Mawhinney Jamie A, Mounsey Craig A, Johnson Nick A, Russell Peter G
Pulvertaft Hand Centre, Royal Derby Hospital, Derby, UK.
Department of General Medicine, Royal Berkshire Hospital, Berkshire, UK.
Plast Surg (Oakv). 2025 May;33(2):244-250. doi: 10.1177/22925503231213872. Epub 2023 Nov 13.
Radial forearm free flaps (RFFF) are a versatile option for the reconstruction of a wide variety of soft tissue defects and are particularly common in head and neck surgery. Benefits of RFFF include a relatively short operating time, a long pedicle, and a thinner, more pliable flap. However, in addition to its role in reconstructive surgery, the radial artery may be utilized for a number of other procedures including coronary angiography and percutaneous coronary interventions. Concern has previously been raised that prior catheterization may deleteriously affect the function of the radial artery and in the field of cardiothoracic surgery, individuals are increasingly advising against its use as a graft for coronary artery bypass graft surgery in such circumstances. Despite this, little is known about the effect on RFFF. In this review article, we concisely consider the available evidence of the effect of previous transradial catheterization on the radial artery and discuss the implications for reconstructive surgery. We then summarize the key considerations regarding their use in current practice.
桡侧前臂游离皮瓣（RFFF）是修复多种软组织缺损的一种通用选择，在头颈外科尤为常见。RFFF的优点包括手术时间相对较短、蒂长，以及皮瓣更薄、更柔韧。然而，除了在重建手术中的作用外，桡动脉还可用于许多其他手术，包括冠状动脉造影和经皮冠状动脉介入治疗。此前有人担心，先前的导管插入术可能会对桡动脉功能产生有害影响，在心胸外科领域，越来越多的人建议在这种情况下不要将其用作冠状动脉搭桥手术的移植物。尽管如此，对于其对RFFF的影响知之甚少。在这篇综述文章中，我们简要考虑了先前经桡动脉导管插入术对桡动脉影响的现有证据，并讨论了其对重建手术的影响。然后我们总结了当前实践中使用它们的关键注意事项。
