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
Published In/Presented At
Sonntag, B. V., Murphy, R. J., Chernofsky, M. A., & Chowdary, R. P. (1995). Microvascular steal phenomenon in lower extremity reconstruction. Annals Of Plastic Surgery, 34(3), 336-339.
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