Steal syndrome from a superficial circumflex iliac perforator artery flap in a patient with a hypoplastic posterior tibial artery and severe diabetic peripheral artery disease.
Steal syndrome from a superficial circumflex iliac perforator artery flap in a patient with a hypoplastic posterior tibial artery and severe diabetic peripheral artery disease.
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DOI：
10.1093/jscr/rjab067
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发表时间：
2021-03
影响因子：
0.5
通讯作者：
Armstrong DG
中科院分区：
文献类型：
--
作者：
Murphy GA;Singh-Moon RP;Rowe VL;Patel KM;Mazhar A;Cuccia DJ;Armstrong DG
游离皮瓣在下肢重建手术中的应用越来越多地被用于治疗糖尿病和外周动脉疾病患者的组织缺损，作为肢体保护的一种手段。旋髂浅动脉穿支皮瓣是足部重建中最常用的皮瓣之一，且已证实优于截肢。血管和神经功能受损的患者在下肢重建手术后易发生并发症，特别是用于皮瓣吻合的动脉血管体缺血。我们提出的情况下，病人谁接受了成功的SCIP皮瓣重建跟骨，但开发坏疽的前足区域发育不良的胫后动脉供应在随后的几个月。在整个皮瓣愈合过程和最终的组织坏死中，使用空间频域成像显示足部的组织氧合和血红蛋白分布的变化。
The use of free flaps in lower extremity reconstructive surgery has seen growing adoption for treating tissue loss in patients with diabetes mellitus and peripheral artery disease as a means for limb preservation. The superficial circumflex iliac perforator artery (SCIP) flap is one of the most commonly utilized flaps in foot reconstruction and has demonstrated benefits over amputation. Patients with impaired vascular and neurologic function are predisposed to complications following lower extremity reconstructive surgery, particularly ischemia in the angiosomes of the arteries used for flap anastomosis. We present the case of a patient who underwent successful SCIP flap reconstruction of the calcaneus but developed gangrene in the forefoot region supplied by a hypoplastic posterior tibial artery in subsequent months. The changes in tissue oxygenation and hemoglobin distribution of the foot are shown using spatial frequency domain imaging throughout the flap healing process and eventual tissue necrosis.
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DOI：
10.1016/j.bjps.2012.09.024
发表时间：
2013-02-01
影响因子：
2.7
作者：
Oh, Tae Suk;Lee, Ho Seung;Hong, Joon Pio
通讯作者：
Hong, Joon Pio
影响因子：
2.9
作者：
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通讯作者：
Bus, Sicco A.
影响因子：
1.4
作者：
Gandolfi, S.;Postel, F.;Duparc, F.
通讯作者：
Duparc, F.
影响因子：
4.1
作者：
Murphy GA;Singh-Moon RP;Mazhar A;Cuccia DJ;Rowe VL;Armstrong DG
通讯作者：
Armstrong DG
影响因子：
2.9
作者：
Kil, Sung-Won;Jung, Gyoo-Sik
通讯作者：
Jung, Gyoo-Sik