title: [Interventional angioradiology as a solution for microsurgical flap failure].
abstract: The microsurgical failure rate is almost constant for several decades. We present two case reports describing a novel method of free flap salvage using angioradiological techniques. Our first case shows the potential utility of in situ thrombolysis, our second case describes the first use of stents within a microsurgical anastomosis. In boths cases, the flap would have been lost immediately, because flap revisions failed. Thus, before abandoning on a flap, one could perform a simple angiography to evaluate further angioradiological salvage possibilities and hereby contribute to improve long term microsurgical failure rate.
authors.affiliation: Service de chirurgie plastique, CHUM, Hôtel-Dieu de Montréal, 3840 rue Saint-Urbain, Montréal, Québec, Canada. e_coeugniet@hotmail.com
authors.forename: E
authors.initials: E
authors.lastname: Coeugniet
authors.forename: P G
authors.initials: PG
authors.lastname: Harris
authors.forename: G
authors.initials: G
authors.lastname: Soulez
authors.forename: L S
authors.initials: LS
authors.lastname: Paek
authors.forename: P
authors.initials: P
authors.lastname: Dellifraine
authors.forename: M A
authors.initials: MA
authors.lastname: Danino
mesh_terms: D000714:Anastomosis, Surgical; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000628:therapy; D058752:Free Tissue Flaps / Q000009:adverse effects / Q000098:blood supply*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D016879:Salvage Therapy / Q000379:methods*; D015607:Stents; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D010959:Tissue Plasminogen Activator