurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/micr.22471

    authors: Markiewicz MR,Bell RB,Bui TG,Dierks EJ,Ruiz R,Gelesko S,Pirgousis P,Fernandes R

    更新日期:2015-10-01 00:00:00

  • Free latissimus dorsi flap with long venous grafts for closure of a soft tissue defect of the spine in a patient with Noonan's syndrome: a case report.

    abstract::A 23-year-old male patient was operated for a soft tissue defect of the spine using a free musculocutaneous latissimus dorsi flap with two 21-cm long venous grafts connecting the flap to its vascular supply at the thoracodorsal vessels. This young patient suffered from Noonan's Syndrome that is a complex hereditary ma...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20625

    authors: Sinis N,Lanaras TI,Kraus A,Werdin F,Schaller HE,Peek A

    更新日期:2009-01-01 00:00:00

  • Comparison of in vivo lymphocyte proliferation between allogeneic and xenogeneic heart transplantation in mice.

    abstract::There are controversial in vitro data comparing the strength of the cellular immune response between allogeneic and xenogeneic stimulator/responder combinations. The present study therefore compares in vivo lymphocyte proliferation using heart transplantation (HTx) models in mice. Heterotopic HTx into BALB/c mice was ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10183

    authors: Kellersmann R,Kellersmann A,Thiede A,Ulrichs K

    更新日期:2003-01-01 00:00:00