Preoperative Predictors of Free Flap Failure.

Madelyn N StevensMichael H FreemanJustin R ShinnNicole KloostermanShane CarrKyle MannionSarah L Rohde

Published in: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery (2022)

Female sex, peripheral vascular disease, and preoperative thrombocytosis are all strong predictors of early free flap failure. This suggests that hypercoagulability and poor vessel quality may predispose patients to flap loss. Patients with elevated platelets or peripheral vascular disease warrant careful reconstructive decision making and close monitoring in the perioperative period.

Keyphrases

patients undergoing
end stage renal disease
decision making
newly diagnosed
ejection fraction
chronic kidney disease
cardiac surgery
chemotherapy induced
patient reported
breast reconstruction