Prevention of microvascular thrombosis with low-dose tissue plasminogen activator.

Abstract:

:In a blind, randomized study, two groups, each of seven rabbits, were treated with either a very low dose of human melanoma cell line-derived tissue-type plasminogen activator (t-PA) or isotonic saline. t-PA (0.067 mg/kg of body weight) was administered intraaortically, 20 percent being given as a 30-second "bolus" infusion just prior to the reperfusion of intimectomized central ear arteries and the rest as a continuous infusion during the next 2 hours. Arteriotomic bleeding times, accumulations of 32P-labeled platelets, patency, and sizes of thrombus deposits 2 hours after reperfusion were recorded. To confirm the presence of tissue plasminogen activator in plasma, fibrin-plate lysis assays of arterial plasma were performed immediately before and 1/2 hour and 2 hours after starting drug infusion. Arteriotomic bleeding times were similar in both groups. Transient "oozing" from wound edges occurred in 40 percent of rabbits treated with tissue plasminogen activator. Patency was significantly increased and thrombus deposits were smaller in the tissue plasminogen activator group. Plasma from animals treated with tissue plasminogen activator caused massive lysis of fibrin plates, whereas plasma from control animals caused little or no lysis. Platelet accumulations were very similar in both groups, indicating that occlusive thrombi mainly consisted of other elements than platelets (e.g., fibrin and red cells). Scanning electron microscopy showed normally adhering and aggregating platelets in both groups. This study shows that mild fibrinolytic stimulation with tissue plasminogen activator significantly improves patency in severely traumatized small-caliber arteries and indicates that such treatment may be one approach to prevent thrombosis at microvascular anastomotic sites.

journal_name

Plast Reconstr Surg

authors

Arnljots B,Wieslander JB,Dougan P,Salemark L

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

281-8

issue

2

eissn

0032-1052

issn

1529-4242

journal_volume

90

pub_type

杂志文章
  • Learning How to Ask: Women and Negotiation.

    abstract::Women are less likely to reach top-level leadership positions, and more likely to leave academic positions, than men, and are likely to earn less money than men. Women are also less likely to initiate a negotiation-a process that is crucial for professional advancement. This reluctance to ask hinders their advancement...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003063

    authors: Fischer LH,Bajaj AK

    更新日期:2017-03-01 00:00:00

  • Detection of Perforators for Free Flap Planning Using Smartphone Thermal Imaging: A Concordance Study with Computed Tomographic Angiography in 120 Perforators.

    abstract::Design and preoperative planning of microsurgical flaps are fundamental steps for successful surgery. Currently, computed tomographic angiography is considered the gold standard, and new technologies such as thermography could complement its usefulness. The aim of this study was to determine the concordance between th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004126

    authors: Pereira N,Valenzuela D,Mangelsdorff G,Kufeke M,Roa R

    更新日期:2018-03-01 00:00:00

  • Efficacy of venous supercharging of the deep inferior epigastric perforator flap in a rat model.

    abstract:BACKGROUND:An insidious risk with the use of muscle perforator flaps is the possibility of venous outflow compromise. Congestion in deep inferior epigastric perforator (DIEP) flaps in particular is not infrequent. On an empiric basis, their salvage has been accomplished by augmenting venous drainage through alternative...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000172889.62564.e1

    authors: Hallock GG,Rice DC

    更新日期:2005-08-01 00:00:00

  • Scarless fetal wounds are associated with an increased matrix metalloproteinase-to-tissue-derived inhibitor of metalloproteinase ratio.

    abstract::In contrast to adult cutaneous wounds, early fetal wounds heal scarlessly. Fetal rat skin transitions from scarless repair to healing, with scar formation between days 16.5 (E16) and 18.5 (E18) of gestation. Term gestation is 21.5 days. The composition of the extracellular matrix in fetal skin and wounds differs from ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000060102.57809.DA

    authors: Dang CM,Beanes SR,Lee H,Zhang X,Soo C,Ting K

    更新日期:2003-06-01 00:00:00

  • Implant-Based Breast Reconstruction: Hot Topics, Controversies, and New Directions.

    abstract:LEARNING OBJECTIVES:After studying this article, the participant should be able to: 1. Evaluate appropriate patients best suited for one- or two-stage alloplastic breast reconstruction. 2. Discuss and apply the unique advantages and disadvantages of scaffold use and different implant types in breast reconstruction to m...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000005290

    authors: Frey JD,Salibian AA,Karp NS,Choi M

    更新日期:2019-02-01 00:00:00

  • A paradigm shift in U.S. breast reconstruction: Part 2. The influence of changing mastectomy patterns on reconstructive rate and method.

    abstract:BACKGROUND:The aims of the current study were to (1) measure trends in the type of mastectomy performed, (2) evaluate sociodemographic/hospital characteristics of patients undergoing contralateral prophylactic mastectomy versus unilateral mastectomies, and (3) analyze reconstruction rates and method used following diff...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31827cf576

    authors: Cemal Y,Albornoz CR,Disa JJ,McCarthy CM,Mehrara BJ,Pusic AL,Cordeiro PG,Matros E

    更新日期:2013-03-01 00:00:00

  • The effect of chemosurgical peels and dermabrasion on dermal elastic tissue.

    abstract::Chemosurgical peel is a technique that has been used widely by plastic surgeons and dermatologists to remove fine and deep wrinkles of the skin. However, the reaction of elastic tissue to the cutaneous application of commonly used chemical peeling agents has not been defined. This study comparatively assessed the alte...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199708000-00035

    authors: Giese SY,McKinney P,Roth SI,Zukowski M

    更新日期:1997-08-01 00:00:00

  • APACHE II scoring for the prediction of immediate surgical complications in head and neck cancer patients.

    abstract:BACKGROUND:Aggressive surgical treatment of oral and oropharyngeal cancers may be compromised by significant surgical complications. Early identification of patients at risk for postoperative complications may assist in clinical decision-making. The objective of this study was to assess the value of the Acute Physiolog...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000259038.36210.f8

    authors: Grant CA,Dempsey GA,Lowe D,Brown JS,Vaughan ED,Rogers SN

    更新日期:2007-05-01 00:00:00

  • Basal cell carcinoma in the groin of a black patient with femoral vessel invasion and a second primary malignancy.

    abstract::We have presented an unusual case of basal cell carcinoma that presented in a 76-year-old black woman. This is an atypical case in that it occurred in a black patient, and the incidence of basal cell carcinoma is low in black people. The lesion was located in the groin, which is an uncommon location for basal cell car...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199610000-00022

    authors: Beckenstein MS,Windle BH

    更新日期:1996-10-01 00:00:00

  • Posterior tibial artery flap for reconstruction of the esophagus.

    abstract::Three patients presented who needed reconstruction of the entire esophagus. Because the stomach and colon were not available in these patients, a posterior tibial artery flap was employed for reconstruction. In the first stage, the long and wide skin flap was elaborated into a skin tube to create the major portion of ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199112000-00006

    authors: Chen HC,Tang YB,Noordhoff MS

    更新日期:1991-12-01 00:00:00

  • Modification of the Dott-Dingman mouth gag.

    abstract::In cleft palate patients with a protrucing premaxilla, retrusion or collapse, the abnormal alveolar arches require a mouth gag which can be fitted to the individual. This modification of the Dott-Dingman mouth gag allows maximum adjustability and exposure. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Millard DR Jr,Slepyan DH

    更新日期:1977-04-01 00:00:00

  • Surgical treatment of mammary ptosis without hypertrophy.

    abstract::A new method of mastopexy is presented which we have used on 60 cases during 7 years, with the best results we have obtained. We believe it preserves the blood supply and sensation of the areola-nipple better than the other mastopexies we have tried, while producing breasts with excellent contour and position, and nor...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Fígallo E

    更新日期:1977-08-01 00:00:00

  • Comparison of polydioxanone and polyglactin 910 in intradermal repair.

    abstract::A prospective clinical study was undertaken to compare the results of intradermal layer closure using two popular absorbable suture materials, polydioxanone and polyglactin 910. On an alternating basis, 6-0 polydioxanone and 6-0 polyglactin 910 were used to repair 80 surgical sites of the temple and occipital regions ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00006534-199610000-00010

    authors: Guyuron B,Vaughan C

    更新日期:1996-10-01 00:00:00

  • The cross-groin flap for coverage of foot and ankle defects in children. Case reports.

