Salvage of a congested DIEAP flap with subcutaneous recombinant tissue plasminogen activator treatment.

J Plast Reconstr Aesthet Surg

Gazi University, Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara, Turkey.

Published: November 2009

Thrombolytic agents are frequently employed in the treatment of thrombosis in combination with early surgical exploration and management. Recombinant tissue plasminogen activator is a second generation thrombolytic agent, which acts specifically at the site of the haemostatic clot with minimal side effects. In this paper, we present a case with venous congestion of the deep inferior epigastric artery perforator (DIEAP) flap, despite a patent anastomosis, in which we achieved a successful outcome with subcutaneous recombinant tissue plasminogen activator treatment.

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http://dx.doi.org/10.1016/j.bjps.2008.05.043DOI Listing

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