The Reversal of the Circulation in a Limb

Carrel, Alexis; Guthrie, C. C.

doi:10.1097/00000658-190602000-00003

Cited by 46 publications

(11 citation statements)

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“…7 Subsequently, there were some attempts to arterialize the venous system mainly in the lower limb, but all had low rates of success and high rates of serious complications, such as excessive swelling and even high-output cardiac failure. 6 In 1951, Szilagyi et al reported failure for 9 consecutive cases, 8 and further enthusiasm for this procedure ceased. In 1975, Lengua 9 stressed the impor- tance of performing a more distal anastomosis to improve outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Arterialization of the venous network, in which arterial flow is conducted through the venous system, may be performed as a salvage procedure. [3][4][5] Although more than a century has passed since this procedure was first performed, 6,7 it has not been widely employed in the upper extremity, partly due to early reports of its use in the lower-extremity that documented important complications. 3 In the recent literature related to the upper extremity, only very few sporadic cases with relatively short-term follow-up have been reported.…”

mentioning

confidence: 99%

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Long-Term Successful Outcome of Severe Hand Ischemia Using Arterialization With Reversal of Venous Flow: Case Report

Chloros

Koman

2008

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Long-Term Successful Outcome of Severe Hand Ischemia Using Arterialization With Reversal of Venous Flow: Case Report

Chloros

Koman

2008

The Journal of Hand Surgery

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“…Arterialization of the venous system for nutrient delivery is not a new concept, and was first described in 1906 by Carrell and Guthrie. 10 There have been several reports of the successful establishment of retrograde venous circulation in free flaps through the creation of arteriovenous anastomoses in animal models. 6 " 8 We have demonstrated that the arterialization of the venous system is feasible, by injecting malachite green dye into a cadaveric ear.…”

Section: Discussionmentioning

confidence: 99%

Single‐Vessel Arteriovenous Revascularization of the Amputated Ear

Zamboni

Lozano²,

Vitkus³

et al. 1999

J reconstr Microsurg

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Successful single-vessel arteriovenous replantation of a completely amputated human ear is described. This result was followed by an experimental study using a rabbit model, to confirm that an amputated ear could survive replantation with only a single arteriovenous anastomosis. Fifteen animals were placed in one of two experimental groups: Group 1-arteriovenous replantation, no treatment (n = 6); and Group 2-arteriovenous replantation with medicinal leeching (n = 9). All ears demonstrated initial reperfusion of the replantation immediately following microanastomosis. Laser Doppler flow readings in the non-leeched replanted ears fell to zero by 8 hr and, by 12 hr, the non-leeched ears demonstrated signs of necrosis. All the leeched, replanted ears demonstrated perfusion and complete viability at the time of sacrifice. The case report, combined with the results from the experimental study, confirm that single-vessel arteriovenous replantation of an amputated ear is feasible.

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“…He based his study on the observation that veins normally do not suffer from arteriosclerosis. 9 San Martin Y Satrustegui 10 was the first surgeon who tried this technique in two humans with lower limb gangrene, and he was successful in one case.…”

Section: Historical Overviewmentioning

confidence: 99%

Concept of arteriovenous loupes in high‐risk free‐tissue transfer: history and clinical experiences

et al. 2004

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The present study describes the concepts of arteriovenous (A-V) loupes prior to microsurgical free flap transfer in a selected high-risk group of patients. A one-stage concept was employed in 26 patients; 5 patients underwent two-stage flap transfer. Seven thrombotic occlusions of the A-V fistula or flap vessels were recorded; 6 patients underwent successful revision. Overall flap survival was 96.8% and compared favorably to reports in the literature. Defect coverage could be achieved in all but one case. It can be concluded from the data that in selected high-risk patient groups, i.e., following radiation, compound trauma, chronic infection, or multiple comorbidities, the creation of an A-V fistula prior to flap transfer may facilitate innovative reconstructive solutions.

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The Reversal of the Circulation in a Limb

Cited by 46 publications

References 0 publications

Long-Term Successful Outcome of Severe Hand Ischemia Using Arterialization With Reversal of Venous Flow: Case Report

Long-Term Successful Outcome of Severe Hand Ischemia Using Arterialization With Reversal of Venous Flow: Case Report

Single‐Vessel Arteriovenous Revascularization of the Amputated Ear

Concept of arteriovenous loupes in high‐risk free‐tissue transfer: history and clinical experiences

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