Salvage of a congested DIEAP flap with subcutaneous recombinant tissue plasminogen activator treatment
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, vol.62, no.11, 2009 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 62 Issue: 11
- Publication Date: 2009
- Doi Number: 10.1016/j.bjps.2008.05.043
- Journal Name: JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Gazi University Affiliated: Yes
Abstract
Thrombolytic agents are frequently employed in the treatment of thrombosis in combination with early surgical exploration and management. Recombinant tissue plasminogen activator is a second generation thrombolytic agent, which acts specifically at the site of the haemostatic clot with minimal side effects. In this paper, we present a case with venous congestion of the deep inferior epigastric artery perforator (DIEAP) flap, despite a patent anastomosis, in which we achieved a successful outcome with subcutaneous recombinant tissue plasminogen activator treatment. (C) 2008 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.