Abstract The Doppler ultrasound flowmeter with a pencil probe, emitting at a frequency of 10 megacycles/second, was used to making recordings along intact and repaired digital arteries and veins. In normal digital arteries, the flow averaged 3.78 ml/min. The ability of the method to appraise the condition of an anastamosis was evaluated in five patients with partial or complete digit, hand, or arm replants, and found quite satisfactory. Beginnings were made in developing criteria for satisfactory flow in these small arteries. References 1. Jacobson JH, Suarez EL: Microsurgery in anastomosis of small vessels . Surg Forum 11:243-245, 1960. 2. Kleinert HE, Kasdan JL: Anastomosis of digital vessels . J Ky Med Assoc 63:106-108, 1965. 3. Hattori H, Killen DA, Green JW: Influence of suture materials and technique on patency of anastomosed arteries of less than 1.5 mm diameter . Am Surg 36:352-354, 1970. 4. Ketchum LD, Wennen WW, Masters FW, et al: Experimental use of pluronic F68 in microvascular surgery . Plast Reconstr Surg 53:288-292, 1974.Crossref 5. Nomoto H, Buncke HS, Chater NL: Improved patency rates in microvascular surgery when using magnesium sulfate and a silicone rubber vascular cuff . Plast Reconstr Surg 54:157-160, 1974.Crossref 6. Report of the American Replantation Mission to China . Plast Reconstr Surg 52:476-489, 1973.Crossref 7. O'Brien BM, MacLeod AM, Miller GDH, et al: Clinical replantation of digits . Plast Reconstr Surg 52:490-502, 1973.Crossref 8. Acland R: Signs of patency in small vessel anastomosis . Surgery 72:744-748, 1972. 9. Yao JST, Bergan JJ: Application of ultrasound to arterial and venous diagnosis . Surg Clin North Am 54:23-38, 1974. 10. Sarin CL, Austin JC, Nickel WO: Effects of smoking on digital bloodflow velocity . JAMA 229:1327-1328, 1974.Crossref 11. Millender LH, Nalebuff EA, Kasdon E: Aneurysms thromboses of the ulnar artery in the hand . Arch Surg 105:686-690, 1972.Crossref 12. Stegall HF, Rushmer RF, Baker DW: A transcutaneous ultrasonic blood-velocity meter . J Appl Physiol 21:701-711, 1966.
Archives of Surgery – American Medical Association
Published: Aug 1, 1975