Matches in SemOpenAlex for { <https://semopenalex.org/work/W2022571537> ?p ?o ?g. }
- W2022571537 endingPage "404" @default.
- W2022571537 startingPage "399" @default.
- W2022571537 abstract "Background: Arterialized venous flaps can be useful for hand/digit reconstruction, providing very thin skin coverage. However, their popularity has been limited by concerns over poor peripheral perfusion and severe congestion, which may be to be due to unrestricted arteriovenous shunting and pressurization of the efferent vein. To mitigate these problems, we design our flaps to restrict shunting. This report describes our clinical experience with these techniques. Methods: A consecutive series of 15 flaps was reviewed. All flaps were transferred with antegrade flow. Shunt restriction was achieved in one of the following ways, according to the flap's venous pattern: (1) two parallel veins (II-pattern): use of separate veins for inflow and outflow; (2) two parallel veins with connecting branch (H-pattern): as for II-pattern, with ligation of connecting branch; (3) branching vein (Y/λ-pattern): ligation of one branch near bifurcation, with use of that branch for outflow and other segment for inflow (or vice versa); and (4) one continuous vein (I-pattern): ligation at midpoint. Laser Doppler flowmetry was used to compare flap perfusion with and without shunt restriction in two patients. Results: All flaps survived entirely. Color, turgor, temperature, and capillary refill mimicked conventional arterial flaps, facilitating postoperative monitoring. Six flaps demonstrated mild-to-moderate venous congestion at the afferent end, with some developing epidermolysis but no full-thickness loss. Intraoperative flowmetry showed enhanced perfusion in the flap's periphery when shunting was restricted. Conclusions: Restriction of arteriovenous shunting enhances peripheral perfusion and decreases congestion of venous flaps, thereby improving reliability and utility for hand/digit reconstruction." @default.
- W2022571537 created "2016-06-24" @default.
- W2022571537 creator A5045305166 @default.
- W2022571537 creator A5067982858 @default.
- W2022571537 creator A5071282053 @default.
- W2022571537 creator A5081140264 @default.
- W2022571537 creator A5082421237 @default.
- W2022571537 creator A5085090467 @default.
- W2022571537 date "2010-08-01" @default.
- W2022571537 modified "2023-10-11" @default.
- W2022571537 title "The Shunt-Restricted Arterialized Venous Flap for Hand/Digit Reconstruction: Enhanced Perfusion, Decreased Congestion, and Improved Reliability" @default.
- W2022571537 cites W1965011053 @default.
- W2022571537 cites W1969288386 @default.
- W2022571537 cites W1973340486 @default.
- W2022571537 cites W1979119922 @default.
- W2022571537 cites W1983314887 @default.
- W2022571537 cites W1983961378 @default.
- W2022571537 cites W1986421149 @default.
- W2022571537 cites W1992837272 @default.
- W2022571537 cites W1995494470 @default.
- W2022571537 cites W2011420666 @default.
- W2022571537 cites W2014981441 @default.
- W2022571537 cites W2017976175 @default.
- W2022571537 cites W2029736105 @default.
- W2022571537 cites W2037484208 @default.
- W2022571537 cites W2044162844 @default.
- W2022571537 cites W2052990591 @default.
- W2022571537 cites W2061275640 @default.
- W2022571537 cites W2077047065 @default.
- W2022571537 cites W2078199234 @default.
- W2022571537 cites W2088724803 @default.
- W2022571537 cites W2089813546 @default.
- W2022571537 cites W2091248668 @default.
- W2022571537 cites W2092343333 @default.
- W2022571537 cites W2095083494 @default.
- W2022571537 cites W2100596463 @default.
- W2022571537 cites W2154863582 @default.
- W2022571537 cites W4233959339 @default.
- W2022571537 doi "https://doi.org/10.1097/ta.0b013e3181bee6ad" @default.
- W2022571537 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/20375918" @default.
- W2022571537 hasPublicationYear "2010" @default.
- W2022571537 type Work @default.
- W2022571537 sameAs 2022571537 @default.
- W2022571537 citedByCount "33" @default.
- W2022571537 countsByYear W20225715372012 @default.
- W2022571537 countsByYear W20225715372013 @default.
- W2022571537 countsByYear W20225715372014 @default.
- W2022571537 countsByYear W20225715372016 @default.
- W2022571537 countsByYear W20225715372017 @default.
- W2022571537 countsByYear W20225715372018 @default.
- W2022571537 countsByYear W20225715372019 @default.
- W2022571537 countsByYear W20225715372020 @default.
- W2022571537 countsByYear W20225715372021 @default.
- W2022571537 countsByYear W20225715372022 @default.
- W2022571537 countsByYear W20225715372023 @default.
- W2022571537 crossrefType "journal-article" @default.
- W2022571537 hasAuthorship W2022571537A5045305166 @default.
- W2022571537 hasAuthorship W2022571537A5067982858 @default.
- W2022571537 hasAuthorship W2022571537A5071282053 @default.
- W2022571537 hasAuthorship W2022571537A5081140264 @default.
- W2022571537 hasAuthorship W2022571537A5082421237 @default.
- W2022571537 hasAuthorship W2022571537A5085090467 @default.
- W2022571537 hasConcept C141071460 @default.
- W2022571537 hasConcept C146957229 @default.
- W2022571537 hasConcept C158846371 @default.
- W2022571537 hasConcept C164705383 @default.
- W2022571537 hasConcept C179437574 @default.
- W2022571537 hasConcept C197328160 @default.
- W2022571537 hasConcept C2780968331 @default.
- W2022571537 hasConcept C2910670426 @default.
- W2022571537 hasConcept C52305850 @default.
- W2022571537 hasConcept C71924100 @default.
- W2022571537 hasConceptScore W2022571537C141071460 @default.
- W2022571537 hasConceptScore W2022571537C146957229 @default.
- W2022571537 hasConceptScore W2022571537C158846371 @default.
- W2022571537 hasConceptScore W2022571537C164705383 @default.
- W2022571537 hasConceptScore W2022571537C179437574 @default.
- W2022571537 hasConceptScore W2022571537C197328160 @default.
- W2022571537 hasConceptScore W2022571537C2780968331 @default.
- W2022571537 hasConceptScore W2022571537C2910670426 @default.
- W2022571537 hasConceptScore W2022571537C52305850 @default.
- W2022571537 hasConceptScore W2022571537C71924100 @default.
- W2022571537 hasIssue "2" @default.
- W2022571537 hasLocation W20225715371 @default.
- W2022571537 hasLocation W20225715372 @default.
- W2022571537 hasOpenAccess W2022571537 @default.
- W2022571537 hasPrimaryLocation W20225715371 @default.
- W2022571537 hasRelatedWork W2015396902 @default.
- W2022571537 hasRelatedWork W2072714577 @default.
- W2022571537 hasRelatedWork W2076590274 @default.
- W2022571537 hasRelatedWork W2091236642 @default.
- W2022571537 hasRelatedWork W2165057591 @default.
- W2022571537 hasRelatedWork W2380992127 @default.
- W2022571537 hasRelatedWork W2418431290 @default.
- W2022571537 hasRelatedWork W2811260644 @default.
- W2022571537 hasRelatedWork W3180385699 @default.
- W2022571537 hasRelatedWork W3193662913 @default.
- W2022571537 hasVolume "69" @default.