Fukui A, Inada Y, Murata K, Ueda Y, Tamai S
Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan.
J Reconstr Microsurg. 1998 Jan;14(1):67-74. doi: 10.1055/s-2007-1006904.
The authors used a delayed arteriovenous (A-V) shunt method to prevent congestion and necrosis of arterialized venous flaps. Two weeks before elevating the flap, an A-V shunt between the central artery and vein was created at the more proximal flap end. Twelve rabbits (24 flaps) were used for this experiment. Flaps were followed for 4 weeks. Twelve of 24 flaps survived completely; another 10 flaps showed partial necrosis; and two flaps became completely necrotic. These results demonstrated that this method is superior to a simple A-V shunt in preventing congestion and necrosis in the arterialized venous flap.
作者采用延迟动静脉（A-V）分流法预防动脉化静脉皮瓣的充血和坏死。在掀起皮瓣前两周，于皮瓣近端更靠近中心的动脉和静脉之间建立动静脉分流。12只家兔（24个皮瓣）用于本实验。对皮瓣进行4周的观察。24个皮瓣中有12个完全存活；另外10个皮瓣出现部分坏死；2个皮瓣完全坏死。这些结果表明，在预防动脉化静脉皮瓣的充血和坏死方面，该方法优于单纯的动静脉分流法。
