{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:01Z","timestamp":1753877161977,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T00:00:00Z","timestamp":1717459200000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The radial forearm free flap (RFFF) is a workhorse flap for head and neck reconstruction. We present an unusual case of radial artery occlusion, likely from previous transradial cardiac catheterization, in a patient for whom an RFFF was raised for floor of mouth reconstruction following resection of squamous cell carcinoma. Pre-operative assessment with ultrasound Doppler and an Allen test was normal. The flap was raised uneventfully under tourniquet control. However, following flap elevation and tourniquet release, poor flap perfusion was noted, and cutback of the artery revealed a long segment of hard fibrous plaque within the lumen. Retrospective review of medical records showed a history of cardiac catheterization via the same radial artery. We discuss various measures that can prevent this occurrence, including careful pre-operative screening of previous procedures involving the radial artery, the reverse Allen test, Doppler ultrasound, and consideration of distal arterial exploration without a tourniquet.<\/jats:p>","DOI":"10.1093\/jscr\/rjae391","type":"journal-article","created":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T00:55:33Z","timestamp":1717548933000},"source":"Crossref","is-referenced-by-count":0,"title":["Arterial occlusion secondary to prior cardiac catheterization in a radial forearm flap\u2014lessons learnt from an unusual case"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6504-9970","authenticated-orcid":false,"given":"Steven L","family":"Zhang","sequence":"first","affiliation":[{"name":"Section of Plastic , Reconstructive and Aesthetic Surgery, Department of General Surgery, , Singapore 737628 , Singapore"},{"name":"Woodlands Health , Reconstructive and Aesthetic Surgery, Department of General Surgery, , Singapore 737628 , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin Z W","family":"Chung","sequence":"additional","affiliation":[{"name":"Section of Plastic , Reconstructive and Aesthetic Surgery, Department of General Surgery, , Singapore 308433 , Singapore"},{"name":"Tan Tock Seng Hospital , Reconstructive and Aesthetic Surgery, Department of General Surgery, , Singapore 308433 , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui Wen","family":"Ng","sequence":"additional","affiliation":[{"name":"Section of Plastic , Reconstructive and Aesthetic Surgery, Department of General Surgery, , Singapore 308433 , Singapore"},{"name":"Tan Tock Seng Hospital , Reconstructive and Aesthetic Surgery, Department of General Surgery, , Singapore 308433 , Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,6,4]]},"reference":[{"key":"2024060413025377100_ref1","first-page":"139","article-title":"The free forearm flap","volume":"61","author":"Yang","year":"1981","journal-title":"Chin Med J (Engl)"},{"key":"2024060413025377100_ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0007-1226(83)90002-4","article-title":"The radial forearm flap: a versatile method for intra-oral reconstruction","volume":"36","author":"Soutar","year":"1983","journal-title":"Br J Plast Surg"},{"key":"2024060413025377100_ref3","doi-asserted-by":"crossref","first-page":"305","DOI":"10.21037\/cdt.2017.03.14","article-title":"Radial artery occlusion after transradial coronary catheterization","volume":"7","author":"Avdikos","year":"2017","journal-title":"Cardiovasc Diagn 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Surg"},{"key":"2024060413025377100_ref10","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1093\/eurheartj\/ehq102","article-title":"Assessment of acute injuries and chronic intimal thickening of the radial artery after transradial coronary intervention by optical coherence tomography","volume":"31","author":"Yonetsu","year":"2010","journal-title":"Eur Heart J"},{"key":"2024060413025377100_ref11","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1097\/00000637-199005000-00011","article-title":"A forearm free flap based on an occluded radial artery: its salvage and avoidance","volume":"24","author":"Chang","year":"1990","journal-title":"Ann Plast Surg"},{"key":"2024060413025377100_ref12","first-page":"11","article-title":"Pre-existing vascular disease in the radial artery and other coronary artery bypass conduits","volume":"4","author":"Kane-ToddHall","year":"1999","journal-title":"Eur J Med 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