Evaluation of primary critical ischemia time for the ...



Title Evaluation of primary critical ischemia time for the deep circumflex iliac cutaneous flap in cats
Author(s) B. D. Teunissen, R. Walshaw, J. G. Hauptman, D. A. Degner, A. H. Jackson
Journal Veterinary Surgery: VS: The Official Journal of the American College of Veterinary Surgeons
Date 2004
Volume 33
Issue 5
Start page 440
End page 445
Abstract OBJECTIVE: To evaluate the primary critical ischemia time for the deep circumflex iliac (DCI) cutaneous flap in cats. STUDY DESIGN: In vivo model. ANIMALS: Thirteen young adult female cats. METHODS: An island skin flap was created on the right side of each cat based on the angiosome of the ventral branches of the DCI vessels. The cats were randomly assigned to a flap ischemia time ranging from 1 to 3 hours in 10-minute intervals. Microvascular clamps were used to occlude the artery and vein for the designated time. Flaps were sutured into position after the ischemic period. On day 3, fluorescein dye was administered and the flaps were evaluated under ultraviolet light to assess percent area of perfusion. On days 7 and 14, the percent area of survival was determined for each flap based on cutaneous morphometry. RESULTS: All flaps had 100 percent area of survival throughout the study. On day 3, all flaps fluoresced uniformly compared with the surrounding skin. On days 7 and 14, all flaps were uniformly viable as confirmed by skin color, consistency, bleeding, and hair re-growth. CONCLUSION: The DCI cutaneous flap in cats can withstand up to 3 hours of ischemia with predictable survival. CLINICAL RELEVANCE: In a clinical setting, high success rates can be expected with microvascular transfer of the DCI cutaneous flap in cats when the ischemia time is <3 hours and precise surgical technique is used.
DOI 10.1111/j.1532-950X.2004.04073.x

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