Giovanoli P, Meyer V E
Department of Surgery, University Hospital Zürich, Switzerland.
Microsurgery. 1998;18(4):242-5. doi: 10.1002/(sici)1098-2752(1998)18:4<242::aid-micr5>3.0.co;2-l.
The use of a temporary arteriovenous fistula prior to flap harvesting was suggested by Threlfall in 1982 (Threlfall, Aust NZ J Surg 52:182-184, 1982). The basic idea is to use long venous grafts that can be branched side-to-end to a main artery at an easily accessible level using one of the well-established exposures from general vascular surgery. In reconstructive microsurgery, AV-loops are used in limb salvage procedures and in cancer surgery. These patients have often undergone previous surgery and additional radiotherapy. AV-loops facilitate the use of normal recipient vessels out of the zone of injury, or far away from scar or irradiated tissue.
1982年，思雷福尔提出在皮瓣切取前使用临时动静脉瘘（思雷福尔，《澳大利亚和新西兰外科杂志》52:182 - 184, 1982年）。其基本理念是使用长静脉移植物，这些移植物可以通过普通血管外科常用的暴露方法之一，在易于操作的水平以端侧分支的方式连接到一条主要动脉上。在重建显微外科中，动静脉袢用于肢体挽救手术和癌症手术。这些患者通常之前接受过手术和额外的放疗。动静脉袢便于使用损伤区域之外、远离瘢痕或放疗组织的正常受区血管。
