Blood flow assessment with magnetic resonance imaging after 1.9 μm diode laser assisted arterial micronastomoses

Annales de chirurgie plastique et esthétique
Franck Marie P LeclèreSerge R Mordon

Abstract

The most important factor for successful free-flap transfer and replantations is a well-executed anastomosis. The aim of this study is to assess blood flow after laser assisted arterial microanastomosis (LAMA) using a 1.9 μm diode laser. LAMA was performed on a series of 10 carotidis on Wistar rats. Two 10/0 stay sutures and a standard laser tissue welding technique (λ: 1.9 μm; power: 120mW) were used. Similarly, a series of 10 conventional arterial anastomosis were performed (CSMA). For the two groups, contralateral non-operated carotidis were used as control. A positioning sequence, an anatomical sequence, an angiographic sequence and a flow sequence were performed 1 day after operation and then after 1, 4 and 8 weeks. The arterial patency rate was 100% at the time of surgery. The mean clamping time was 7.2 min in the LAMA group compared to 10.7 min in the CSMA group. In the angiographic sequence, there were no aneurysms in both groups for all observation periods. At postoperative day 1, the mean loss of blood flow at the level of anastomosis in the LAMA group was 6% compared with 14% in the CSMA group. After 1, 4 and 8 weeks, there was an unhooking of the blood flow in the CSMA group: the loss of blood flow was 23%, 27% and ...Continue Reading

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Citations

Jan 7, 2016·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Franck Marie LeclèreSerge Mordon
Feb 24, 2015·Lasers in Medical Science·Franck Marie LeclèreSerge Mordon
Jan 2, 2015·Archives of Orthopaedic and Trauma Surgery·Anaïs DelgoveVincent Casoli

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