Staging arteriovenous fistula loops for lengthening of free-flap pedicles

J Reconstr Microsurg. 1999 Feb;15(2):123-5. doi: 10.1055/s-2007-1000082.

Abstract

The authors investigated the optimal period of maturation following the creation of arteriovenous (AV) loops using polyterafluoroethylene (PTFE) in a white rat model, which were subsequently used to support free-tissue transfer The AV loops in Group 1 (n = 17) were allowed to mature for 3 days prior to creation of the flap, while those from Group 2 (n = 14) were allowed to mature for 5 days. Results were compared to those from a previous study in which the authors reported an 80 percent initial patency rate (n = 30) and a 67 percent viability rate, based on 12 patent loops after 7 days. In the present study, patency rates were 59 percent for the 3-day group and 79 percent for the 5-day group; viability rates were 50 and 64 percent, respectively. Considering both patent and nonpatent loops, the overall viability rates were 29 and 50 percent respectively. Maturation periods longer than 3 days for AV loops constructed from PTFE micrografts were determined to be preferable for subsequent free-tissue transfer.

Publication types

  • Comparative Study

MeSH terms

  • Anastomosis, Surgical
  • Animals
  • Arteriovenous Shunt, Surgical* / instrumentation
  • Blood Vessel Prosthesis
  • Disease Models, Animal
  • Female
  • Femoral Artery / surgery
  • Femoral Vein / surgery
  • Graft Occlusion, Vascular / etiology
  • Graft Survival
  • Microsurgery / instrumentation
  • Polytetrafluoroethylene
  • Rats
  • Rats, Sprague-Dawley
  • Skin Transplantation / methods
  • Skin Transplantation / pathology
  • Surgical Flaps* / blood supply
  • Thrombosis / etiology
  • Time Factors
  • Vascular Patency

Substances

  • Polytetrafluoroethylene