Microsurgical reconstruction of the lower extremity using the 3M microvascular coupling device in venous anastomoses

M. J. Denk, M. T. Longaker, Adam Basner, P. M. Glat, N. S. Karp, A. K. Kasabian

Research output: Contribution to journalArticle

Abstract

Microsurgical reconstruction of the lower extremity presents a difficult problem to plastic surgeons; the rate of failure is higher than any other anatomical site. We reviewed our recent experience with lower extremity microsurgical reconstruction using the 3M vascular coupling device. We believe the excellent patency rate of the coupler may minimize the well- described problem of venous thrombosis in this challenging group of patients. This study involved a consecutive series of 11 patients who presented for reconstructive microsurgery of the lower extremity at NYU Medical Center hospitals between June 1 and September 1, 1994. Ten of 11 patients had free flap transfer to traumatic lower extremity injuries, whereas the remaining reconstruction was in a diabetic individual with a chronic wound. Fifteen microvascular venous anastomoses were performed; all but 1 was performed using the 3M coupler. Our experience with 11 patients, involving 14 mechanically coupled venous anastomoses, demonstrated successful use of the 3M coupler. No intraoperative or postoperative vascular complications occurred. The overall success rate of the 3M coupler for venous anastomoses was 100%, and all microvascular free flaps were successful. We recommend using the 3M coupling device for venous anastomoses during reconstructive microsurgery of the lower extremity. Our series demonstrates the safety and effectiveness of the 3M coupler in this challenging group of patients. In addition, a secondary benefit of the 3M coupler is a significant reduction in operative time.

Original languageEnglish (US)
Pages (from-to)601-606
Number of pages6
JournalAnnals of Plastic Surgery
Volume35
Issue number6
DOIs
StatePublished - Jan 1 1995
Externally publishedYes

Fingerprint

Lower Extremity
Equipment and Supplies
Microsurgery
Free Tissue Flaps
Blood Vessels
Wounds and Injuries
Operative Time
Venous Thrombosis
Safety

ASJC Scopus subject areas

  • Surgery

Cite this

Microsurgical reconstruction of the lower extremity using the 3M microvascular coupling device in venous anastomoses. / Denk, M. J.; Longaker, M. T.; Basner, Adam; Glat, P. M.; Karp, N. S.; Kasabian, A. K.

In: Annals of Plastic Surgery, Vol. 35, No. 6, 01.01.1995, p. 601-606.

Research output: Contribution to journalArticle

Denk, M. J. ; Longaker, M. T. ; Basner, Adam ; Glat, P. M. ; Karp, N. S. ; Kasabian, A. K. / Microsurgical reconstruction of the lower extremity using the 3M microvascular coupling device in venous anastomoses. In: Annals of Plastic Surgery. 1995 ; Vol. 35, No. 6. pp. 601-606.
@article{e41268b2618149afa4437c575d4e213d,
title = "Microsurgical reconstruction of the lower extremity using the 3M microvascular coupling device in venous anastomoses",
abstract = "Microsurgical reconstruction of the lower extremity presents a difficult problem to plastic surgeons; the rate of failure is higher than any other anatomical site. We reviewed our recent experience with lower extremity microsurgical reconstruction using the 3M vascular coupling device. We believe the excellent patency rate of the coupler may minimize the well- described problem of venous thrombosis in this challenging group of patients. This study involved a consecutive series of 11 patients who presented for reconstructive microsurgery of the lower extremity at NYU Medical Center hospitals between June 1 and September 1, 1994. Ten of 11 patients had free flap transfer to traumatic lower extremity injuries, whereas the remaining reconstruction was in a diabetic individual with a chronic wound. Fifteen microvascular venous anastomoses were performed; all but 1 was performed using the 3M coupler. Our experience with 11 patients, involving 14 mechanically coupled venous anastomoses, demonstrated successful use of the 3M coupler. No intraoperative or postoperative vascular complications occurred. The overall success rate of the 3M coupler for venous anastomoses was 100{\%}, and all microvascular free flaps were successful. We recommend using the 3M coupling device for venous anastomoses during reconstructive microsurgery of the lower extremity. Our series demonstrates the safety and effectiveness of the 3M coupler in this challenging group of patients. In addition, a secondary benefit of the 3M coupler is a significant reduction in operative time.",
author = "Denk, {M. J.} and Longaker, {M. T.} and Adam Basner and Glat, {P. M.} and Karp, {N. S.} and Kasabian, {A. K.}",
year = "1995",
month = "1",
day = "1",
doi = "10.1097/00000637-199512000-00008",
language = "English (US)",
volume = "35",
pages = "601--606",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Microsurgical reconstruction of the lower extremity using the 3M microvascular coupling device in venous anastomoses

