The fate of microanastomosed digital arteries after successful replantation

Chi Ho Lee, Seung-Kyu Han, Eun-Sang Dhong, Hyun Peel Kim, Woo-Kyung Kim

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Some replanted fingers show occlusion of the anastomosed arteries, although they are successfully replanted and ultimately survive. They seem to be perfused by the soft-tissue vasculature and not by the anastomosed arteries. Therefore, this study was designed to investigate the fate of microanastomosed digital arteries after successful replantation. Methods: The authors performed a prospective study of 75 fingers of 62 cooperative patients who had undergone successful replantation from June of 2000 to December of 2001 at Korea University Guro Hospital. We used Dopplex to screen anastomosed artery patency; thereafter, angiographie studies were also performed to confirm the Dopplex results in 18 patients. The patency of vascular pedicles was analyzed according to several parameters, namely, the cause, type, and level of injury; the number of repaired veins; and the use of an interpositional vein graft for arterial repair. Results: The pulsation was not heard by Dopplex in 37 percent of anastomosed arteries after an average of 15 postoperative days. Angiographic results coincided with Dopplex results in all cases. Guillotine injuries had a pedicle occlusion rate of 8 percent, whereas crush injuries had a pedicle occlusion rate of 43 percent (p < 0.05). Regarding the level of injury, a statistically significant difference was only found between groups with a distal phalanx level of injury and those with a proximal phalanx level of injury (p < 0.05). Other parameters showed no significant differences in patency. Conclusions: We conclude that 37 percent of microanastomosed digital arteries of replanted fingers are occluded after replantation. Distinctively, amputation at the distal phalanx by crush injury increases the possibility of occlusion of microanastomosed digital arteries.

Original languageEnglish
Pages (from-to)805-810
Number of pages6
JournalPlastic and Reconstructive Surgery
Volume116
Issue number3
DOIs
Publication statusPublished - 2005 Sep 1

Fingerprint

Replantation
Arteries
Wounds and Injuries
Fingers
Veins
Vascular Patency
Korea
Amputation
Prospective Studies
Transplants

ASJC Scopus subject areas

  • Surgery

Cite this

The fate of microanastomosed digital arteries after successful replantation. / Lee, Chi Ho; Han, Seung-Kyu; Dhong, Eun-Sang; Kim, Hyun Peel; Kim, Woo-Kyung.

In: Plastic and Reconstructive Surgery, Vol. 116, No. 3, 01.09.2005, p. 805-810.

Research output: Contribution to journalArticle

@article{cb9f31965d0f4cde9252c2adc9611715,
title = "The fate of microanastomosed digital arteries after successful replantation",
abstract = "Background: Some replanted fingers show occlusion of the anastomosed arteries, although they are successfully replanted and ultimately survive. They seem to be perfused by the soft-tissue vasculature and not by the anastomosed arteries. Therefore, this study was designed to investigate the fate of microanastomosed digital arteries after successful replantation. Methods: The authors performed a prospective study of 75 fingers of 62 cooperative patients who had undergone successful replantation from June of 2000 to December of 2001 at Korea University Guro Hospital. We used Dopplex to screen anastomosed artery patency; thereafter, angiographie studies were also performed to confirm the Dopplex results in 18 patients. The patency of vascular pedicles was analyzed according to several parameters, namely, the cause, type, and level of injury; the number of repaired veins; and the use of an interpositional vein graft for arterial repair. Results: The pulsation was not heard by Dopplex in 37 percent of anastomosed arteries after an average of 15 postoperative days. Angiographic results coincided with Dopplex results in all cases. Guillotine injuries had a pedicle occlusion rate of 8 percent, whereas crush injuries had a pedicle occlusion rate of 43 percent (p < 0.05). Regarding the level of injury, a statistically significant difference was only found between groups with a distal phalanx level of injury and those with a proximal phalanx level of injury (p < 0.05). Other parameters showed no significant differences in patency. Conclusions: We conclude that 37 percent of microanastomosed digital arteries of replanted fingers are occluded after replantation. Distinctively, amputation at the distal phalanx by crush injury increases the possibility of occlusion of microanastomosed digital arteries.",
author = "Lee, {Chi Ho} and Seung-Kyu Han and Eun-Sang Dhong and Kim, {Hyun Peel} and Woo-Kyung Kim",
year = "2005",
month = "9",
day = "1",
doi = "10.1097/01.prs.0000176255.97653.97",
language = "English",
volume = "116",
pages = "805--810",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - The fate of microanastomosed digital arteries after successful replantation

