Vascular lesions in the hand

Neviaser, Robert J.; Adams, J. P.

doi:10.1097/00006534-197505000-00044

Cited by 2 publications

(1 citation statement)

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“…Also, there are limitations in reconstruction: in most type C cases, such as those widely involving a whole upper extremity, treatment is not possible. 3,[17][18][19] Our belief is that it is best to resect the pathologic lesions as completely as possible, using a microscope, as reported by Upton, et al 2 But it is common to find during surgery that the pathologic vessels are more extensive than anticipated, so that in many cases it is impossible to perform a complete resection. One major problem that occurs is that the principal nutrient vessel supplying the distal portion of the finger is sometimes abnormal.…”

Section: Discussionmentioning

confidence: 99%

Vascularized Free Flaps for Reconstruction After Resection of Congenital Arteriovenous Malformations of the Hand

Toh

Tsubo²,

Arai³

et al. 2000

J reconstr Microsurg

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Between 1981 and 1996, the authors performed reconstructions with vascularized free flaps in four patients with congenital arteriovenous malformations of the hand. This series included one man and three women, whose ages at the time of surgery ranged from 20 to 57 years, with an average of 41 years. All were categorized as fast-flow type B malformations. The locations of the arteriovenous malformations were the thumb only, thumb to palm, index to palm, and thumb and index to palm. In all cases, free vascularized flaps (two dorsalis pedis, one wrap-around, and one peroneal) were utilized to replace the resected abnormal skin lesions. Follow-up ranged from 1 year to 18 years and 9 months, with an average of 7 years. All flaps survived with no complications, and all patients were relieved of their preoperative symptoms. One patient unfortunately committed suicide for unknown reasons. The authors recommend that complete resection be carried out whenever possible. When skin is involved, repair should be carried out with a free flap. Based on the good results achieved in the case followed-up for over 18 years, vascularized free flaps proved very useful for the treatment of arteriovenous malformations.

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