首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >New association of nicardipine and isosorbide dinitrate to treat internal mammary artery vasopasm in DIEP breast reconstruction
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New association of nicardipine and isosorbide dinitrate to treat internal mammary artery vasopasm in DIEP breast reconstruction

机译:尼卡地平和硝酸异山梨酯的新联合治疗DIEP乳房重建术中的乳内动脉血管舒张

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摘要

Anastomosis of the inferior epigastric artery to the internal mammary artery (IMA) is widely performed in DIEP breast reconstruction. Dissection of internal mammary vessels may cause spasm of the artery. This decreases the blood flow and can result in vascular thrombosis and procedure failure. This risk is associated with radiotherapy, atherosclerosis and elderly patients. Thoracic and cardiac surgeons use in daily practice, intra-arterial vasodilators into the IMA before performing anastomosis Although vasodilators are widely used topically in free flap surgery, intra-arterial treatment remains uncommon. In three cases of DIEP breast secondary reconstruction (Table 1), we report the use of a combination of vasodilators, Isosorbide Dini-trate and Nicardipine, into the IMA to treat vasospasm.
机译:上腹下动脉与乳内动脉(IMA)的吻合在DIEP乳房重建中广泛进行。乳腺内部血管的解剖可能会引起动脉痉挛。这会减少血液流量,并可能导致血管血栓形成和手术失败。这种风险与放疗,动脉粥样硬化和老年患者有关。胸外科和心脏外科医师在日常实践中会使用吻合术之前,将动脉内血管扩张剂进入IMA。尽管在自由皮瓣手术中局部使用血管扩张剂,但动脉内治疗仍然不常见。在3例DIEP乳房继发性重建手术中(表1),我们报告了将血管扩张药(异山梨醇迪尼特酸盐和尼卡地平)用于IMA治疗血管痉挛。

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