Intravascular Stenting (IVaS) for Safe and Precise Supermicrosurgery
- 1 January 2008
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Plastic Surgery
- Vol. 60 (1), 41-44
- https://doi.org/10.1097/sap.0b013e3181804bdb38
Abstract
The diameter of very small vessels (about 0.5 mm or less) causes difficulties in placing forceps into the lumen and in completing anastomosis without inadvertently catching the back wall during supermicrosurgery. The insertion of nylon monofilaments into small vessels has overcome this problem. We implanted superficial inferior epigastric arterial (SIEA) flaps in 10 rats and also performed supermicroanastomosis (diameter, 0.15 mm) using SIEA flaps in mice. The back wall was never inadvertently caught using the intravascular stenting (IVaS) method, and the immediate patency rate was 100%. An advantage of using nylon for IVaS is that various sizes can be selected. We successfully anastomosed vessels with a minimum diameter of 0.15 mm. Even smaller vessels can be precisely and safely anastomosed using the IVaS method.Keywords
This publication has 6 references indexed in Scilit:
- Temporary Assisting Suspension Suture Technique for Successful Microvascular Anastomosis of Extremely Small and Thin Walled Vessels for Mice Transplantation SurgeryPlastic and Reconstructive Surgery, 2005
- Supermicrosurgical Lymphaticovenular Anastomosis for the Treatment of Lymphedema in the Upper ExtremitiesJournal of Reconstructive Microsurgery, 2000
- A microtourniquet carrier for use in the microsurgical laboratoryMicrosurgery, 1983
- Experience with Anastomoses of Arteries Approximately 0.20 mm in External DiameterPlastic and Reconstructive Surgery, 1982
- The temporary stent technique: an easier method of micro-venous anastomosisBritish Journal of Plastic Surgery, 1982
- HAIR TRANSPLANTATION WITH FREE SCALP FLAPSPlastic and Reconstructive Surgery, 1974