The use of indocyanine green angiography in arterialized-venous free flaps: Case report and insight into flap vascular physiology

Arterialized venous flaps (AVFs) are an innovative option in hand reconstruction. Their exact vascular physiology and survival mechanisms remain unclear. We report on two hand reconstruction cases with AVFs. Indocyanine green laser angiography was used to assess vascular perfusion of the flaps. A no...

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Autores principales: Gornitsky, Jordan, Beauchemin, Gabriel, Chollet, André, Tremblay, Dominique, Boghossian, Elie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968199/
https://www.ncbi.nlm.nih.gov/pubmed/35368582
http://dx.doi.org/10.1016/j.jpra.2022.02.010
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author Gornitsky, Jordan
Beauchemin, Gabriel
Chollet, André
Tremblay, Dominique
Boghossian, Elie
author_facet Gornitsky, Jordan
Beauchemin, Gabriel
Chollet, André
Tremblay, Dominique
Boghossian, Elie
author_sort Gornitsky, Jordan
collection PubMed
description Arterialized venous flaps (AVFs) are an innovative option in hand reconstruction. Their exact vascular physiology and survival mechanisms remain unclear. We report on two hand reconstruction cases with AVFs. Indocyanine green laser angiography was used to assess vascular perfusion of the flaps. A notable change in flap perfusion was seen by 48 h post-operatively with normalization of shunting and progression to a diffuse perfusion pattern resembling traditional flaps. Flap survival was attributed to reversed shunting at the microvascular level occurring within the first 48 h post-operatively.
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spelling pubmed-89681992022-04-01 The use of indocyanine green angiography in arterialized-venous free flaps: Case report and insight into flap vascular physiology Gornitsky, Jordan Beauchemin, Gabriel Chollet, André Tremblay, Dominique Boghossian, Elie JPRAS Open Case Report Arterialized venous flaps (AVFs) are an innovative option in hand reconstruction. Their exact vascular physiology and survival mechanisms remain unclear. We report on two hand reconstruction cases with AVFs. Indocyanine green laser angiography was used to assess vascular perfusion of the flaps. A notable change in flap perfusion was seen by 48 h post-operatively with normalization of shunting and progression to a diffuse perfusion pattern resembling traditional flaps. Flap survival was attributed to reversed shunting at the microvascular level occurring within the first 48 h post-operatively. Elsevier 2022-03-08 /pmc/articles/PMC8968199/ /pubmed/35368582 http://dx.doi.org/10.1016/j.jpra.2022.02.010 Text en © 2022 The Author(s). Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Gornitsky, Jordan
Beauchemin, Gabriel
Chollet, André
Tremblay, Dominique
Boghossian, Elie
The use of indocyanine green angiography in arterialized-venous free flaps: Case report and insight into flap vascular physiology
title The use of indocyanine green angiography in arterialized-venous free flaps: Case report and insight into flap vascular physiology
title_full The use of indocyanine green angiography in arterialized-venous free flaps: Case report and insight into flap vascular physiology
title_fullStr The use of indocyanine green angiography in arterialized-venous free flaps: Case report and insight into flap vascular physiology
title_full_unstemmed The use of indocyanine green angiography in arterialized-venous free flaps: Case report and insight into flap vascular physiology
title_short The use of indocyanine green angiography in arterialized-venous free flaps: Case report and insight into flap vascular physiology
title_sort use of indocyanine green angiography in arterialized-venous free flaps: case report and insight into flap vascular physiology
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968199/
https://www.ncbi.nlm.nih.gov/pubmed/35368582
http://dx.doi.org/10.1016/j.jpra.2022.02.010
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