Arterialized Venous Free Flap for Hand Defect Reconstruction Due to Ischemic Steal Syndrome.

International medical case reports journal 2025 Vol.18() p. 301-305

Septrina R, Hapsari P, Widarda IR, Lesmana R, Rudiman R, Abdulah R, Febrina A

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Abstract

Ischemic steal syndrome (ISS) occurs in hemodialysis patients. Hence, it rarely becomes gangrene or disrupts hand function. We reported a patient with an ISS and radial atherosclerosis that presented with infected ulcer. The patient was treated with arterialized venous free flap from the contralateral forearm. Dialysis access can be used as early as 10 days after the flap. The report also describes the long-term functional follow-up after reconstruction. Although there was superficial flap necrosis, this non-physiologic flap can preserve the patient's hand function.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 flap 피판재건술 dict 3
시술 free flap 피판재건술 dict 2
해부 Venous scispacy 1
해부 radial scispacy 1
합병증 arterialized venous scispacy 1
합병증 superficial flap scispacy 1
합병증 flap necrosis 괴사 dict 1
질환 Ischemic Steal Syndrome C4274472
Ischemic steal syndrome
scispacy 1
질환 ISS → Ischemic steal syndrome C4274472
Ischemic steal syndrome
scispacy 1
질환 gangrene C0017086
Gangrene
scispacy 1
질환 atherosclerosis C0003850
Arteriosclerosis
scispacy 1
질환 infected ulcer scispacy 1
질환 necrosis C0027540
Necrosis
scispacy 1
질환 ulcer scispacy 1
기타 patients scispacy 1
기타 patient scispacy 1

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