ArticleInternational wound journal2020
Wound closure by means of free flap and arteriovenous loop: Development of flap autonomy in the long-term follow-up.
Article in International wound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 28 citations in OpenAlex.
- Lighting Up the Dark: Indocyanine Green Angiography for Assessing Free Flap Autonomization After Late Arteriovenous Loop Thrombosis.Plastic and reconstructive surgery. Global open · 2026Article
- Interdisciplinary lower extremity reconstruction in peripheral artery disease with AV-loops and latissimus dorsi flaps.Innovative surgical sciences · 2026Article
- Autonomization of Microvascular Free Flaps in Reconstructive Surgery: A Narrative Review.Microsurgery · 2026Review
- Skin Stretching Techniques: A Review of Clinical Application in Wound Repair.Plastic and reconstructive surgery. Global open · 2024Article
- Detection of wound healing disorders after major amputations by measurements of the microcirculation: A prospective single-center study.SAGE open medicine · 2024Article
- Intraoperative Blood Flow Analysis of Free Flaps with Arteriovenous Loops for Autologous Microsurgical Reconstruction.Journal of clinical medicine · 2023Article
- Recipient bed perfusion as a predictor for postoperative complications in irradiated patients with microvascular free tissue transfer of the head and neck area: a clinical analysis of 191 microvascular free flaps.Oral and maxillofacial surgery · 2023Article
- Quantitative perfusion assessment using indocyanine green during surgery - current applications and recommendations for future use.Langenbeck's archives of surgery · 2023Review
- Repair of postoperative defects of oral cancer with submental island flaps based on vascular pedicles of different states: a multicenter retrospective study.Scientific reports · 2022Article
- Intraoperative Blood Flow Analysis of DIEP vs. ms-TRAM Flap Breast Reconstruction Combining Transit-Time Flowmetry and Microvascular Indocyanine Green Angiography.Journal of personalized medicine · 2022Article
- [Vascular diagnostics before microvascular tissue transfer on the lower extremities : An algorithm].Der Unfallchirurg · 2022Article
- [Reconstruction of oncological defects of the perianal region].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Novel imaging methods reveal positive impact of topical negative pressure application on tissue perfusion in an in vivo skin model.International wound journal · 2021Article
- Perfusion Parameters in Near-Infrared Fluorescence Imaging with Indocyanine Green: A Systematic Review of the Literature.Life (Basel, Switzerland) · 2021Review
- Skin stretch suturing with Nice knots in the treatment of small- or medium-sized wounds.Journal of orthopaedic surgery and research · 2020Article
- Limb salvage procedure in immunocompromised patients with therapy-resistant leg ulcers-The value of ultra-radical debridement and instillation negative-pressure wound therapy.International wound journal · 2020Article
- Wound closure by means of free flap and arteriovenous loop: Development of flap autonomy in the long-term follow-up.International wound journal · 2020Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Free flaps in combination with arterial reconstruction by means of arteriovenous loops or bypass have, meanwhile, been established as a therapeutic option in defect reconstruction for areas without recipient vessels. Our aim was to analyse the long-term performance, flap autonomy, and the flap perfusion. Patients receiving this combined reconstruction at a single-centre institution were included. During follow-up examination, the patency of arterial reconstruction was investigated by duplex ultrasound. Flap micro-circulation was assessed by laser Doppler flowmetry and white light tissue spectrometry (O2C) as well as by indocyanine green fluorescence angiography. Twenty-three patients could be clinically followed up. Duplex ultrasound showed, in four cases, arterial pedicle occlusion in spite of vital flap. Comparison of the O2C perfusion parameters between flaps with occluded pedicles and those with intact inflow showed no significant difference (parameters sO2: P = .82; Flow: P = .31). Similar results were obtained by fluorescence angiography; no significant difference could be detected between both groups (parameters Ingress P = .13; Ingressrate P = .54). Combined vascular reconstruction with free tissue transfer is associated with a good long-term outcome and wound closure. Even after flap transplantation to areas with critical tissue perfusion, the flap can develop autonomy and thus survive after pedicle occlusion.
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