| Milking dilatation: a pilot study. | |
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MedLine Citation:
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PMID: 9618089 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Under certain circumstances during microsurgical anastomosis, vasospasm may persist, despite the use of multiple topical vasodilators. Mechanical dilatation may be needed but is difficult to perform in vessels smaller than 1 mm in diameter. Milking dilatation, a simple maneuver similar to a milking patency test, is introduced and tested for vessels of such a size. The femoral arteries of 10 Sprague-Dawley rats were used. Milking dilation was performed on both sides, and a forceful milking dilation method was also used 10 times on one side subsequently. The dilated segments demonstrated a 67.3 percent (29 to 100 percent) increase in their original sizes. The vessels were all patent, with no gross signs of thrombosis or aneurysm formation, when exposed immediately, 1 week, and 4 weeks post procedure. Half of the dilated segments, even those forcefully dilated, returned to their normal size at 4 weeks; the remainder were still dilated. The results of this study demonstrated that milking dilatation is effective and safe for dilating arteries about I mm in diameter or less. However, further study is required before any long-term conclusions can be drawn. |
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Authors:
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J Y Bao; R Sherman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of reconstructive microsurgery Volume: 14 ISSN: 0743-684X ISO Abbreviation: J Reconstr Microsurg Publication Date: 1998 May |
Date Detail:
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Created Date: 1998-08-06 Completed Date: 1998-08-06 Revised Date: 2011-02-16 |
Medline Journal Info:
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Nlm Unique ID: 8502670 Medline TA: J Reconstr Microsurg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 233-6 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, University of Southern California, and Orthopaedic Hospital, Los Angeles 90033, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anastomosis, Surgical Animals Dilatation / methods Femoral Artery / surgery* Intraoperative Care / methods Pilot Projects Rats Rats, Sprague-Dawley Vascular Patency Vascular Surgical Procedures / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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