Use of Digital Subtraction Angiography for Assessment of Digital Replantation

Overview

Journal J Zhejiang Univ Sci B

Specialties Biology
General Medicine

Date 2012 Mar 1

PMID 22374613

Citations 4

Authors

Liu-Hong Wang

Guang-Qiang Zhang

Affiliations

Soon will be listed here.

Abstract

Objective: To assess the blood flow of the proper digital artery using digital subtraction angiography (DSA) in the early stage after replantation.

Methods: From January 2006 to October 2010, 27 anastomosed arteries in 27 replanted digits were included in the study. The patients included nine males and four females. The patients received DSA at 48 to 96 h after digital replantation. Based on DSA image, the blood flow was classified into normal, slow-running, and flow-stopping types. The patients with normal digital blood flow were given continuous routine treatments; the patients with slow-running flow were given the conservative treatments, such as release of the tight dressings, removal of stitches, keeping warm, the use of massage, and the use of anticoagulants and anti-inflammatory drugs; the patients with flow-stopping received immediate surgical re-exploration.

Results: In this series, 23 digits in 11 patients showed a normal blood flow, and these digits all survived. In one of 13 patients, two digits which displayed slow-running flow also survived after conservative treatments. In two of 13 patients, two digits showed flow stopping, with one surviving and one failing after re-exploration and arterial revision.

Conclusions: The DSA can be used to assess the blood flow of the proper digital artery in the early stage after replantation. It provides essential information for salvaging the replanted finger.

Citing Articles

Use of nailfold capillaroscopy for the assessment of patients undergoing digit replantation and revascularization.

Koroglu M, Karakaplan M, Zontul S, Acet O, Ozdes H, Ergen E Jt Dis Relat Surg. 2024; 36(1):65-77.

PMID: 39719903 PMC: 11734863. DOI: 10.52312/jdrs.2025.1900.

A comparative study of digital nerve and digital arterial repairs performed using running versus interrupted suture techniques in finger replantations.

Ozdemir B, Kucukalp A Ulus Travma Acil Cerrahi Derg. 2023; 29(2):236-246.

PMID: 36748763 PMC: 10198333. DOI: 10.14744/tjtes.2022.23012.

Reporting Outcomes and Outcome Measures in Digital Replantation: A Systematic Review.

Moltaji S, Gallo M, Wong C, Murphy J, Gallo L, Waltho D J Hand Microsurg. 2020; 12(2):85-94.

PMID: 33335363 PMC: 7735551. DOI: 10.1055/s-0040-1701324.

Etiology and Survival of Secondary Revascularizations after Hand and Digit Replantations.

Shaterian A, Sayadi L, Anderson A, Santos P, Ng W, Evans G J Hand Microsurg. 2020; 12(2):111-115.

PMID: 32788826 PMC: 7410810. DOI: 10.1055/s-0039-3400442.

Nonsurgical factors of digital replantation and survival rate: A metaanalysis.

Yu H, Wei L, Liang B, Hou S, Wang J, Yang Y Indian J Orthop. 2015; 49(3):265-71.

PMID: 26015624 PMC: 4443406. DOI: 10.4103/0019-5413.156185.

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