Title

Microvascular Steal Phenomenon in Lower Extremity Reconstruction.

Publication/Presentation Date

3-1-1995

Abstract

Macrovascular bypass procedures and microvascular free tissue transfer have resulted in dramatic improvements in lower limb salvage. Although vascular steal is a well-documented phenomenon in the surgical literature, there is a paucity of information on its potential impact in microvascular surgery, particularly in relation to lower extremity reconstruction in the elderly patient with peripheral vascular disease. We report three cases of lower extremity reconstruction using microvascular free tissue transfer in which the free flap survived but the distal extremity suffered progressive ischemic necrosis. A retrospective analysis of these cases defines the conditions in which microvascular steal phenomenon may adversely influence lower limb salvage.

Volume

34

Issue

3

First Page

336

Last Page

339

ISSN

0148-7043

Disciplines

Medicine and Health Sciences | Other Medical Specialties | Plastic Surgery | Surgery

PubMedID

7598395

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Article