Use of an Intra-Arterial Catheter as a Provisional Conduit for Regulated Outflow Management in the Setting of Artery-Only Digital Replantation. (Record no. 2986)

MARC details
000 -LEADER
fixed length control field 02211nam a22003257a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 180118s20172017 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0974-3227
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1055/s-0036-1597551 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 1600056 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC5741411 [pmc]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 29302141
245 ## - TITLE STATEMENT
Title Use of an Intra-Arterial Catheter as a Provisional Conduit for Regulated Outflow Management in the Setting of Artery-Only Digital Replantation.
251 ## - Source
Source Journal of Hand and Microsurgery. 9(3):163-166, 2017 Dec
252 ## - Abbreviated Source
Abbreviated source J. hand microsurg.. 9(3):163-166, 2017 Dec
253 ## - Journal Name
Journal name Journal of hand and microsurgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2017
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2018
266 ## - Date added to catalog
Date added to catalog 2018-01-18
520 ## - SUMMARY, ETC.
Abstract Successful replantation of distal digital segments necessitates the establishment of sufficient outflow to minimize congestion and progressive tissue necrosis. In cases where only arterial anastomosis is feasible, an artificial outlet must be provided to maintain physiological requirements until microvenous circulation regenerates. This can be accomplished using any number of "exsanguination techniques" designed to facilitate egress through ongoing passive blood loss. Although reportedly effective, these measures are imprecise and carry a substantial risk of infection, scarring, and/or uncontrolled hemorrhage. Herein, we describe a preemptive alternative for provisional venous drainage, whereby direct catheterization of a distal arterial branch is used to enhance the precision of outflow management following artery-only digital replantation. The establishment of intravascular access, using the technique described, permits remote manipulation of the microcirculatory environment through timed administration of heparinized saline and regulated removal of controlled volumes of blood.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element PubMed-not-MEDLINE -- Not indexed
656 ## - INDEX TERM--OCCUPATION
Department Curtis National Hand Center
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Han, Kevin D
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Paryavi, Ebrahim
790 ## - Authors
All authors DeFazio MV, Han KD, Paryavi E
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1055/s-0036-1597551">https://dx.doi.org/10.1055/s-0036-1597551</a>
Public note https://dx.doi.org/10.1055/s-0036-1597551
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
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          MedStar Authors Catalog MedStar Authors Catalog 01/18/2018   29302141 29302141 01/18/2018 01/18/2018 Journal Article

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