Gewählte Publikation:
Moshammer, HE; Schwarzl, FX; Haas, FM; Maechler, H; Pierer, G; Wiltgen, M; Koch, H.
Retrograde arterialized venous flap: an experimental study.
Microsurgery. 2003; 23(2):130-4
Doi: 10.1002/micr.10108
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
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Koch Horst
- Co-Autor*innen der Med Uni Graz
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Haas Franz
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Mächler Heinrich
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Schwarzl Franz
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Wiltgen Marco
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- Abstract:
- An experimental model was established to study circulation in retrograde arterialized venous flaps (RAVF). Venous flaps measuring 7 x 4 cm with a matching venous system were harvested from both forearms of 10 fresh human cadavers. In each trial, both flaps were simultaneously perfused with heparinized human blood driven by a pulsatile circulation model. In each trial there was one flap with retrograde perfusion, and one flap with antegrade perfusion. Clinical assessment, measurement of outflow, and angiographic examination with digitally assisted assessment after 3 h of perfusion showed better results for retrograde perfusion in 8 of the 10 trials. This study indicates that blood circulation in the periphery of arterialized venous flaps can be enhanced by retrograde arterialization.
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Angiography - administration & dosage
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Arteries - physiopathology, surgery
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Forearm - blood supply, diagnostic imaging, surgery
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Humans - administration & dosage
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Microsurgery - methods
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Models, Cardiovascular - administration & dosage
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Pulsatile Flow - physiology
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Reconstructive Surgical Procedures - methods
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Regional Blood Flow - physiology
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Surgical Flaps - blood supply
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Veins - physiopathology, surgery