Document Detail


Intraoperative hemodynamic evaluation of the radial and ulnar arteries during free radial forearm flap procedure.
MedLine Citation:
PMID:  19902406     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this prospective study was to assess the blood flow of the radial and ulnar arteries before and after radial forearm flap raising. Twenty-two patients underwent radial forearm microvascular reconstruction for leg soft tissue defects. Blood flow of the radial, ulnar, and recipient arteries was measured intraoperatively by transit-time and ultrasonic flowmeter. In the in situ radial artery, the mean blood flow was 60.5 +/- 47.7 mL/min before, 6.7 +/- 4.1 mL/min after raising the flap, and 5.8 +/- 2.0 mL/min after end-to-end anastomosis to the recipient artery. In the ulnar artery, the mean blood flow was 60.5 +/- 43.3 mL/min before harvesting the radial forearm flap and significantly increased to 85.7 +/- 57.9 mL/min after radial artery sacrifice. A significant difference was also found between this value and the value of blood flow in the ulnar and radial arteries pooled together ( P < 0.05). The vascular resistance in the ulnar artery decreased significantly after the radial artery flap raising (from 2.7 +/- 3.1 to 1.9 +/- 2.2 peripheral resistance units, P = 0.010). The forearm has a conspicuous arterial vascularization not only through the radial and ulnar arteries but also through the interosseous system. The raising of the radial forearm flap increases blood flow and decreases vascular resistance in the ulnar artery.
Authors:
Fulvio Lorenzetti; Salvatore Giordano; Erkki Suominen; Sirpa Asko-Seljavaara; Sinikka Suominen
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Publication Detail:
Type:  Journal Article     Date:  2009-11-09
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  26     ISSN:  1098-8947     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-22     Completed Date:  2010-05-18     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:  73-7     Citation Subset:  IM    
Affiliation:
Department of Plastic Surgery, Helsinki University Hospital, Helsinki, Finland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Blood Flow Velocity
Female
Forearm / blood supply*,  ultrasonography
Hemodynamics*
Humans
Leg / surgery*
Male
Microsurgery
Middle Aged
Monitoring, Intraoperative / methods*
Prospective Studies
Radial Artery / ultrasonography
Regional Blood Flow
Soft Tissue Injuries / surgery*
Statistics, Nonparametric
Surgical Flaps / blood supply*
Ulnar Artery / ultrasonography
Vascular Resistance

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


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