Artery–Vein–Artery Venous Flap for Simultaneous Soft-Tissue Repair and Radial Artery Reconstruction: Case Report

The arterialized saphenous venous flow‐through flap with dual venous drainage

“…Since this early experience, we have employed the technique of two sources of outflow, and our ultimate results have improved concordantly, in fact comparing favorably with any other described technique for venous outflow in these arterialized flaps, even where good results have been described. 25,[51][52][53] Unlike Lin et al, we were able to cover defects using substantially larger flap sizes of up to 8 3 20 cm 2 . We attribute this to: (a) using arterialized venous flaps only; (b) reversing the flap such that the venous valves were orientated in the direction of blood flow to allow unimpeded flow during arterialization; and (c) anastomosing an additional vein that is not connected to the central vein to enable dual venous drainage through two systems.…”