Use of a cross-over arteriovenous fistula for simultaneous microsurgical tissue transfer and restoration of blood flow to the lower extremity.
A new microsurgical concept for simultaneous restoration of peripheral perfusion in the lower extremity and microsurgical free-tissue transfer is presented. The concept consists of a contralateral cross-over suprapubic arteriovenous (A-V) fistula, end-to-side anastomoses of the superficial and deep femoral artery to the A-V fistula, and microsurgical flap transfer after division of the A-V loop. With this concept, simultaneous restoration of perfusion and defect reconstruction were facilitated.
Brüner
Simone
S
Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center, University of Heidelberg, Ludwigshafen, Germany. sbruener@yahoo.com
Jester
Andrea
A
Sauerbier
Michael
M
Germann
Günter
G
D000368:Aged; D000714:Anastomosis, Surgical; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008866:Microsurgery; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps / Q000098:blood supply*