Mechanical Leeching with Venocutaneous Fistula and Monitoring with Near-infrared Spectroscopy

SUMMARY: The report herein describes the use of a venocutaneous fistula with angiocatheter attachment and near-infrared spectroscopy device to correct venous congestion of a vertical upper gracilis free flap used for breast reconstruction. This method of mechanical leeching was precisely controlled...

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Detalles Bibliográficos
Autores principales: Bank, Jonathan, Beederman, Maureen, Shore, Alison M., Song, David H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2013
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174058/
https://www.ncbi.nlm.nih.gov/pubmed/25289251
http://dx.doi.org/10.1097/GOX.0b013e3182aa8752
Descripción
Sumario:SUMMARY: The report herein describes the use of a venocutaneous fistula with angiocatheter attachment and near-infrared spectroscopy device to correct venous congestion of a vertical upper gracilis free flap used for breast reconstruction. This method of mechanical leeching was precisely controlled through monitoring trends in the tissue oxygen saturation levels of the flap, allowing venous congestion to be relieved before it became clinically apparent.

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