ヤマキ　タカシ   八巻　隆    所属   医学部 医学科（附属足立医療センター）    職種   教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Hemodynamic alterations in the transferred tissue to lower extremities.
掲載誌名	正式名：Microsurgery 略　 称：Microsurgery ISSNコード：1098-2752(Electronic)0738-1085(Linking)
巻・号・頁	29(2),pp.101-6
著者・共著者	Sakurai Hiroyuki, Yamaki Takashi, Takeuchi Masaki, Soejima Kazutaka, Kono Taro, Nozaki Motohiro
担当区分	2nd著者
発行年月	2009/01
概要	A higher incidence of failure has been reported for free flaps transplanted to the lower extremities. However, the physiological background of this phenomenon has not been elucidated. We reviewed the 3-day postoperative hemodynamic data for 103 free flaps, including the in situ venous pressure (N = 103), arterial pressure (N = 53), and surface blood flow (N = 42). The cases were divided into two groups based on the recipient site, i.e., lower extremity (the LE group: N = 29) and the other (non-LE group: N = 74). The venous pressure was significantly higher in the LE group (26.6 +/- 2.2 vs. 14.8 +/- 1.2 mmHg), whereas the arterial pressure immediately after surgery was lower than the non-LE group. The hemodynamic data within the transferred tissues demonstrated significant differences between groups, especially in the early postoperative period. There is a possibility that the high venous pressure may aggravate the poor perfusion in tissues transferred to the lower extremities.
DOI	10.1002/micr.20570
文献番号	18942645