Activated Clotting Time‐Guided Systemic Heparinization as One Component of a Stepwise Salvage Algorithm for Inadequate Internal Mammary Artery Flow in Microsurgical Breast Reconstruction
Kazuhiro Tsunekawa, Daisuke Yanagisawa, Shunsuke Yuzuriha · 2026
Read Activated Clotting Time‐Guided Systemic Heparinization as One Component of a Stepwise Salvage Algorithm for Inadequate Internal Mammary Artery Flow in Microsurgical Breast Reconstruction by Kazuhiro Tsunekawa, Daisuke Yanagisawa, Shunsuke Yuzuriha (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13681730.txt.
Description
When the artery planned for a rebuilt breast runs weak during surgery, a measured dose of blood thinner may rescue it, report Kazuhiro Tsunekawa and co-authors in a 2026 study. The team reviewed 103 artery uses in free flap breast reconstruction and sorted them by flow: normal, weak with standard fixes, or weak with timed heparin treatment.
Only six cases needed the timed approach, which aimed at a set clotting time and topped up the drug on a schedule. Patient traits and blood loss matched across groups. The authors call the work hypothesis generating: a careful salvage step, not yet a proven one.
Catalog record
| CREATOR | Kazuhiro Tsunekawa, Daisuke Yanagisawa, Shunsuke Yuzuriha |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 37 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |