Use of vein-patch angioplasty in microvascular tissue transfers.
Vein-patch angioplasty is a well-established technique in vascular surgery to reduce the critical narrowing of the arteriotomy site. In microsurgical end-to-side anastomosis, although the arteriotomy is not closed, it is not known if anastomosis through a sclerotic segment contributes to narrowing at the anastomotic site. It is certainly technically difficult to perform a microanastomosis with fine sutures through a sclerotic segment. Two cases are illustrated in which vein-patch angioplasties were successfully used for microsurgical anastomoses.
Chowdary
R P
RP
Division of Plastic Surgery, Allentown Hospital, Lehigh Valley Hospital Center, PA.
Stefan
M
M
Chernofsky
M
M
D000368:Aged; D000673:Amputation, Traumatic / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D000800:Angioplasty, Balloon / Q000379:methods*; D005528:Foot / Q000473:pathology; D005534:Foot Diseases / Q000601:surgery*; D018409:Foot Injuries; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D012883:Skin Ulcer / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D014680:Veins / Q000601:surgery