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 language | English (US) |
|---|---|
| Article number | e1528 |
| Journal | Plastic and Reconstructive Surgery - Global Open |
| Volume | 6 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2018 |
| Externally published | Yes |
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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 journal › Article
}
TY - JOUR
T1 - Superficial inferior epigastric artery flap salvage technique using deep inferior epigastric artery graft
AU - Garza, Rebecca M.
AU - Shenaq, Deana
AU - Song, David H.
AU - Park, Julie
PY - 2018/1/1
Y1 - 2018/1/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85065125370&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85065125370&partnerID=8YFLogxK
U2 - 10.1097/GOX.0000000000001528
DO - 10.1097/GOX.0000000000001528
M3 - Article
AN - SCOPUS:85065125370
VL - 6
JO - Plastic and Reconstructive Surgery - Global Open
JF - Plastic and Reconstructive Surgery - Global Open
SN - 2169-7574
IS - 1
M1 - e1528
ER -