In vivo vascular freezing in clinical microvascular transfer.
Free flap transfer to the lower limb in chronic post-traumatic conditions is known to have a higher complication rate, with flap loss in up to 10% of cases, due mainly to the recipient vessels (Godina: Plast Reconstruct Surg 78:285-291, 1986]). The dissection of these vessels often leads to refractory spasm, due to the so-called perivascular post-traumatic disease (PVPTD) (Khouri [Clin Plast Surg 19:773-785, 1992]). A case is presented of the use of a fairly new spasmolytic maneuver, i.e., in vivo vascular freezing, in a patient who developed intractable spasm of the recipient artery.
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Center of Reconstructive Surgery Casa de Salud, Valencia, Spain.
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D016025:Bone Transplantation; D005018:Ethyl Chloride / Q000627:therapeutic use; D005615:Freezing; D006085:Graft Survival; D006801:Humans; D007866:Leg / Q000601:surgery*; D007869:Leg Injuries / Q000601:surgery; D008297:Male; D008866:Microsurgery; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000379:methods*; D016909:Tibial Arteries / Q000473:pathology / Q000601:surgery*; D013978:Tibial Fractures / Q000601:surgery; D014661:Vasoconstriction; D014945:Wound Healing; D014948:Wounds, Gunshot / Q000601:surgery
D005018:Ethyl Chloride