Timing of distant flap pedicle division using xenon 133 clearance

Journal Article · Mon Sep 01 00:00:00 EDT 1980 · Ann. Plast. Surg.; (United States)

DOI:https://doi.org/10.1097/00000637-198009000-00005· OSTI ID:6173034

Snelling, C F; Poomee, A; Sutherland, J B; Waters, W R; Wangsanutr, L; Mackereth, E

Clearance of intradermally injected xenon 133 was used to measure blood flow in distant flaps in humans with the donor pedicle temporarily clamped just prior to division. All 18 flaps with a blood flow of 0.5 ml per 100 gm of tissue per minute or more survived completely after separation. Of 7 with lesser flow, 3 underwent marginal necrosis adjacent to the line of division and 4 survived entirely. Xenon 133 washout does permit quantitative evaluation of blood flow, and since it is a clean isotope, it appears superior to sodium 24 and technetium 99m, which have been used in a similar manner. The test is proposed as an adjunct to clinical judgment in timing pedicle division.

• OSTI ID: 6173034
• Journal Information: Ann. Plast. Surg.; (United States), Journal Name: Ann. Plast. Surg.; (United States) Vol. 5:3; ISSN APCSD
• Country of Publication: United States
• Language: English

Related Subjects

550601* -- Medicine-- Unsealed Radionuclides in Diagnostics
560171 -- Radiation Effects-- Nuclide Kinetics & Toxicology-- Man-- (-1987)
62 RADIOLOGY AND NUCLEAR MEDICINE
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
ANIMALS
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BLOOD FLOW
BLOOD-PLASMA CLEARANCE
CLEARANCE
COUNTING TECHNIQUES
DAYS LIVING RADIOISOTOPES
DIAGNOSTIC TECHNIQUES
EVEN-ODD NUCLEI
INTERMEDIATE MASS NUCLEI
INTERNAL CONVERSION RADIOISOTOPES
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
MAMMALS
MAN
MEDICINE
NECROSIS
NUCLEI
PATHOLOGICAL CHANGES
PRIMATES
RADIOISOTOPE SCANNING
RADIOISOTOPES
RADIONUCLIDE KINETICS
SCINTISCANNING
SURGERY
TIME DEPENDENCE
VERTEBRATES
XENON 133
XENON ISOTOPES