Eur J Plast Surg (1998) 21:269±270 Springer-Verlag 1998 LETTER T O T HE EDITOR A. Karacalar ´ M. Özcan Arterialized venous flap for skin coverage and revascularization of the hand Received: 4 November 1997 / Accepted: 28 January 1998 Tissue defects of the forearm, together with a devascular- The 2AV-2VA type venous flap possibly created a ized hand, have been treated traditionally with an interpo- short circuit effect because of the short and wide shape sitional vein graft and a skin flap. However, a flow- of the flap and the venous network of the flap was by- through free flap provides simultaneous coverage and a passed without irrigating the flap . The 2AV-VA type vascular conduit. Arterialized venous flaps are good in flap possibly reduced a short circuit effect. the flap was this situation when interposed between the divided ends perfused at a considerable higher pressure, which led to of the arteries in the recipient bed. a dilatation for the venous network with possible flushing A 45-year-old male sustained a gunshot wound to the out of debris and possible venous valve incompetency [2, left distal forearm, this resulted in extensive damage to 3]. However, 2AV-VA type also aggravated
European Journal of Plastic Surgery – Springer Journals
Published: Jun 24, 1998
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