Anterograde Injection of Alteplase Salvages Deep Inferior Epigastric Perforator Flap in Reconstructive Breast Surgery

Anterograde Injection of Alteplase Salvages Deep Inferior Epigastric Perforator Flap in Reconstructive Breast Surgery

Summary:. The DIEP flap is currently considered the gold standard for autologous reconstructive breast surgery. Postoperative flap failure due to microvascular postanastomotic thrombotic occlusion is a rare but severe complication. Alteplase, a thrombolytic agent typically used in the setting of an...

Full description

Bibliographic Details
Main Authors:	Julia M. Wimbauer, MD, Klemens M. Heinrich, MD, Karl Schwaiger, MD, Peter Pumberger, MD, Fabian Koeninger, MD, Gottfried Wechselberger, MD, MSc, Elisabeth Russe, MD
Format:	Article
Language:	English
Published:	Wolters Kluwer 2022-06-01
Series:	Plastic and Reconstructive Surgery, Global Open
Online Access:	http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004415

Similar Items

Pedicle-to-Perforator Bypass Using Supermicrosurgical Technique for Deep Inferior Epigastric Artery Perforator Flap Salvage
by: Michael V. DeFazio, MD, et al.
Published: (2017-10-01)

Superficial Inferior Epigastric Artery Flap Salvage Technique Using Deep Inferior Epigastric Artery Graft
by: Rebecca M. Garza, MD, et al.
Published: (2018-01-01)

Make Your Own Deep Inferior Epigastric Artery Perforator Flap: Perforator Delay Improves Deep Inferior Epigastric Artery Perforator Flap Reliability
by: Sameer Shakir, MD, et al.
Published: (2019-11-01)

Salvage of Intraoperative Deep Inferior Epigastric Perforator Flap Venous Congestion with Augmentation of Venous Outflow: Flap Morbidity and Review of the Literature
by: Oscar Ochoa, MD, et al.
Published: (2013-10-01)

Microsurgical Scalp Replantation: Lessons Learned and Technical Considerations
by: Gottfried Wechselberger, MD-Prof, et al.
Published: (2022-03-01)

Intersection-splitting Deep Inferior Epigastric Perforator Flap
by: Doaa F. Andejani, MD, et al.
Published: (2019-10-01)

Using Virtual Reality for Deep Inferior Epigastric Perforator Flap Preoperative Planning
by: Dor Freidin, MD, et al.
Published: (2023-01-01)

Safety of Combined Deep Inferior Epigastric Artery Perforator Flaps and Gynecologic Procedures
by: Kristen L. Stephens, MD, et al.
Published: (2024-01-01)

A Standardized Approach to Deep Inferior Epigastric Perforator Flap Marking
by: Erica Y. Xue, MD, MS, et al.
Published: (2019-10-01)

Deep Inferior Epigastric Artery Perforator Flap Reconstruction for Breast Burn Deformities
by: Buğra Tugertimur, MD, et al.
Published: (2020-07-01)

Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction in the Setting of Cryolipolysis
by: Colby J. Hyland, AB, et al.
Published: (2021-12-01)

Salvage of a DIEP Flap after Injury to the Inferior Epigastric Vessels after Laparoscopic Surgery
by: Laura H.J. Solberg, MD, et al.
Published: (2022-03-01)

Salvage of late flap compromise in deep inferior epigastric perforator flaps: To revise or not to revise
by: Seung Heon Hong, et al.
Published: (2020-01-01)

Thoracodorsal Artery Perforator Flap Anterograde Dissection: From Source Vessel to Perforator
by: Salvatore Taglialatela Scafati, MD, et al.
Published: (2021-02-01)

Postoperative Day 1 Discharge in Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction
by: Marion W. Tapp, MD, et al.
Published: (2023-06-01)

42. Accessibility of Neurotization in Deep Inferior Epigastric Perforator Flap Reconstruction: A Single Center Analysis
by: Rachel E. Schafer, BA, et al.
Published: (2023-05-01)

Knee-saving Amputation by Use of a Bipedicled Four-zone Deep Inferior Epigastric Artery Perforator Flap
by: Sinem Saritas, MD, et al.
Published: (2023-08-01)

Robotic versus Standard Harvest of Deep Inferior Epigastric Artery Perforator Flaps: Early Outcomes
by: Elizabeth Bailey, MD, et al.
Published: (2022-10-01)

Bilateral Free Deep Inferior Epigastric Artery Perforator Flaps for Reconstruction following Mastectomy in Poland Syndrome Patients
by: Mahdi Malekpour, MD, et al.
Published: (2023-11-01)

