Academic Journal
The Use of Deep Epigastric Composite Vascular Autograft in the Vessel Depleted Neck
| Title: | The Use of Deep Epigastric Composite Vascular Autograft in the Vessel Depleted Neck |
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| Authors: | Jian‐Xun Chen, Andreea Gavrilescu, Shane D. Morrison, Pin‐Keng Shih |
| Source: | Head & Neck. |
| Publisher Information: | Wiley, 2025. |
| Publication Year: | 2025 |
| Description: | BackgroundReconstructing the vessel‐depleted neck (VDN) is challenging due to prior surgeries and radiation compromising recipient vessels. The deep epigastric composite vascular autograft (DECVA) offers a novel solution by providing both arterial and venous conduits within a single pedicle.MethodsFrom 2021 to 2023, seven patients with prior head and neck reconstructions underwent free flap reconstruction with DECVA. Preoperative imaging identified contralateral recipient vessels, and DECVA was harvested from the deep inferior epigastric artery and vein.ResultsAll cases achieved successful anastomoses, with an average ischemia time of 157.3 min. No postoperative complications such as thrombosis, infection, or seroma were observed.ConclusionDECVA facilitates single‐stage free flap reconstruction in VDN, extending pedicle length while maintaining vascular integrity. This approach offers a viable alternative for complex cases with limited recipient vessels, expanding reconstructive options in microsurgery. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1097-0347 1043-3074 |
| DOI: | 10.1002/hed.70010 |
| Rights: | Wiley Online Library User Agreement |
| Accession Number: | edsair.doi...........af97b3b888a48b5fb96c78c8b6f76190 |
| Database: | OpenAIRE |
| ISSN: | 10970347 10433074 |
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| DOI: | 10.1002/hed.70010 |