静脉游离皮瓣加介入式旁路移植术保存动静脉瘘1例

IF 1.3 Q3 SURGERY
Archives of Plastic Surgery-APS Pub Date : 2023-10-12 eCollection Date: 2023-11-01 DOI:10.1055/a-2122-6029
Cyril Awaida, Marion Aribert, Natalie Weger, Kendall Keck, Andrei Odobescu
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引用次数: 0

摘要

摘要皮肤鳞状细胞癌(CSCC)覆盖动静脉瘘(AVF)是罕见的,并提出了独特的挑战。本病例报告描述了一种使用流过静脉游离皮瓣在CSCC切除后保留瘘管的方法。静脉瓣的隐静脉作为血流段保存AVF。皮瓣沿前臂创面背侧置入,动脉流入的微血管吻合在头侧瘘口近端静脉完成。通过在头静脉和大隐静脉之间建立端到端血管吻合建立静脉流出。使用单独的皮下静脉为皮瓣提供低压流出,以避免充血。本病例展示了一种以前没有描述过的保存AVF的方法。它还强调了多学科方法对avf上覆盖的CSCCs安全治疗的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Venous Free Flap with Interposition Bypass Graft for Arteriovenous Fistula Preservation: A Case Report.

Cutaneous squamous cell carcinoma (CSCC) overlying an arteriovenous fistula (AVF) is rare and presents unique challenges. This case report describes a method of fistula preservation after CSCC excision using a flow-through venous free flap. The saphenous vein of the venous flap was used as flow-through segment for AVF preservation. The flap was inserted along the dorsal aspect of the forearm wound and microvascular anastomosis of the arterial inflow was completed using a vein just proximal to the radiocephalic fistula anastomosis. Venous outflow was established by creating an end-to-end vascular anastomosis between the cephalic vein and the greater saphenous vein. A separate subcutaneous vein was used to provide a low-pressure outflow for the flap to avoid congestion. This case demonstrates an option for AVF preservation that has not been previously described. It also highlights the importance of a multidisciplinary approach for the safe treatment of CSCCs overlying AVFs.

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来源期刊
CiteScore
2.10
自引率
6.70%
发文量
131
审稿时长
10 weeks
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