ArticleJournal of vascular surgery cases and innovative techniques2022
Iatrogenic thrombosis of the deep inferior epigastric artery during diagnostic angiography-a rare complicating factor during rectus free flap harvest.
Article in Journal of vascular surgery cases and innovative techniques, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed, 0 citations in OpenAlex.
- Rectus-based Stoma and Rectus Abdominis Myocutaneous Flap Laterality Planning for Perineal-Anal Defects After Hemipelvectomy.Plastic and reconstructive surgery. Global open · 2026Article
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6 authors at 3 institutions in 1 country.
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Abstract
We describe a 28-year-old man who sustained an open IIIB left ankle fracture dislocation with heel pad avulsion. The patient underwent formal angiography of the left lower extremity, followed by free tissue transfer of a rectus abdominis flap several days later. Intraoperatively, a thrombus was identified in the deep inferior epigastric artery above the femoral artery access site requiring thrombectomy. Histologic analysis estimated the thrombus age at 12 to 72 hours, raising concern that the thrombus was induced during angiogram instrumentation. Donor and recipient site-specific risks of arterial instrumentation (including invasive diagnostics) should be considered when planning free tissue transfer.
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