Arterialized venous flaps: A review of the literature

The arterialized venous flaps are highly regarded in microsurgical and reconstructive surgeries based on advantages of ease of design and harvest without the need to perform deep dissection, no sacrifice of a major artery at the donor site, no limitation of the donor sites, and less donor‐site morbidity. Many experimental investigations and clinical applications have been reported. However, their survivals are still inconsistent, and survival mechanisms remain controversial. In this review, we update the existing problems, experimental studies for survival mechanisms, clinical practices, and methods developed to improve their survivals. © 2010 Wiley‐Liss, Inc. Microsurgery 30:472–478, 2010.

[1]  A. Lim,et al.  A novel rabbit model for the evaluation of retrograde flow venous flaps , 2009, Microsurgery.

[2]  Yong Jin Kim,et al.  Finger soft tissue reconstruction using arterialized venous free flaps having 2 parallel veins. , 2008, The Journal of hand surgery.

[3]  D. Brooks,et al.  Use of the venous flap for salvage of difficult ring avulsion injuries , 2008, Microsurgery.

[4]  D. Brooks,et al.  Simultaneous coverage of two separate dorsal digital defects with a syndactylizing venous free flap , 2008, Microsurgery.

[5]  G. Baskol,et al.  Nitric Oxide in Flow-Through Venous Flaps and Effects of l-Arginine and Nitro-l-Arginine Methyl Ester (l-NAME) on Nitric Oxide and Flap Survival in Rabbits , 2007, Annals of plastic surgery.

[6]  V. Dhawan,et al.  A Retrospective Analysis of 154 Arterialized Venous Flaps for Hand Reconstruction: An 11-Year Experience , 2007, Plastic and reconstructive surgery.

[7]  W. Mustain,et al.  Improvement of Venous Flap Survival by Application of Vascular Endothelial Growth Factor in a Rat Model , 2006, Annals of plastic surgery.

[8]  Y. Öztan,et al.  Effects of surgical or chemical delaying procedures on the survival of proximal pedicled venous island flaps: Am experimental study in rats , 2005, Scandinavian journal of plastic and reconstructive surgery and hand surgery.

[9]  M. Nozaki,et al.  Successful correction of severe contracture of the palm using arterialized venous flaps. , 2004, Journal of reconstructive microsurgery.

[10]  Yu-Te Lin,et al.  Composite palmaris longus-venous flap for simultaneous reconstruction of extensor tendon and dorsal surface defects of the hand--long-term functional result. , 2004, The Journal of trauma.

[11]  F. Schwarzl,et al.  Clinical application of the retrograde arterialized venous flap , 2004, Microsurgery.

[12]  G. Pierer,et al.  Retrograde arterialized venous flap: An experimental study , 2003, Microsurgery.

[13]  W. D. den Dunnen,et al.  Arterialized venous free flaps for soft-tissue reconstruction of digits: a 40-case series. , 2002, Journal of reconstructive microsurgery.

[14]  D. Brooks,et al.  Use of a Venous Flap From an Amputated Part for Salvage of an Upper Extremity Injury , 2002, Annals of plastic surgery.

[15]  G. Alexander Multistage type III venous flap or 'pre-arterialisation of an arterialised venous flap'. , 2001, British journal of plastic surgery.

[16]  W. Pradidarcheep,et al.  Pre-arterialisation of the arterialised venous flap: an experimental study in the rat. , 2001, British journal of plastic surgery.

[17]  Y. Inada,et al.  Clinical application of the reversed pedicled venous flap containing perivenous areolar tissue and/or nerve in the hand. , 2001, British journal of plastic surgery.

[18]  S. Woo,et al.  Pre-expanded arterialised venous free flaps for burn contracture of the cervicofacial region. , 2001, British journal of plastic surgery.

[19]  B. Wungcharoen,et al.  Pre-arterialisation of an arterialised venous flap: clinical cases. , 2001, British journal of plastic surgery.

[20]  A. Lim,et al.  Use of an arterialized venous flap for resurfacing a circumferential soft tissue defect of a digit , 2001, Microsurgery.

[21]  K. Sasaki,et al.  Treatment of finger avulsion injuries with innervated arterialized venous flaps. , 2000, Plastic and reconstructive surgery.

[22]  N. Sastré,et al.  A few considerations regarding enhancement of arterialized skin flap survival , 2000, Microsurgery.

[23]  S. Simchon,et al.  Microcirculation of a venous flap: an experimental study with microspheres in rabbits. , 2000, Scandinavian journal of plastic and reconstructive surgery and hand surgery.

