Service of Plastic and Reconstructive Surgery, Hôpital Notre-Dame, Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
J Plast Reconstr Aesthet Surg. 2011 Jul;64(7):966-8. doi: 10.1016/j.bjps.2010.10.012. Epub 2010 Nov 19.
Although microvascular free-tissue transfer has become a reliable reconstructive method, vascular compromise of the flap necessitating surgical exploration and attempts at flap salvage commonly occurs. Thrombectomy using Fogarty vascular catheters can be used in the setting of vascular pedicle thrombosis. However, this is not without potential complications. The following report describes a case in which the use of a Fogarty vascular catheter during a thrombectomy for microsurgical flap salvage resulted in complete separation of the balloon from the catheter.
尽管游离组织的微血管吻合已经成为一种可靠的重建方法,但皮瓣的血管并发症仍然需要手术探查和皮瓣挽救尝试。在血管蒂血栓形成的情况下,可以使用 Fogarty 血管导管取栓。然而,这并非没有潜在的并发症。本报告描述了一例在使用 Fogarty 血管导管取栓挽救显微外科皮瓣时,球囊与导管完全分离的病例。
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