The Use of Fibrinolytic Agents in the Salvage of Free Flaps: A Systematic Review.
Patrick MandalMaximilian MoshammerAndrzej HeckerChristian SmolleMartina CarnielettoMarcel MayrhoferMichael SchintlerRaimund WinterLars Peter KamolzPublished in: Journal of personalized medicine (2024)
The application of fibrinolytic agents appears to be a valuable intervention for rescuing compromised free flaps attributable to microvascular compromise. Notably, no prospective randomized trials have been published on this subject, and the evidence within the existing literature is characterized by its limited and heterogeneous nature. Further research is imperative to gather data on the efficacy, dosage, and safety profile of fibrinolytic agents.