Superficial inferior epigastric artery flap salvage technique using deep inferior epigastric artery graft

Rebecca M. Garza, Deana Shenaq, David H. Song, Julie Park

Research output: Contribution to journalArticle

Abstract

Superficial inferior epigastric artery (SIEA) flap salvage remains challenging, particularly in cases of arterial insufficiency due to vessel spasm, pedicle kinking, or thrombosis. The already small, short SIEA pedicle, in addition to its inherent tendency toward spasm, renders the SIEA flap more difficult to manage when anastomotic revision is required. Furthermore, arterial thrombosis will cause dilation of the internal mammary artery, exacerbating vessel mismatch. In our previously published experience with 145 SIEA flaps, no flap with postoperative arterial thrombosis was salvageable. Following this experience, a new salvage technique using deep inferior epigastric artery grafts has been utilized and is described here.

Original languageEnglish (US)
Article numbere1528
JournalPlastic and Reconstructive Surgery - Global Open
Volume6
Issue number1
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

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Epigastric Arteries
Transplants
Thrombosis
Spasm
Mammary Arteries
Dilatation

ASJC Scopus subject areas

  • Surgery

Cite this

Superficial inferior epigastric artery flap salvage technique using deep inferior epigastric artery graft. / Garza, Rebecca M.; Shenaq, Deana; Song, David H.; Park, Julie.

In: Plastic and Reconstructive Surgery - Global Open, Vol. 6, No. 1, e1528, 01.01.2018.

Research output: Contribution to journalArticle

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