Kato H, Takada T, Yukawa Y, Yanase M, Torii S
Department of Head and Neck Surgery, Aichi Cancer Centre Hospital, Nagoya, Japan.
Br J Plast Surg. 2001 Mar;54(2):164-6. doi: 10.1054/bjps.2000.3511.
We report a case in which venous occlusion occurred after fibular osteocutaneous flap transfer for open tibial fracture. The flap was salvaged using an external venous shunt. The shunt consisted of a Teflon catheter for intravenous infusion, a three-way stopcock, a urokinase-immobilised catheter and a pressurising bag for arterial-pressure monitoring. This method can be used to establish venous drainage when there is no accessible recipient vein. It may improve the success rate of microvascular surgery and extend the indications for surgery.
我们报告了一例在开放性胫骨骨折行腓骨骨皮瓣转移术后发生静脉闭塞的病例。通过使用外部静脉分流术挽救了皮瓣。该分流装置由用于静脉输液的聚四氟乙烯导管、三通旋塞、固定有尿激酶的导管以及用于动脉压监测的加压袋组成。当无可利用的受区静脉时，此方法可用于建立静脉引流。它可能会提高微血管手术的成功率并扩大手术适应证。
