Highlights • Recombinant tissue-type plasminogen activators help to rescue free flaps; Alteplase.• Alteplase is a successful ultima ratio for venous thrombosis.• Use of Alteplase must be embedded in a salvage… Click to show full abstract
Highlights • Recombinant tissue-type plasminogen activators help to rescue free flaps; Alteplase.• Alteplase is a successful ultima ratio for venous thrombosis.• Use of Alteplase must be embedded in a salvage algorithm.• Salvage algorithm must differentiate between arterial and venous problems.
               
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