    abstract::The cross-groin flap is useful for covering soft tissue defects of the distal portion of the lower limb in a child. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197602000-00029

    authors: Furnas DW

    更新日期:1976-02-01 00:00:00

  • Method for measurement of circumduction of the thumb to evaluate results of opponensplasty.

    abstract::A simple method for measuring circumduction of the thumb, by using a ratio of the range of motion to the length of the first metacarpal, is described. This method can be of value in assessing many aspects of thumb function, especially the improvement in function after opponensplasty. The improved ability to position t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197908000-00012

    authors: Browne EZ Jr,Teague MA,Gruenwald C

    更新日期:1979-08-01 00:00:00

  • Clinical applications of the subgaleal fascia.

    abstract::The anatomic boundaries and vascular supply of the subgaleal fascia have been described previously. The thin and malleable subgaleal fascia was selected for difficult reconstructive problems in seven patients. This flap has been based on either the supraorbital or the superficial temporal vascular leash. The subgaleal...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199104000-00003

    authors: Carstens MH,Greco RJ,Hurwitz DJ,Tolhurst DE

    更新日期:1991-04-01 00:00:00

  • The progressive changes of nasal symmetry and growth after nasoalveolar molding: a three-year follow-up study.

    abstract::The purpose of this study was to assess the progressive changes of nasal symmetry, growth, and relapse after presurgical nasoalveolar molding and primary cheiloplasty in unilateral complete cleft lip/palate infants. Twenty-five consecutive complete unilateral cleft lip/palate infants were included. All the infants und...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000133027.04252.7a

    authors: Liou EJ,Subramanian M,Chen PK,Huang CS

    更新日期:2004-09-15 00:00:00

  • Synthetic polymers seeded with chondrocytes provide a template for new cartilage formation.

    abstract::A new approach for tissue creation using synthetic biocompatible and biodegradable polymers as templates onto which cells are seeded is presented. This report concerns the generation of homogeneous plates of stable mature cartilage in vivo. The delivery of chondrocytes on synthetic polymers configured to provide a lar...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199111000-00001

    authors: Vacanti CA,Langer R,Schloo B,Vacanti JP

    更新日期:1991-11-01 00:00:00

  • The venous skin graft method for repairing skin defects of the fingers.

    abstract::A venous skin graft for the treatment of skin defects in a finger is described. This procedure involves taking a flap from the forearm together with the subcutaneous vein and anastomosing both ends of this vein to the digital artery and vein, respectively. Thirteen difficult finger wounds were resurfaced with such a v...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198702000-00016

    authors: Yoshimura M,Shimada T,Imura S,Shimamura K,Yamauchi S

    更新日期:1987-02-01 00:00:00

  • Intrinsics and dynamics of fat grafts: an in vitro study.

    abstract:BACKGROUND:Despite a revived interest in fat grafting procedures, clinicians still fail to demonstrate clearly the in vivo behavior of fat grafts as a dynamic tissue substitute. However, the basic principles in cellular biology teach us that cells can survive and develop, provided that a structural matrix exists that d...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181ebe224

    authors: Stillaert FB,Abberton KM,Keramidaris E,Thompson EW,Blondeel PN,Morrison WA

    更新日期:2010-10-01 00:00:00

  • Advanced cranial reconstruction using intracranial free flaps and cranial bone grafts: an algorithmic approach developed from the modern battlefield.

    abstract:BACKGROUND:The objective of this study was to report outcomes after initiation of an algorithmic approach (Bethesda protocol) using intracranial free flaps, cranial bone autografts, and dermal/fat grafts to treat warfare-related cranial frontofacial defects after war-related decompressive craniectomy. METHODS:A retros...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318267d5cb

    authors: Kumar AR,Tantawi D,Armonda R,Valerio I

    更新日期:2012-11-01 00:00:00

  • Percutaneous collagen induction: minimally invasive skin rejuvenation without risk of hyperpigmentation-fact or fiction?

    abstract:BACKGROUND:Photoaging is generally treated by ablative procedures that injure the epidermis and basal membrane and lead to fibrosis of the papillary dermis. Damaging the epidermis significantly can cause potential adverse effects such as dyspigmentation. It was recently shown in clinical trials that percutaneous collag...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318188245e

    authors: Aust MC,Reimers K,Repenning C,Stahl F,Jahn S,Guggenheim M,Schwaiger N,Gohritz A,Vogt PM

