MARC details
| 000 -LEADER |
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| fixed length control field |
03399nam a22004217a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
200131s20202020 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0032-1052 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
00006534-202001000-00050 [pii] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1097/PRS.0000000000006384 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
31881626 |
| 245 ## - TITLE STATEMENT |
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| Title |
The Utility of Preoperative Venous Testing for Lower Extremity Flap Planning in Patients with Lower Extremity Wounds. |
| 251 ## - Source |
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| Source |
Plastic & Reconstructive Surgery. 145(1):164e-171e, 2020 Jan. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Plast Reconstr Surg. 145(1):164e-171e, 2020 Jan. |
| 253 ## - Journal Name |
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| Journal name |
Plastic and reconstructive surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2020 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2020 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2020-01-31 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: Although venous thrombosis is a leading cause of flap failure, the majority of lower extremity free flap planning is centered on arterial system evaluation. Preoperative identification of relevant abnormality in lower extremity venous systems by means of duplex ultrasound may aid in the diagnosis of clinically important abnormality that could affect lower extremity flap outcomes. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CLINICAL QUESTION/LEVEL OF EVIDENCE: Diagnostic, IV. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: Lower extremity venous duplex testing before free tissue transfer may be useful for optimizing flap recipient vessel selection and for detecting potentially unknown venous abnormality. Development of free flap planning protocols incorporating preoperative vascular imaging is important to achieving good functional outcomes in this comorbid patient population. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: Between November of 2014 and August of 2017, 57 patients underwent preoperative lower extremity venous duplex imaging and free tissue transfer for lower extremity wounds. A retrospective review was performed to describe lower extremity venous pathologic findings, relevant patient demographic data, comorbid conditions, and outcomes. Discovery of venous abnormality helped guide recipient vein selection. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: Fifty-seven consecutive patients underwent 59 free flap operations to treat chronic lower extremity wounds. Venous duplex ultrasonography detected venous insufficiency (defined as >0.5 second of reflux) in 23 patients (39.0 percent), including 16 (27.2 percent) with deep thigh reflux, six (10.2 percent) with superficial calf reflux, and four (6.78 percent) with deep calf reflux. Deep venous thrombosis was found in four patients (6.78 percent) and treated with anticoagulation. The flap success rate was 98.3 percent. Five patients (8.47 percent) progressed to amputation. At a mean follow-up time of 15.1 +/- 9.51 months (range, 1.67 to 35.2 months), 53 patients (89.8 percent) were able to continue community ambulation. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Health Research Institute |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Surgery/Plastic Surgery |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Surgery/Vascular Surgery |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Akbari, Cameron M |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Naz, Iram |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Tefera, Eshetu |
| 790 ## - Authors |
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| All authors |
Akbari C, Attinger CE, Black CK, Evans KK, Hashmi A, Janhofer DE, Kim PJ, Lakhiani C, Naz I, Tefera EA |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1097/PRS.0000000000006384">https://dx.doi.org/10.1097/PRS.0000000000006384</a> |
| Public note |
https://dx.doi.org/10.1097/PRS.0000000000006384 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
