Sedimentation of formed elements in distally ischaemic flaps
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Sedimentation of formed elements in distally ischaemic flaps. / Birk-Sørensen, L; Tromborg, H B; Kerrigan, C L; Solymoss, S; Hjortdal, V E.
In: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, Vol. 31, No. 3, 09.1997, p. 203-11.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Sedimentation of formed elements in distally ischaemic flaps
AU - Birk-Sørensen, L
AU - Tromborg, H B
AU - Kerrigan, C L
AU - Solymoss, S
AU - Hjortdal, V E
PY - 1997/9
Y1 - 1997/9
N2 - Our aim was to find out whether thrombosis has a key role in distally ischaemic flaps and whether heparin improves flap survival in distally ischaemic myocutaneous and pure skin flaps in pigs. In experiment 1 we measured the concentration of coagulation factors in the venous effluent from both viable flaps and distally ischaemic flaps. In experiment 2 radioactively labelled blood components (red cells, platelets and fibrinogen) were injected intravenously and the distribution of each tracer was measured. In experiment 3 either heparin or saline was given as a local, continuous direct intra-arterial infusion. Fluorescein was used in all experiments to estimate the eventual flap survival. Our results indicate that thrombosis is not an important factor in distal ischaemia, and that heparin did not improve survival. Instead, there seems to be selective pooling of formed elements in the ischaemic portion of the flap.
AB - Our aim was to find out whether thrombosis has a key role in distally ischaemic flaps and whether heparin improves flap survival in distally ischaemic myocutaneous and pure skin flaps in pigs. In experiment 1 we measured the concentration of coagulation factors in the venous effluent from both viable flaps and distally ischaemic flaps. In experiment 2 radioactively labelled blood components (red cells, platelets and fibrinogen) were injected intravenously and the distribution of each tracer was measured. In experiment 3 either heparin or saline was given as a local, continuous direct intra-arterial infusion. Fluorescein was used in all experiments to estimate the eventual flap survival. Our results indicate that thrombosis is not an important factor in distal ischaemia, and that heparin did not improve survival. Instead, there seems to be selective pooling of formed elements in the ischaemic portion of the flap.
KW - Animals
KW - Anticoagulants/pharmacology
KW - Blood Coagulation Factors/metabolism
KW - Female
KW - Heparin/pharmacology
KW - Surgical Flaps/blood supply
KW - Swine
KW - Thrombosis/drug therapy
U2 - 10.3109/02844319709051533
DO - 10.3109/02844319709051533
M3 - Journal article
C2 - 9299681
VL - 31
SP - 203
EP - 211
JO - Journal of Plastic Surgery and Hand Surgery
JF - Journal of Plastic Surgery and Hand Surgery
SN - 2000-656X
IS - 3
ER -
ID: 243521943