Dealing with the venous congestion of free flaps: venous catheterization.
For head and neck reconstruction after tumor ablation surgery, free flaps are mostly the chosen treatment modality for most of the centers. Coping with venous insufficiency and increasing venous outflow of the flap during this process increases the success rate. To increase venous outflow, triple-lumen central venous catheter is inserted to one of the donor veins of the flap that has venous insufficiency and one intact vein anastomosis.
Gürsoy
Koray
K
Ankara Training and Research Hospital 1st Plastic and Reconstructive Surgery Clinic, Ankara, Turkey. koraymd@yahoo.com
Kankaya
Yüksel
Y
Uysal
Afşin
A
Koçer
Uğur
U
D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D001367:Axillary Vein / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods*; D005153:Facial Neoplasms / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005542:Forearm / Q000098:blood supply; D006801:Humans; D006940:Hyperemia / Q000628:therapy*; D007601:Jugular Veins / Q000601:surgery; D037981:Neck Dissection; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012039:Regional Blood Flow / Q000502:physiology; D012878:Skin Neoplasms / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply*; D014689:Venous Insufficiency / Q000517:prevention & control; D020246:Venous Thrombosis / Q000209:etiology / Q000628:therapy