계명대학교 의학도서관 Repository

preoperative angiographic criteria for predicting free-flap transfer outcomes in patients with lower extremity peripheral arterial disease

Metadata Downloads
Author(s)
Sang Woo ParkJunhyung KimJaehoon ChoiJun Sik KimJeong Hwan LeeYoung Sook Park
Keimyung Author(s)
Choi, Jae HoonKim, Jun Hyung
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
International Journal of Lower Extremity Wounds
Issued Date
2016
Volume
15
Issue
4
Keyword
preoperative angiographylower-extremity arterial diseaserecipient vesselfree flap
Abstract
Patients scheduled for microsurgical reconstruction of the lower leg often receive preoperative assessment of recipient vessels using angiography. However, no clear standard is available for evaluating angiographic results to predict free-flap survival outcomes. We developed angiographic criteria for predicting surgical outcome in patients with lower-extremity peripheral arterial disease based on abnormality of the anterior tibial and posterior tibial arteries. We applied the criteria to a small number of patients scheduled for microsurgical reconstruction of the lower leg. Angiographies with arterial abnormalities were classified into 3 groups: favorable free-flap survival, compromised free-flap survival, and postsurgical pedal ischemia. The study enrolled 50 patients between 2005 and 2013. In 42% of patients, arterial abnormalities were observed by angiography. Age >65 years was the strongest risk factor for development of lower-leg arterial abnormality (P < .001). The anterior tibial and peroneal arteries were significantly more stenotic than other vessels. In the favorable free-flap survival and compromised free-flap survival groups, free-flap transfers were attempted in 7 patients but intraoperatively abandoned in 2 patients, with postoperative failure in 1 patient. In the postsurgical pedal ischemia group, free-flap transfers were attempted in 10 patients but intraoperatively abandoned in 6 patients, with postoperative failure in 3.
Keimyung Author(s)(Kor)
최재훈
김준형
Publisher
School of Medicine
Citation
Sang Woo Park et al. (2016). preoperative angiographic criteria for predicting free-flap transfer outcomes in patients with lower extremity peripheral arterial disease. International Journal of Lower Extremity Wounds, 15(4), 325–331. doi: 10.1177/1534734616668764
Type
Article
ISSN
1534-7346
Source
http://journals.sagepub.com/doi/10.1177/1534734616668764
DOI
10.1177/1534734616668764
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32776
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
공개 및 라이선스
  • 공개 구분공개
  • 엠바고Forever
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.