Arterialization of the Venous Network as a Solution to Obstructed Arterial System During Replantation

KUBEK, Tomáš, Igor STUPKA a Jiří VESELÝ. Arterialization of the Venous Network as a Solution to Obstructed Arterial System During Replantation. Acta Chirurgiae Plasticae. 2011, roč. 53, 1-4, s. 29-32. ISSN 0001-5423.

Základní údaje

Originální název

Arterialization of the Venous Network as a Solution to Obstructed Arterial System During Replantation

Autoři

KUBEK, Tomáš (203 Česká republika, garant, domácí), Igor STUPKA (203 Česká republika, domácí) a Jiří VESELÝ (203 Česká republika, domácí)

Vydání

Acta Chirurgiae Plasticae, 2011, 0001-5423

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Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/11:00055525

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Replantation; venous arterialization; thumb

Příznaky

Recenzováno

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Anotace

V originále

Although thumb replantation is a routine procedure where the arterial and venous circulation is reconstructed by arterial and venous anastomoses, in clinical practice we see cases when it is not possible to restore the blood supply by conventional methods. Out of 2240 replantations and revascularizations completed at our workplace between the years 1978–2010, there were six cases in which the method of arterialization of the venous network was used to restore blood supply. The method of venous network arterialization is used in cases when the amputated part of the body lacks the artery or when it is severely damaged. We used the method of venous network arterialization for thumb replantation where the restoration of blood supply was not successful despite patent arterial anastomosis due to a blockage of the arterial system peripheral to the anastomosis. In both cases the use of the arterialization method allowed us to restore blood supply, and the results were not different from the conventionally performed replantations. Our experience shows that the method of venous network arterialization can be successfully used in cases where the arteries in the amputated parts are severely damaged or missing as well as in cases when the conventional methods are not successful in the restoration of blood supply.