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Abstract
This paper describes signs which enable the surgeon to determine the success or failure
of a microvascular anastomosis by direct inspection. In arteries, the signs concern
the way in which the vessel pulsates. The three different types of arterial pulsation—longitudinal
pulsation, expansile pulsation, and “wriggling”—are described. Blockage of an arterial
anastomosis is shown by forward longitudinal pulsation at the anastomosis. Patency
is shown by expansile pulsation or wriggling distal to the anastomosis. Pulsation
proximal to the anastomosis can never be taken as a sign of patency. For veins, two
reliable tests of patency are described.
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References
- Prevention of thrombosis in microvascular surgery by the use of magnesium sulphate.Br. J. Plast. Surg. 1972; 25: 292
Article info
Publication history
Accepted:
April 24,
1972
Identification
Copyright
© 1972 Published by Elsevier Inc.
