The results of radial and ulnar arterial repair in the forearm. Experience in three medical centers.

Gelberman, Richard H.; Nunley, James A.; Koman, L. Andrew; Gould, John; Hergenröeder, Patrick T.; MacClean, C R; Urbaniak, James R.

doi:10.2106/00004623-198264030-00008

Cited by 85 publications

(24 citation statements)

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“…We attempted to ascertain whether excision of the radial artery when raising the forearm radial flap does or does not impair the arterial inflow to the hand. Our hypothesis is based on our own clinical experience which has also been shared and reported by other authors 10,11 : most cases of acute hand trauma involving either the radial or the ulnar artery show a normal vascularity of the hand, and unrepaired single artery injuries do not cause signs of ischemia or symptoms of cold intolerance. Other evidence supporting this postulation is presented in Figure 1: in this angiogram an important contribution of the anterior interosseous artery to hand vascularity is clearly shown, reestablishing the blood flow in palmar arches after elevation of a distally based pedicle radial forearm flap.…”

supporting

confidence: 53%

Flow changes in forearm arteries after elevating the radial forearm flap: prospective study using color duplex imaging.

Talegón-Meléndez

Ciria-Lloréns²,

Gómez-Cía³

et al. 1999

Journal of Ultrasound in Medicine

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n reconstructive surgery, microvascular free tissue transfers have gradually evolved from being a procedure of last resort to becoming a first choice operation in the last two decades. For this reason, careful preoperative assessment of the vascular anatomy of both donor tissue pedicles and recipient vessels is mandatory when planning these reconstructive procedures, and CDI has proved to be very useful for this purpose. Many other CDI applications in reconstructive microsurgery have been introduced recently, 1 and its contribution in assessing the vascular morbidity of the radial forearm flap is presented in this paper. Use of the radial forearm flap, a fasciocutaneous flap supplied by the radial artery, is a versatile and reliable technique for different reconstructive problems. The aim of the present study is to assess the changes in flow patterns of forearm arteries caused by excision of the radial artery when harvesting the radial forearm flap to clarify the vascular morbidity. To this purpose, a prospective study was designed using CDI for preoperative and postoperative quantitative flow measurements in forearm arteries. The aim of the present study was to assess the changes in flow patterns of forearm arteries produced by excision of the radial artery when harvesting the radial forearm flap. A prospective study using color duplex imaging for quantitative flow measurements was accomplished in 11 patients. After raising the radial flap, the forearm flow tended to increase overall, the ulnar (P = 0.04), the posterior interosseous (P = 0.003), and the anterior interosseous (P = 0.003) arteries being responsible for this tendency. Therefore, harvesting of a radial flap must not be considered as causing vascular morbidity in terms of blood supply to the hand. KEY

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supporting

confidence: 53%

Flow changes in forearm arteries after elevating the radial forearm flap: prospective study using color duplex imaging.

Talegón-Meléndez

Ciria-Lloréns²,

Gómez-Cía³

et al. 1999

Journal of Ultrasound in Medicine

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“…Several weeks after repair of radial and ulnar arteries following trauma, arteriography revealed a high incidence of occlusion of one or both vessels without distal vascular insufficiency [7]. Recruitment of collaterals, for instance, from the median artery or the interosseous arterial system can therefore provide an adequate hand circulation.…”

Section: Discussionmentioning

confidence: 99%

“…Simultaneous pulse oximetry assessment gave a strong signal in 0% of patients immediately following radial artery occlusion, rising to 64% at 30 min. Unfortunately, assessment at 30 min is too short a time interval to draw any definitive conclusions on the usefulness of the Allen's test, as the development of collaterals can continue to develop after this time period [4,7]. These results, however, show the potential vascular reserve inherent in the hand circulation.…”

Section: Discussionmentioning

confidence: 99%

Transradial coronary intervention without pre-screening for a dual palmar blood supply

Ghuran¹,

Dixon²,

Holmberg³

et al. 2007

International Journal of Cardiology

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“…The patency rate of 12 reconstructed radial arteries reported by Boorman et al [11] was 59%. After injuries, Gelberman et al [12] reported a patency rate of 64% after the reconstruction of the radial artery with a vein graft.…”

Section: Discussionmentioning

confidence: 99%

Reduction of Complication Rate at Radial Forearm Flap Donor Sites

Bootz

Biesinger²

1991

ORL

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The radial forearm flap has become a versatile tissue transfer in head and neck surgery, especially in the reconstruction of the pharynx and oral cavity. Still, many surgeons avoid its application because of the possible donor site complications. In 29 of 51 patients who were operated between July 1987 and April 1990 at the Department of Otorhinolaryngology in Tubingen, we evaluated the function and aesthetic appearance of the radial forearm donor site after surgery. We found a much lower complication rate compared to some reports in the literature. With a questionnaire, the patients were asked how they judged the function and appearance of the forearm donor site. Further tests were made to detect a possible reduced mobility of the hand, and to measure the strength of the hand. Postoperative complications and their management as well as our concept of dealing with the radial forearm flap donor site to minimize complications are discussed.

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The results of radial and ulnar arterial repair in the forearm. Experience in three medical centers.

Cited by 85 publications

References 0 publications

Flow changes in forearm arteries after elevating the radial forearm flap: prospective study using color duplex imaging.

Flow changes in forearm arteries after elevating the radial forearm flap: prospective study using color duplex imaging.

Transradial coronary intervention without pre-screening for a dual palmar blood supply

Reduction of Complication Rate at Radial Forearm Flap Donor Sites

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