    更新日期:2008-11-01 00:00:00

  • Efficacy of conventional monitoring techniques in free tissue transfer: an 11-year experience in 750 consecutive cases.

    abstract::Conventional free flap monitoring techniques (clinical observation, hand-held Doppler ultrasonography, surface temperature probes, and pinprick testing) are proven methods for monitoring free flaps with an external component. Buried free flaps lack an external component; thus, conventional monitoring is limited to han...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Disa JJ,Cordeiro PG,Hidalgo DA

    更新日期:1999-07-01 00:00:00

  • On the origins of components separation.

    abstract:SUMMARY:The method of abdominal hernia repair known as components separation, described by Ramirez et al. in 1990, has enjoyed widespread popularity because of the sound anatomical principles it uses and most importantly the clinical success of the procedure. Although the authors who described this technique made no pr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1097/PRS.0b013e3181b98ab8

    authors: Halvorson EG

    更新日期:2009-11-01 00:00:00

  • Anatomical study of pectoral intercostal perforators and clinical study of the pectoral intercostal perforator flap for hand reconstruction.

    abstract:BACKGROUND:The authors have used pectoral intercostal perforator flaps to reconstruct burned or injured hands by staged transfer. This flap is designed with a narrow skin pedicle that includes intercostal perforators from the fifth to eighth intercostal spaces, with a wide flap area that lies on the upper abdomen. The ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181a65ac3

    authors: Oki K,Murakami M,Tanuma K,Ogawa R,Ozawa H,Hyakusoku H

    更新日期:2009-06-01 00:00:00

  • Vascular anatomy of the upper extremity muscles.

    abstract::This study delineates the vascular anatomy of the upper extremity with particular attention toward the size, location, and number of vascular pedicles supplying each muscle. Ten cadaver upper extremities were dissected. A total of 440 muscles and 2209 pedicles were identified. The major "named" arterial source, number...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198803000-00007

    authors: Parry SW,Ward JW,Mathes SJ

    更新日期:1988-03-01 00:00:00

  • The dual role of perichondrium in cartilage wound healing.

    abstract::Cartilage structures from the head and neck possess a certain but limited capacity to heal after injury. This capacity is accredited to the perichondrium. In this study, the role of the inner (cambium) and the outer (fibrous) layers of the perichondrium in cartilage wound healing in vitro is investigated. For the firs...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000020991.10201.6C

    authors: Duynstee ML,Verwoerd-Verhoef HL,Verwoerd CD,Van Osch GJ

    更新日期:2002-09-15 00:00:00

  • Breast reconstruction with myocutaneous flaps in previously irradiated patients.

    abstract::Breast reconstructions performed with latissimus dorsi and transverse rectus abdominis myocutaneous (TRAM) flaps in 82 patients with a history of previous chest-wall irradiation were compared with similar reconstructions in 202 nonirradiated patients to determine whether prior irradiation was associated with more freq...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Kroll SS,Schusterman MA,Reece GP,Miller MJ,Smith B

    更新日期:1994-03-01 00:00:00

  • Modified technique for nipple-areolar reconstruction: a case series.

    abstract:SUMMARY:Thousands of women undergo postmastectomy breast reconstruction each year. Part of the reconstruction of an aesthetically pleasing breast is a high-quality nipple-areolar reconstruction. The goals for this reconstruction include appropriate nipple projection, areolar color, and areolar texture. Presented in thi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000080712.05477.DB

    authors: Bogue DP,Mungara AK,Thompson M,Cederna PS

    更新日期:2003-10-01 00:00:00

  • MicroRNA-21 affects proliferation and apoptosis by regulating expression of PTEN in human keloid fibroblasts.

    abstract:BACKGROUND:MicroRNAs (miRNAs) are small noncoding RNA molecules that regulate gene expression in the progress of proliferation, differentiation, and apoptosis. A keloid is considered to be a type of benign tumor. The exact contribution of miRNAs in keloid fibroblasts remains largely unknown. METHODS:Loss and gain of f...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000577

    authors: Liu Y,Wang X,Yang D,Xiao Z,Chen X

    更新日期:2014-10-01 00:00:00