Arteriovenous Fistula following Radial Forearm Free Flap

被引：1

作者：

Nikfarjam, Jeremy ^{[1
]}

Taub, Peter J. ^{[2
]}

Patel, Aman ^{[3
]}

Rose, Elliott ^{[1
]}

机构：

[1] Albert Einstein Coll Med, Dept Surg, Bronx, NY 10461 USA

[2] Mt Sinai Med Ctr, Div Plast & Reconstruct Surg, New York, NY 10029 USA

[3] Mt Sinai Med Ctr, Dept Radiol, New York, NY 10029 USA

来源：

JOURNAL OF RECONSTRUCTIVE MICROSURGERY | 2011年 / 27卷 / 05期

关键词：

Arteriovenous fistula; radial forearm free flap; secondary debulking; SURGERY; VEIN;

D O I：

10.1055/s-0031-1278706

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The authors describe the development of a right facial arteriovenous fistula following debulking of a radial forearm free flap for reconstruction of the neck due to a burn contraction scar. The arteriovenous fistula was immediately excised following interventional embolization, without recurrence on postoperative follow-up. The authors report this as being the first arteriovenous fistula following a secondary debulking procedure, likely due to cross-clamping of the vascular pedicle. Thus, the authors recommend that the vascular pedide be identified and that the artery and vein be selectively ligated during secondary debulking procedure following microvascular free flap reconstruction to avoid communication of the respective vessels potentially predisposing to development of an unintended arteriovenous fistula.

引用

页码：295 / 298

页数：4