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Hemi-Intravascular Stenting for Supermicrosurgical Anastomosis
BACKGROUND: Although supermicrosurgical anastomosis is a widely known reconstructive microsurgical technique, it is difficult to perform. To expand the clinical use of supermicrosurgery, we used hemi-intravascular stenting (hemi-IVaS), which is performed by inserting an intravascular stent into one...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5732658/ https://www.ncbi.nlm.nih.gov/pubmed/29263952 http://dx.doi.org/10.1097/GOX.0000000000001533 |
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author | Tashiro, Kensuke Yamashita, Shuji Narushima, Mitsunaga Koshima, Isao Miyamoto, Shimpei |
author_facet | Tashiro, Kensuke Yamashita, Shuji Narushima, Mitsunaga Koshima, Isao Miyamoto, Shimpei |
author_sort | Tashiro, Kensuke |
collection | PubMed |
description | BACKGROUND: Although supermicrosurgical anastomosis is a widely known reconstructive microsurgical technique, it is difficult to perform. To expand the clinical use of supermicrosurgery, we used hemi-intravascular stenting (hemi-IVaS), which is performed by inserting an intravascular stent into one side of the vessel. We conducted lymphaticovenular anastomosis, free perforator flap transfer, and fingertip replantation with supermicrosurgical anastomosis using hemi-IVaS technique and examined its usefulness. METHODS: Between January 2013 and February 2015, 11 anastomoses in 11 cases of lymphaticovenular anastomosis for lymphedema patients, 14 anastomoses in 7 cases of free perforator flap transfer with supermicrosurgical perforator-to-perforator anastomosis, and 9 anastomoses in 5 cases of fingertip replantation were performed using hemi-IVaS. Time required for anastomosis and complications were examined. Flap survival rate was also examined in free perforator flap transfer cases and fingertip replantation cases. RESULTS: In all cases, anastomoses were performed without complications such as inadvertent catching of the back wall of the vessel during the procedure or the need for reanastomoses. The average time required to complete the anastomosis was 16.4 ± 3.20 minutes using the hemi IVaS technique. All flaps survived in the supermicrosurgical perforator-to-perforator anastomosis as well as fingertip replantation cases. CONCLUSIONS: Hemi-IVaS could be a useful alternative to conventional intravascular stenting techniques and is also effective for supermicrosurgical perforator-to-perforator anastomosis. Further studies are needed to improve the success rate and to explore its other possible utilizations in supermicrosurgery. |
format | Online Article Text |
id | pubmed-5732658 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-57326582017-12-20 Hemi-Intravascular Stenting for Supermicrosurgical Anastomosis Tashiro, Kensuke Yamashita, Shuji Narushima, Mitsunaga Koshima, Isao Miyamoto, Shimpei Plast Reconstr Surg Glob Open Original Article BACKGROUND: Although supermicrosurgical anastomosis is a widely known reconstructive microsurgical technique, it is difficult to perform. To expand the clinical use of supermicrosurgery, we used hemi-intravascular stenting (hemi-IVaS), which is performed by inserting an intravascular stent into one side of the vessel. We conducted lymphaticovenular anastomosis, free perforator flap transfer, and fingertip replantation with supermicrosurgical anastomosis using hemi-IVaS technique and examined its usefulness. METHODS: Between January 2013 and February 2015, 11 anastomoses in 11 cases of lymphaticovenular anastomosis for lymphedema patients, 14 anastomoses in 7 cases of free perforator flap transfer with supermicrosurgical perforator-to-perforator anastomosis, and 9 anastomoses in 5 cases of fingertip replantation were performed using hemi-IVaS. Time required for anastomosis and complications were examined. Flap survival rate was also examined in free perforator flap transfer cases and fingertip replantation cases. RESULTS: In all cases, anastomoses were performed without complications such as inadvertent catching of the back wall of the vessel during the procedure or the need for reanastomoses. The average time required to complete the anastomosis was 16.4 ± 3.20 minutes using the hemi IVaS technique. All flaps survived in the supermicrosurgical perforator-to-perforator anastomosis as well as fingertip replantation cases. CONCLUSIONS: Hemi-IVaS could be a useful alternative to conventional intravascular stenting techniques and is also effective for supermicrosurgical perforator-to-perforator anastomosis. Further studies are needed to improve the success rate and to explore its other possible utilizations in supermicrosurgery. Wolters Kluwer Health 2017-11-27 /pmc/articles/PMC5732658/ /pubmed/29263952 http://dx.doi.org/10.1097/GOX.0000000000001533 Text en Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Original Article Tashiro, Kensuke Yamashita, Shuji Narushima, Mitsunaga Koshima, Isao Miyamoto, Shimpei Hemi-Intravascular Stenting for Supermicrosurgical Anastomosis |
title | Hemi-Intravascular Stenting for Supermicrosurgical Anastomosis |
title_full | Hemi-Intravascular Stenting for Supermicrosurgical Anastomosis |
title_fullStr | Hemi-Intravascular Stenting for Supermicrosurgical Anastomosis |
title_full_unstemmed | Hemi-Intravascular Stenting for Supermicrosurgical Anastomosis |
title_short | Hemi-Intravascular Stenting for Supermicrosurgical Anastomosis |
title_sort | hemi-intravascular stenting for supermicrosurgical anastomosis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5732658/ https://www.ncbi.nlm.nih.gov/pubmed/29263952 http://dx.doi.org/10.1097/GOX.0000000000001533 |
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