[24]  C. Klein [Experiences with an arterialized venous flap for intraoral defect reconstruction]. , 2000, Zentralblatt fur Chirurgie.

[25]  B. Cho,et al.  Dorsalis pedis tendocutaneous delayed arterialized venous flap in hand reconstruction. , 1999, Plastic and reconstructive surgery.

[26]  G. Pierer,et al.  Wrap-around arterialized venous flap for salvage of an avulsed finger. , 1999, Journal of reconstructive microsurgery.

[27]  B. Cho,et al.  The Effects of Surgical and Chemical Delay Procedures on the Survival of Arterialized Venous Flaps in Rabbits , 1998, Plastic and reconstructive surgery.

[28]  T. Fujii,et al.  Expansion of venous flaps: an experimental study in rats. , 1998, British journal of plastic surgery.

[29]  Y. Inada,et al.  A method for prevention of arterialized venous flap necrosis. , 1998, Journal of reconstructive microsurgery.

[30]  S. Tamai,et al.  Two-stage arterialized flow-through venous flap transfer for third-degree burn defects on the dorsum of the hand. , 1997, Journal of reconstructive microsurgery.

[31]  B. Cho,et al.  Clinical Applications of the Delayed Arterialized Venous Flap , 1997, Annals of plastic surgery.

[32]  H. Kushima,et al.  Arterialized venous flaps from the thenar and hypothenar regions for repairing finger pulp tissue losses. , 1997, Plastic and reconstructive surgery.

[33]  Hyun Jong Shin,et al.  SURVIVAL PATTERN OF PREVIOUSLY EXPANDED ARTERIALIZED VENOUS FLAPS , 1997 .

[34]  A. Kovács,et al.  Free arterialised venous forearm flaps for intraoral reconstruction. , 1997, British journal of plastic surgery.

[35]  A. Menderes,et al.  Free arterialised venous forearm flaps for limb reconstruction. , 1996, British journal of plastic surgery.

[36]  J. Jeong,et al.  Resurfacing Relatively Large Skin Defects of the Hand Using Arterialized Venous Flaps , 1996, Journal of hand surgery.

[37]  Z. Xiu,et al.  The microcirculation and survival of experimental flow-through venous flaps. , 1996, British journal of plastic surgery.

[38]  S. Cheng,et al.  Salvage of superficial palmar avulsion. , 1996, The Journal of trauma.

[39]  J. May,et al.  Effects of Delay Procedures on Vasculature and Survival of Arterialized Venous Flaps: An Experimental Study in Rabbits , 1995, Plastic and reconstructive surgery.

[40]  M. Thatte,et al.  Use of type III venous flaps: single- and multistaged procedures. , 1995, Annals of plastic surgery.

[41]  Chen Zj,et al.  Clinical applications of venous flaps. , 1995 .

[42]  Z. Xiu,et al.  Clinical Applications of Venous Flaps , 1995, Annals of plastic surgery.

[43]  K. Wolff,et al.  Isotope perfusion and infrared thermography of arterialised, venous flow-through and pedicled venous flaps. , 1995, British journal of plastic surgery.

[44]  G. I. Taylor,et al.  The time sequence of the delay phenomenon: when is a surgical delay effective? An experimental study. , 1995, Plastic and reconstructive surgery.

[45]  B. G. Freeman,et al.  Arterialized Venous Flaps for Reconstructing Soft‐Tissue Defects of the Extremities , 1994, Plastic and reconstructive surgery.

[46]  G. Nishi Venous flaps for covering skin defects of the hand. , 1994, Journal of reconstructive microsurgery.

[47]  A. Karacalar,et al.  Free arterialized venous flap for the reconstruction of defects of the hand: new modifications. , 1994, Journal of reconstructive microsurgery.

[48]  Y. Inada,et al.  Venous flap—its classification and clinical applications , 1994, Microsurgery.

[49]  H. Chiu,et al.  Arterialized tendocutaneous venous flap for dorsal finger reconstruction , 1994, Microsurgery.

[50]  Y. Ide,et al.  The pedicled arterialized venous flap. , 1993, Journal of reconstructive microsurgery.

[51]  J. Firrell,et al.  Blood Flow and Tissue Survival in the Rabbit Venous Flap , 1993, Plastic and reconstructive surgery.

[52]  H. Shalaby,et al.  The venous island flap: is it purely venous? , 1993, British journal of plastic surgery.

[53]  Y. Inada,et al.  The pedicled venous flap. Clinical applications. , 1993, British journal of plastic surgery.

