Peripherally Inserted Central Catheters as Potential Risk Factors for Failure in Pedicled Latissimus Dorsi Flaps

Peripherally Inserted Central Catheters as Potential Risk Factors for Failure in Pedicled Latissimus Dorsi Flaps

Summary:. Pedicled latissimus dorsi musculocutaneous flaps are reliable options for reconstruction of torso and head and neck defects. After ensuring that no kink or external compression occurs on the pedicle, the survival rate exceeds 99%. However, we experienced a complete necrosis of the flap aft...

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Main Authors: Johnny Ionut Efanov, MD, Gabriel Bouhadana, MD, Michel A. Danino, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2019-05-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002236
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spelling doaj-76a728df936b43ceb7f4bfb2b30881c12020-11-24T23:52:09ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-05-0175e223610.1097/GOX.0000000000002236201905000-00061Peripherally Inserted Central Catheters as Potential Risk Factors for Failure in Pedicled Latissimus Dorsi FlapsJohnny Ionut Efanov, MD0Gabriel Bouhadana, MD1Michel A. Danino, MD, PhD2From the Plastic and Reconstructive Surgery Service, Centre Hospitalier de l’Université de Montréal (CHUM), Montréal, QC H2X 3E4, Canada.From the Plastic and Reconstructive Surgery Service, Centre Hospitalier de l’Université de Montréal (CHUM), Montréal, QC H2X 3E4, Canada.From the Plastic and Reconstructive Surgery Service, Centre Hospitalier de l’Université de Montréal (CHUM), Montréal, QC H2X 3E4, Canada.Summary:. Pedicled latissimus dorsi musculocutaneous flaps are reliable options for reconstruction of torso and head and neck defects. After ensuring that no kink or external compression occurs on the pedicle, the survival rate exceeds 99%. However, we experienced a complete necrosis of the flap after insertion of a peripherally inserted central catheter line. Intraoperative findings demonstrated thrombosis of the subclavian vein over a large segment, which was found to be the cause of flap failure. The clinical significance of this case report is aimed at raising awareness against insertion of peripherally inserted central catheter lines on the ipsilateral arm of a pedicled latissimus dorsi flap.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002236
collection DOAJ
language English
format Article
sources DOAJ
author Johnny Ionut Efanov, MD
Gabriel Bouhadana, MD
Michel A. Danino, MD, PhD
spellingShingle Johnny Ionut Efanov, MD
Gabriel Bouhadana, MD
Michel A. Danino, MD, PhD
Peripherally Inserted Central Catheters as Potential Risk Factors for Failure in Pedicled Latissimus Dorsi Flaps
Plastic and Reconstructive Surgery, Global Open
author_facet Johnny Ionut Efanov, MD
Gabriel Bouhadana, MD
Michel A. Danino, MD, PhD
author_sort Johnny Ionut Efanov, MD
title Peripherally Inserted Central Catheters as Potential Risk Factors for Failure in Pedicled Latissimus Dorsi Flaps
title_short Peripherally Inserted Central Catheters as Potential Risk Factors for Failure in Pedicled Latissimus Dorsi Flaps
title_full Peripherally Inserted Central Catheters as Potential Risk Factors for Failure in Pedicled Latissimus Dorsi Flaps
title_fullStr Peripherally Inserted Central Catheters as Potential Risk Factors for Failure in Pedicled Latissimus Dorsi Flaps
title_full_unstemmed Peripherally Inserted Central Catheters as Potential Risk Factors for Failure in Pedicled Latissimus Dorsi Flaps
title_sort peripherally inserted central catheters as potential risk factors for failure in pedicled latissimus dorsi flaps
publisher Wolters Kluwer
series Plastic and Reconstructive Surgery, Global Open
issn 2169-7574
publishDate 2019-05-01
description Summary:. Pedicled latissimus dorsi musculocutaneous flaps are reliable options for reconstruction of torso and head and neck defects. After ensuring that no kink or external compression occurs on the pedicle, the survival rate exceeds 99%. However, we experienced a complete necrosis of the flap after insertion of a peripherally inserted central catheter line. Intraoperative findings demonstrated thrombosis of the subclavian vein over a large segment, which was found to be the cause of flap failure. The clinical significance of this case report is aimed at raising awareness against insertion of peripherally inserted central catheter lines on the ipsilateral arm of a pedicled latissimus dorsi flap.
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002236
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