The value of Allen's test in harvesting a radial forearm flap: correlation of ex-vivo angiography and histopathological findings

International Journal of Oral and Maxillofacial Surgery

Volumn 37, Issue 7, 2008, Pages 672-674

  Muller Richter U D A ^a   Driemel, O ^a   Mortl M ^a   Schwarz, S ^a   Zorger, N ^a   Wagener, H ^a   Reichert, T E ^a   Roldán, J Camilo ^a  

^a UNIVERSITY OF REGENSBURG   (Germany)

Author keywords

Allen's test; angiography; atherosclerosis; perfusion of the hand; radial forearm free flap

Indexed keywords

ADULT; ANAMNESIS; ARTICLE; ATHEROSCLEROSIS; CASE REPORT; CLINICAL FEATURE; COLOR ULTRASOUND FLOWMETRY; COMPUTER ASSISTED TOMOGRAPHY; DIGITAL SUBTRACTION ANGIOGRAPHY; EX VIVO STUDY; HISTOPATHOLOGY; HUMAN; LYMPH NODE METASTASIS; MALE; MICROVASCULAR SURGERY; MOUTH CANCER; PREOPERATIVE EVALUATION; RADIAL ARTERY; RADIAL FOREARM FLAP; SQUAMOUS CELL CARCINOMA; SURGICAL TECHNIQUE; VASCULAR DISEASE;

ANASTOMOSIS, SURGICAL; ANGIOGRAPHY, DIGITAL SUBTRACTION; ATHEROSCLEROSIS; BONE TRANSPLANTATION; CARCINOMA, SQUAMOUS CELL; FOREARM; HUMANS; MALE; MICROSURGERY; MIDDLE AGED; MOUTH NEOPLASMS; OXIMETRY; PERIPHERAL VASCULAR DISEASES; RADIAL ARTERY; RADIUS; RECONSTRUCTIVE SURGICAL PROCEDURES; SURGICAL FLAPS; TISSUE AND ORGAN HARVESTING; ULTRASONOGRAPHY, DOPPLER, COLOR;

EID: 46149094822     PISSN: 09015027     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijom.2008.01.012     Document Type: Article

References (18)

1. Abu-Omar Y., Mussa S., Anastasiadis K., Steel S., Hands L., and Taggart D.P. Duplex ultrasonography predicts safety of radial artery harvest in the presence of an abnormal Allen test. Ann Thorac Surg 77 (2004) 116-119
2. Agrifoglio M., Dainese L., Pasotti S., Galanti A., Cannata A., Roberto M., Parolari A., and Biglioli P. Preoperative assessment of the radial artery for coronary artery bypass grafting: is the clinical Allen test adequate?. Ann Thorac Surg 79 (2005) 570-572
3. Allen E.V. Thromboangiitis obliterans: methods of diagnosis of chronic occlusive arterial lesions distal to the wrist with illustrative cases. Am J Med Sci 178 (1929) 237-244
4. de Bree R., Quak J.J., Kummer J.A., Simsek S., and Leemans C.R. Severe atherosclerosis of the radial artery in a free radial forearm flap precluding its use. Oral Oncol 40 (2004) 99-102
5. Cable D.G., Mullany C.J., and Schaff H.V. The Allen test. Ann Thorac Surg 67 (1999) 876-877
6. Dogan O.F., Karcaaltincaba M., Duman U., Akata D., Besim A., and Boke E. Assessment of the radial artery and hand circulation by computed tomography angiography: a pilot study. Heart Surg Forum 8 (2005) E28-E33
7. Ejrup B., Fischer B., and Wright I.S. Clinical evaluation of blood flow to the hand. Circulation 33 (1966) 778-780
8. Evans G.R., Schusterman M.A., Kroll S.S., Miller M.J., Reece G.P., Robb G.L., and Ainslie N. The radial forearm free flap for head and neck reconstruction: a review. Am J Surg 168 (1994) 446-450
9. Garai I., Csiki Z., Varga J., Galuska L., Patonay L., Szabados L., Peterffy A., and Galajda Z. Hand perfusion with 99mTc-HSA in patients expecting to undergo coronary bypass surgery: elaboration of a new complex diagnostic protocol for the safe removal of a radial artery graft. Nucl Med Commun 27 (2006) 501-506
10. Jarvis M.A., Jarvis C.L., Jones P.R., and Spyt T.J. Reliability of Allen's test in selection of patients for radial artery harvest. Ann Thorac Surg 70 (2000) 1362-1365
11. Meharwal Z.S., and Trehan N. Functional status of the hand after radial artery harvesting: results in 3,977 cases. Ann Thorac Surg 72 (2001) 1557-1561
12. Nicolosi A.C., Pohl L.L., Parsons P., Cambria R.A., and Olinger G.N. Increased incidence of radial artery calcification in patients with diabetes mellitus. J Surg Res 102 (2002) 1-5
13. Oettle A.C., van Niekerk A., Boon J.M., and Meiring J.H. Evaluation of Allen's test in both arms and arteries of left and right-handed people. Surg Radiol Anat 28 (2006) 3-6
14. Ruengsakulrach P., Brooks M., Hare D.L., Gordon I., and Buxton B.F. Preoperative assessment of hand circulation by means of Doppler ultrasonography and the modified Allen test. J Thorac Cardiovasc Surg 121 (2001) 526-531
15. Ruengsakulrach P., Eizenberg N., Fahrer C., Fahrer M., and Buxton B.F. Surgical implications of variations in hand collateral circulation: anatomy revisited. J Thorac Cardiovasc Surg 122 (2001) 682-686
16. Smith G.I., O'Brien C.J., Choy E.T., Andruchow J.L., and Gao K. Clinical outcome and technical aspects of 263 radial forearm free flaps used in reconstruction of the oral cavity. Br J Oral Maxillofac Surg 43 (2005) 199-204
17. Starnes S.L., Wolk S.W., Lampman R.M., Shanley C.J., Prager R.L., Kong B.K., Fowler J.J., Page J.M., Babcock S.L., Lange L.A., Erlandson E.E., and Whitehouse Jr. W.M. Noninvasive evaluation of hand circulation before radial artery harvest for coronary artery bypass grafting. J Thorac Cardiovasc Surg 117 (1999) 261-266
18. Winterer J.T., Ennker J., Scheffler K., Rosendahl U., Schafer O., Wanner M., Laubenberger J., and Langer M. Gadolinium-enhanced elliptically reordered three-dimensional MR angiography in the assessment of hand vascularization before radial artery harvest for coronary artery bypass grafting: first experience. Invest Radiol 36 (2001) 501-508