Document Detail

Iatrogenic pseudoaneurysm following reverse radial forearm free tissue transfer.
MedLine Citation:
PMID:  17975773     Owner:  NLM     Status:  MEDLINE    
The appearance of a pseudoaneurysm in a free flap is an extremely rare complication in microsurgery. Yet, although uncommon, this occurrence still poses a dilemma as to the most effective mode of treatment. Treatment modalities consist of surgical exploration, embolization, and endovascular stenting. We present a case of arterial pedicle pseudoaneurysm following free tissue transfer of a radial forearm flap for a cranial defect. We describe our successful operative treatment of the pseudoaneurysm as well as review the literature regarding the applicability of the described treatments. We conclude that a critical evaluation of factors including the timing of arterial inflow loss, the necessity of the pedicle, the condition and quality of the recipient site, and the possibility of neovascularization can assist in determining the proper intervention and maximizing success.
Richard C Baynosa; Anthony Echo; Raffi V Hovsepian; William A Zamboni
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  23     ISSN:  0743-684X     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2008-02-14     Completed Date:  2008-04-03     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  8502670     Medline TA:  J Reconstr Microsurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  335-7     Citation Subset:  IM    
Division of Plastic Surgery, University of Nevada School of Medicine, Las Vegas 89102, USA.
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MeSH Terms
Aneurysm, False / etiology*
Forearm / surgery
Graft Survival
Iatrogenic Disease*
Microsurgery / adverse effects
Middle Aged
Scalp / injuries,  surgery
Skin Transplantation / adverse effects*
Surgical Flaps / adverse effects,  blood supply*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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