The subscapular arterial tree as a source of microvascular arterial grafts

Plastic and Reconstructive Surgery
Stanley M ValnicekW Bradford Rockwell

Abstract

The subscapular arterial tree may be used as a source of microvascular grafts to replace damaged or diseased portions of arteries, particularly in the hand and forearm. By studying cadaver dissections, it is possible to estimate the number of branches that may be found at different arterial segment lengths from the origin of the subscapular artery. Fifty-five preserved cadaver subscapular arterial trees were dissected, and the branching patterns were documented. Three major arterial branching patterns of the subscapular artery were observed with one, two, and three major branches to the serratus anterior in 60 percent, 29 percent, and 9 percent of the cases, respectively. The authors determined the number of 1-mm-diameter, 1-cm-long branches arising from each of six 3-cm regions of the arterial tree measured from the origin of the subscapular artery to the end of the longest terminal branch. The probability of finding at least one usable terminal branch that is at least 12.0 cm in length was found to be 98 percent. Typically, there are two to five useful branches at this distance. Such information may help surgeons fine tune their process of selecting an appropriate arterial donor site for a particular arterial defect and suppo...Continue Reading

References

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Citations

Aug 20, 2009·Surgical and Radiologic Anatomy : SRA·Nabil A EbraheimRichard A Yeasting
Mar 12, 2011·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Angélique GirodJosé Rodriguez
Sep 3, 2010·The Journal of Hand Surgery·James P Higgins, Michael A McClinton
Oct 24, 2008·Microsurgery·Meisei TakeishiYojiro Makino
Apr 11, 2012·Head & Neck·Jose P Zevallos, Mark L Urken
Jul 8, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Shimpei MiyamotoMinoru Sakuraba
Oct 2, 2015·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Shiv Shankar SahaChirayu Parwal
Jun 19, 2007·Plastic and Reconstructive Surgery·W Bradford RockwellK Bo Foreman
Sep 4, 2008·Plastic and Reconstructive Surgery·W Bradford RockwellK Bo Foreman
Aug 5, 2005·Plastic and Reconstructive Surgery·Ngi W Yii, Kevin Cronin

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