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

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

Basic information

• Original name: Arterialization of the Venous Network as a Solution to Obstructed Arterial System During Replantation
• Authors: KUBEK, Tomáš (203 Czech Republic, guarantor, belonging to the institution), Igor STUPKA (203 Czech Republic, belonging to the institution) and Jiří VESELÝ (203 Czech Republic, belonging to the institution).
• Edition: Acta Chirurgiae Plasticae, 2011, 0001-5423.

Other information

• Original language: English
• Type of outcome: Article in a journal
• Field of Study: 30200 3.2 Clinical medicine
• Country of publisher: Czech Republic
• Confidentiality degree: is not subject to a state or trade secret
• RIV identification code: RIV/00216224:14110/11:00055525
• Organization unit: Faculty of Medicine
• Keywords in English: Replantation; venous arterialization; thumb
• Tags: Reviewed

Abstract

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.