Hussmann J, Bahr C, Steinau H U, Vaubel E
Klinik für Plastische Chirurgie, Berufsgenossenschaftliche Kliniken Bergmannsheil, Universitätsklinik, Bochum.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:1164-6.
Data from 69 arterialized venous flaps and transplants were reviewed and showed on overall complication rate of 18.6%. Possible hemodynamic mechanisms include, among others, the opening of macro- and microvenous interconnecting pathways with in the perivenous areolar tissue and pressure-induced insufficiency of venouf valves. The use of arterialized venous flaps increases the plastic surgeon's armamentarium if standard local or distant flap procedures are not possible, and the use of a vein to provide arterial inflow into an amputated body part presents a suitable alternative if arteries are not available and venous congestion is controlled.
对69例动脉化静脉皮瓣及移植的数据进行了回顾,结果显示总体并发症发生率为18.6%。可能的血流动力学机制包括,除其他外,静脉周围乳晕组织内大、微静脉相互连接通路的开放以及压力诱导的静脉瓣功能不全。如果无法进行标准的局部或远处皮瓣手术,动脉化静脉皮瓣的应用增加了整形外科医生的手段,并且如果没有可用的动脉且静脉充血得到控制,使用静脉为截肢的身体部位提供动脉血流是一种合适的替代方法。