AU - Lee, Chi Ho

AU - Han, Seung-Kyu

AU - Dhong, Eun-Sang

AU - Kim, Hyun Peel

AU - Kim, Woo-Kyung

PY - 2005/9/1

Y1 - 2005/9/1

N2 - Background: Some replanted fingers show occlusion of the anastomosed arteries, although they are successfully replanted and ultimately survive. They seem to be perfused by the soft-tissue vasculature and not by the anastomosed arteries. Therefore, this study was designed to investigate the fate of microanastomosed digital arteries after successful replantation. Methods: The authors performed a prospective study of 75 fingers of 62 cooperative patients who had undergone successful replantation from June of 2000 to December of 2001 at Korea University Guro Hospital. We used Dopplex to screen anastomosed artery patency; thereafter, angiographie studies were also performed to confirm the Dopplex results in 18 patients. The patency of vascular pedicles was analyzed according to several parameters, namely, the cause, type, and level of injury; the number of repaired veins; and the use of an interpositional vein graft for arterial repair. Results: The pulsation was not heard by Dopplex in 37 percent of anastomosed arteries after an average of 15 postoperative days. Angiographic results coincided with Dopplex results in all cases. Guillotine injuries had a pedicle occlusion rate of 8 percent, whereas crush injuries had a pedicle occlusion rate of 43 percent (p < 0.05). Regarding the level of injury, a statistically significant difference was only found between groups with a distal phalanx level of injury and those with a proximal phalanx level of injury (p < 0.05). Other parameters showed no significant differences in patency. Conclusions: We conclude that 37 percent of microanastomosed digital arteries of replanted fingers are occluded after replantation. Distinctively, amputation at the distal phalanx by crush injury increases the possibility of occlusion of microanastomosed digital arteries.

AB - Background: Some replanted fingers show occlusion of the anastomosed arteries, although they are successfully replanted and ultimately survive. They seem to be perfused by the soft-tissue vasculature and not by the anastomosed arteries. Therefore, this study was designed to investigate the fate of microanastomosed digital arteries after successful replantation. Methods: The authors performed a prospective study of 75 fingers of 62 cooperative patients who had undergone successful replantation from June of 2000 to December of 2001 at Korea University Guro Hospital. We used Dopplex to screen anastomosed artery patency; thereafter, angiographie studies were also performed to confirm the Dopplex results in 18 patients. The patency of vascular pedicles was analyzed according to several parameters, namely, the cause, type, and level of injury; the number of repaired veins; and the use of an interpositional vein graft for arterial repair. Results: The pulsation was not heard by Dopplex in 37 percent of anastomosed arteries after an average of 15 postoperative days. Angiographic results coincided with Dopplex results in all cases. Guillotine injuries had a pedicle occlusion rate of 8 percent, whereas crush injuries had a pedicle occlusion rate of 43 percent (p < 0.05). Regarding the level of injury, a statistically significant difference was only found between groups with a distal phalanx level of injury and those with a proximal phalanx level of injury (p < 0.05). Other parameters showed no significant differences in patency. Conclusions: We conclude that 37 percent of microanastomosed digital arteries of replanted fingers are occluded after replantation. Distinctively, amputation at the distal phalanx by crush injury increases the possibility of occlusion of microanastomosed digital arteries.

UR - http://www.scopus.com/inward/record.url?scp=24644512717&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=24644512717&partnerID=8YFLogxK

U2 - 10.1097/01.prs.0000176255.97653.97

DO - 10.1097/01.prs.0000176255.97653.97

M3 - Article

C2 - 16141819

AN - SCOPUS:24644512717

VL - 116

SP - 805

EP - 810

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 3

ER -