Journal article
Venous Free Flap with Interposition Bypass Graft for Arteriovenous Fistula Preservation: A Case Report
Archives of plastic surgery, Vol.50(6), pp.568-572
2023
DOI: 10.1055/a-2122-6029
PMCID: PMC10736209
PMID: 38143846
Abstract
Cutaneous squamous cell carcinoma (CSCC) overlying an arteriovenous fistula (AVF) is rare and presents unique challenges. This case report describes a method of fistula preservation after CSCC excision using a flow-through venous free flap. The saphenous vein of the venous flap was used as flow-through segment for AVF preservation. The flap was inserted along the dorsal aspect of the forearm wound and microvascular anastomosis of the arterial inflow was completed using a vein just proximal to the radiocephalic fistula anastomosis. Venous outflow was established by creating an end-to-end vascular anastomosis between the cephalic vein and the greater saphenous vein. A separate subcutaneous vein was used to provide a low-pressure outflow for the flap to avoid congestion. This case demonstrates an option for AVF preservation that has not been previously described. It also highlights the importance of a multidisciplinary approach for the safe treatment of CSCCs overlying AVFs.
Details
- Title: Subtitle
- Venous Free Flap with Interposition Bypass Graft for Arteriovenous Fistula Preservation: A Case Report
- Creators
- Cyril AwaidaMarion AribertNatalie WegerKendall KeckAndrei Odobescu - The University of Texas Southwestern Medical Center
- Resource Type
- Journal article
- Publication Details
- Archives of plastic surgery, Vol.50(6), pp.568-572
- DOI
- 10.1055/a-2122-6029
- PMID
- 38143846
- PMCID
- PMC10736209
- NLM abbreviation
- Arch Plast Surg
- ISSN
- 2234-6163
- eISSN
- 2234-6171
- Publisher
- Thieme
- Language
- Korean
- Date published
- 2023
- Academic Unit
- Surgery
- Record Identifier
- 9984621358802771
Metrics
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