[54]  E. Lenoble,et al.  Observations on experimental flow-through venous flaps. , 1993, British journal of plastic surgery.

[55]  R. Zuker,et al.  Prefabricated venous flaps: an experimental study in rabbits. , 1993, British journal of plastic surgery.

[56]  Y. Inada,et al.  An experimental study of the flow-through venous flap: investigation of the width and area of survival with one flow-through vein preserved. , 1992, Journal of reconstructive microsurgery.

[57]  R. Thatte Venous flaps. , 1992, British journal of plastic surgery.

[58]  I. Jackson,et al.  Role of perivenous areolar tissue in the viability of venous flaps: an experimental study on the inferior epigastric venous flap of the rat. , 1992, British journal of plastic surgery.

[59]  G. Inoue,et al.  One-stage repair of both skin and tendon digital defects using the arterialized venous flap with palmaris longus tendon. , 1991, Journal of reconstructive microsurgery.

[60]  M. S. Noordhoff,et al.  Four types of venous flaps for wound coverage: a clinical appraisal. , 1991, The Journal of trauma.

[61]  G. Inoue,et al.  Closure of big toe defects after wrap-around flap transfer using the arterialized venous flap. , 1991, Journal of reconstructive microsurgery.

[62]  P. Leung,et al.  Some factors affecting the survival of venous flaps: An experimental study , 1991, Microsurgery.

[63]  G. Inoue,et al.  Resurfacing of skin defects of the hand using the arterialised venous flap. , 1990, British journal of plastic surgery.

[64]  S. Soeda,et al.  Vascularized Free Nail Grafts Nourished by Arterial Inflow from the Venous System , 1990, Plastic and reconstructive surgery.

[65]  Y. Inada,et al.  Pedicled and "flow-through" venous flaps: clinical applications. , 1989, Journal of reconstructive microsurgery.

[66]  J. Firrell,et al.  Survival and Blood Flow Evaluation of Canine Venous Flaps , 1988, Plastic and reconstructive surgery.

[67]  G. Inoue,et al.  Arterialized venous flap coverage for skin defects of the hand or foot. , 1988, Journal of reconstructive microsurgery.

[68]  B. O'brien,et al.  Comparative viability of expanded and unexpanded axial pattern skin flaps in pigs. , 1988, British journal of plastic surgery.

[69]  H. Costa,et al.  Venous skin flaps: an experimental study and report of two clinical distal island flaps. , 1988, British journal of plastic surgery.

[70]  C. Hong,et al.  Enhanced neovascularization of rat tubed pedicle flaps with low perfusion of the wound margin. , 1987, Plastic and reconstructive surgery.

[71]  D. Rougé,et al.  Island flaps with an exclusively venous pedicle. A report of eleven cases and a preliminary haemodynamic study. , 1987, British journal of plastic surgery.

[72]  E. Eriksson,et al.  Effect of arteriovenous flow reversal on blood flow and metabolism in a skin flap. , 1987, Plastic and reconstructive surgery.

[73]  S. Imura,et al.  The venous skin graft method for repairing skin defects of the fingers. , 1987, Plastic and reconstructive surgery.

[74]  J. Kutz,et al.  Venous flaps in digital revascularization and replantation. , 1987, Journal of reconstructive microsurgery.

[75]  L. Nichter,et al.  Arterialized venous perfusion of composite tissue. , 1985, American journal of surgery.

[76]  H. Weinberg,et al.  Experimental studies in the survival of venous island flaps without arterial inflow. , 1985, Plastic and reconstructive surgery.

[77]  H. Cheng,et al.  Free transplantation of venous network pattern skin flap: an experimental study in rabbits. , 1985, Microsurgery.

[78]  T. Honda,et al.  The possible applications of a composite skin and subcutaneous vein graft in the replantation of amputated digits. , 1984, British journal of plastic surgery.

[79]  W. Panje,et al.  Creation of free flaps by arterialization of the venous system. , 1984, Archives of otolaryngology.

[80]  Rod J. Rohrich,et al.  Increased Survival and Vascularity of Random‐Pattern Skin Flaps Elevated in Controlled, Expanded Skin , 1983, Plastic and reconstructive surgery.

[81]  S. Soeda,et al.  Flaps Nourished by Arterial Inflow Through the Venous System: An Experimental Investigation , 1981, Plastic and reconstructive surgery.

[82]  G. Cherry,et al.  MECHANISM OF THE DELAY PHENOMENON , 1969, Plastic and reconstructive surgery.