Question
1: Comprehensive 1. A 54-year-old woman undergoes breast reconstruction using a deep inferior epigastric artery perforator (DIEP) flap. Arterial thrombosis is noted after performing the microanastomosis. Which of the following is more likely to occur with local administration of tissue plasminogen activator (tPA) as an adjunct to revision microanastomosis as compared with revision microanastomosis alone (without tPA)? A ) Decreased flap salvage rate B ) Decreased incidence of fat necrosis C ) Increased flap salvage rate D ) Increased incidence of fat necrosis E ) Increased incidence of operative hematoma