AU - Denk, M. J.

AU - Longaker, M. T.

AU - Basner, Adam

AU - Glat, P. M.

AU - Karp, N. S.

AU - Kasabian, A. K.

PY - 1995/1/1

Y1 - 1995/1/1

N2 - Microsurgical reconstruction of the lower extremity presents a difficult problem to plastic surgeons; the rate of failure is higher than any other anatomical site. We reviewed our recent experience with lower extremity microsurgical reconstruction using the 3M vascular coupling device. We believe the excellent patency rate of the coupler may minimize the well- described problem of venous thrombosis in this challenging group of patients. This study involved a consecutive series of 11 patients who presented for reconstructive microsurgery of the lower extremity at NYU Medical Center hospitals between June 1 and September 1, 1994. Ten of 11 patients had free flap transfer to traumatic lower extremity injuries, whereas the remaining reconstruction was in a diabetic individual with a chronic wound. Fifteen microvascular venous anastomoses were performed; all but 1 was performed using the 3M coupler. Our experience with 11 patients, involving 14 mechanically coupled venous anastomoses, demonstrated successful use of the 3M coupler. No intraoperative or postoperative vascular complications occurred. The overall success rate of the 3M coupler for venous anastomoses was 100%, and all microvascular free flaps were successful. We recommend using the 3M coupling device for venous anastomoses during reconstructive microsurgery of the lower extremity. Our series demonstrates the safety and effectiveness of the 3M coupler in this challenging group of patients. In addition, a secondary benefit of the 3M coupler is a significant reduction in operative time.

AB - Microsurgical reconstruction of the lower extremity presents a difficult problem to plastic surgeons; the rate of failure is higher than any other anatomical site. We reviewed our recent experience with lower extremity microsurgical reconstruction using the 3M vascular coupling device. We believe the excellent patency rate of the coupler may minimize the well- described problem of venous thrombosis in this challenging group of patients. This study involved a consecutive series of 11 patients who presented for reconstructive microsurgery of the lower extremity at NYU Medical Center hospitals between June 1 and September 1, 1994. Ten of 11 patients had free flap transfer to traumatic lower extremity injuries, whereas the remaining reconstruction was in a diabetic individual with a chronic wound. Fifteen microvascular venous anastomoses were performed; all but 1 was performed using the 3M coupler. Our experience with 11 patients, involving 14 mechanically coupled venous anastomoses, demonstrated successful use of the 3M coupler. No intraoperative or postoperative vascular complications occurred. The overall success rate of the 3M coupler for venous anastomoses was 100%, and all microvascular free flaps were successful. We recommend using the 3M coupling device for venous anastomoses during reconstructive microsurgery of the lower extremity. Our series demonstrates the safety and effectiveness of the 3M coupler in this challenging group of patients. In addition, a secondary benefit of the 3M coupler is a significant reduction in operative time.

UR - http://www.scopus.com/inward/record.url?scp=0028847103&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028847103&partnerID=8YFLogxK

U2 - 10.1097/00000637-199512000-00008

DO - 10.1097/00000637-199512000-00008

M3 - Article

VL - 35

SP - 601

EP - 606

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 6

ER -