Microsurgical Engineering: Bilateral Deep Inferior Epigastric Artery Perforator Flap with Flow-Through Intraflap Anastomosis
by: Ian R. Wisecarver, BS, et al.
Published: (2018-01-01)

Survey of Surgeon-reported Postoperative Protocols for Deep Inferior Epigastric Perforator Flap in Breast Reconstruction
by: Sthefano Araya, MD, et al.
Published: (2023-11-01)

Donor-site Chyle Leakage after Breast Reconstruction Using a Deep Inferior Epigastric Artery Perforator Flap
by: Kengo Nakatsuka, MD, et al.
Published: (2022-10-01)

“Spin” in Observational Studies in Deep Inferior Epigastric Perforator Flap Breast Reconstruction: A Systematic Review
by: Patrick J. Kim, BHSc, et al.
Published: (2023-06-01)

Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Flap in a Patient with Previous Surgical Correction of Pectus Excavatum
by: Paulo P. Piccolo, MD, et al.
Published: (2022-12-01)

Pick a Nerve, Any Nerve... or Not? Donor Nerve Selection in Deep Inferior Epigastric Perforator Flaps
by: Ashley Zhang, BSE, et al.
Published: (2024-01-01)

Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction in a Patient with a History of Toxic Epidermal Necrosis
by: Mikhail Y. Sinelnikov, MD, et al.
Published: (2019-05-01)

Initial Experience with Unidirectional Barbed Suture for Abdominal Donor Site Closure in Deep Inferior Epigastric Perforator Flap Breast Reconstruction
by: Emily R. Finkelstein, MD, et al.
Published: (2024-03-01)

Randomized Control Trial of the Utility of Preoperative CT-Angiography in Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction
by: Ariel Johnson, BS, et al.
Published: (2020-09-01)

Impact of Rectus Muscle Injury during Perforator Dissection on Functional Donor Morbidity after Deep Inferior Epigastric Perforator Flap Breast Reconstruction
by: Kyeong-Tae Lee, MD, et al.
Published: (2019-10-01)

Abdominal Wall Reinforcement Using Acellular Tissue Matrix after Deep Inferior Epigastric Perforator Flap Harvest for Breast Reconstruction
by: Alec Mccranie, et al.
Published: (2024-03-01)

22. Post-operative Day #1 (POD1) Discharge in Deep Inferior Epigastric Perforator (DIEP) Flap Breast Reconstruction
by: Marion Tapp, MD, et al.
Published: (2023-04-01)

Bipedicled SIEA Flap with Deep Inferior Epigastric Artery and Vein Grafts for Breast Reconstruction
by: Ryota Nakamura, MD, et al.
Published: (2022-08-01)

Porcine Model for Deep Superior Epigastric Artery Perforator Flap Harvesting: Anatomy and Technique
by: Tiziana Roggio, MD, et al.
Published: (2018-02-01)

Prophylactic Antibiotics for Deep Inferior Epigastric Perforator Flap Breast Reconstruction: A Comparison between Three Different Duration Approaches
by: Chih-Hsuan Changchien, MD, et al.
Published: (2023-02-01)

Management of Radial Nerve Lesions after Trauma or Iatrogenic Nerve Injury: Autologous Grafts and Neurolysis
by: Karl Schwaiger, et al.
Published: (2020-11-01)

An Algorithm in Managing Deep Inferior Epigastric Vessel Interruption in Free Flap Breast Reconstruction
by: Ayush K. Kapila, MBBS, MD, FRCSC, et al.
Published: (2023-04-01)

D85. Acetylsalicylic Acid Dosage and Duration Effects on Deep Inferior Epigastric Perforator (DIEP) Flap Breast Reconstruction
by: Mary L. Duet, BS, et al.
Published: (2023-04-01)

QS6: Venous Thromboembolism After Deep Inferior Epigastric Perforator Flap Breast Reconstruction: Review Of Outcomes After A Postoperative Prophylaxis Protocol
by: Krystle R. Tuaño, MD, et al.
Published: (2021-07-01)

Epidural Nerve Blocks Increase Intraoperative Vasopressor Consumption and Delay Surgical Start Time in Deep Inferior Epigastric Perforator Free Flap Breast Reconstruction
by: Nicholas S. Cormier, MD, et al.
Published: (2019-01-01)

Primary Use of the Deep Inferior Epigastric Pedicle for Free-flap Phalloplasty: Rationale, Technique, and Outcomes
by: Nance Yuan, MD, et al.
Published: (2022-06-01)