Staging Arteriovenous Fistula Loops for Lengthening of Free-Flap Pedicles

Staging Arteriovenous Fistula Loops for Lengthening of Free-Flap Pedicles
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分期动静脉内瘘环延长游离皮瓣蒂

DOI:
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发表时间:
1999
影响因子:
2.1
通讯作者:
L. Silver
L. Silver
中科院分区:
医学2区
文献类型:
--
作者:
P. Taub;Jin;Wen X. Zhang;Nhat Pham;H. Weinberg;L. Silver

文献摘要

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作者研究了在白色大鼠模型中使用聚四氟乙烯(PTFE)创建动静脉(AV)环后的最佳成熟期,随后将其用于支持游离组织移植。在创建皮瓣之前,允许第1组(n = 17)中的AV环成熟3天,而允许第2组(n = 14)中的AV环成熟5天。结果与之前的研究进行了比较,其中作者报告了80%的初始通畅率(n = 30)和67%的存活率,基于7天后的12个专利环。在本研究中,3天组的通畅率为59%,5天组为79%;存活率分别为50%和64%。考虑到专利和非专利的循环,总的可行率分别为29%和50%。对于由PTFE微移植物构建的AV环,成熟期超过3天对于随后的游离组织移植来说是最好的。
The authors investigated the optimal period of maturation following the creation of arteriovenous (AV) loops using polyterafluoroethylene (PTFE) in a white rat model, which were subsequently used to support free-tissue transfer The AV loops in Group 1 (n = 17) were allowed to mature for 3 days prior to creation of the flap, while those from Group 2 (n = 14) were allowed to mature for 5 days. Results were compared to those from a previous study in which the authors reported an 80 percent initial patency rate (n = 30) and a 67 percent viability rate, based on 12 patent loops after 7 days. In the present study, patency rates were 59 percent for the 3-day group and 79 percent for the 5-day group; viability rates were 50 and 64 percent, respectively. Considering both patent and nonpatent loops, the overall viability rates were 29 and 50 percent respectively. Maturation periods longer than 3 days for AV loops constructed from PTFE micrografts were determined to be preferable for subsequent free-tissue transfer.