Hemodynamic Principles in Free Tissue Transfer: Vascular Changes at the Anastomosis Site Article Swipe
GyeongHyeon Doh
,
Bum Sik Kim
,
Dong Yun Lee
,
Jung Soo Yoon
,
SooA Lim
,
Yea Sik Han
,
SuRak Eo
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.12790/ahm.21.0118
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.12790/ahm.21.0118
Purpose: Various factors such as blood velocity, turbulent flow,and intimal injury are the most basic elements in free tissue transfers. However, how blood flow is reestablished, maintained, and changed after vascular anastomosis has rarely been studied.Methods: A 54-year-old male sustained an unreplantable severe crushing injury to his right hand. The middle finger was transferred to the thumb as an ectopic replantation using an anastomosis between the radial and digital arteries. However, secondary reconstruction for the first web space defect was inevitable and an anteromedial thigh free flap procedure was performed 2 months later using the previously anastomosed vessels. During the procedures, we noted morphologic changes in the microvessels and tried to explain those phenomena by applying the principles of hemodynamics.Results: Due to the discrepancy in vascular size between the radial and digital arteries, the velocity of the blood flow in the post-anastomotic site, which was the digital artery, must have been increased by Poiseuille’s law. Supposing that the velocity through the post-anastomotic site of the digital artery was increased, the pressure exerted by that flow decreased, resulting in more shrinkage of the vessel lumen of the digital artery by Bernoulli’s principle. Pascal’s law could also be applied in confined spaces with a static flow; where there is a constant pressure, as the radius of the post-anastomotic digital artery diminishes, the tension within the digital artery’s wall also simultaneously decreases. By Laplace’s law, the post-anastomotic digital artery’s wall thickens as less tension is exerted on the wall.Conclusion: Understanding these simple flow mechanics will enable microsurgeons to better avoid the risk factors causing thrombosis, which is related to flap failure.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.12790/ahm.21.0118
- https://www.handmicro.org/upload/pdf/ahm-21-0118.pdf
- OA Status
- diamond
- Cited By
- 5
- References
- 35
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3208311622
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3208311622Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.12790/ahm.21.0118Digital Object Identifier
- Title
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Hemodynamic Principles in Free Tissue Transfer: Vascular Changes at the Anastomosis SiteWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-10-27Full publication date if available
- Authors
-
GyeongHyeon Doh, Bum Sik Kim, Dong Yun Lee, Jung Soo Yoon, SooA Lim, Yea Sik Han, SuRak EoList of authors in order
- Landing page
-
https://doi.org/10.12790/ahm.21.0118Publisher landing page
- PDF URL
-
https://www.handmicro.org/upload/pdf/ahm-21-0118.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
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https://www.handmicro.org/upload/pdf/ahm-21-0118.pdfDirect OA link when available
- Concepts
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Anastomosis, Blood flow, Anatomy, Medicine, Hemodynamics, Artery, Radial artery, Lumen (anatomy), Surgery, CardiologyTop concepts (fields/topics) attached by OpenAlex
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5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 2, 2023: 2Per-year citation counts (last 5 years)
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35Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| publication_date | 2021-10-27 |
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