Successful Digital Revascularization in a Patient With Factor V Leiden Mutation.

Lineberry, Kyle; Hoben, Gwendolyn · J Hand Surg Am · 2020

case_report · Level V

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Abstract

Replantation/revascularization involves microsurgical anastomosis of the digital arteries and veins, which are often 2 mm or less in diameter. Thrombosis is a known risk of revascularization that ultimately can lead to ischemic digital loss. Factor V Leiden mutation is present in 3% to 8% of the population and results in generalized hypercoagulability. We present the case of a single-digit revascularization that was successful following vein grafting in a patient with factor V Leiden mutation.

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