Lymphedema after upper limb transplantation: scintigraphic study in 3 patients.
Identifieur interne : 003453 ( Main/Exploration ); précédent : 003452; suivant : 003454Lymphedema after upper limb transplantation: scintigraphic study in 3 patients.
Auteurs : Pedro C. Cavadas [Espagne] ; Alessandro Thione ; Alexo Carballeira ; Pablo Caro DominguezSource :
- Annals of plastic surgery [ 1536-3708 ] ; 2013.
Descripteurs français
- KwdFr :
- Allotransplantation composite vascularisée, Amputation traumatique (), Avant-bras (), Humains, Lymphangiectasie (imagerie diagnostique), Lymphoedème (imagerie diagnostique), Lymphoedème (physiopathologie), Membre supérieur (), Radiopharmaceutiques, Scintigraphie, Sulfocolloïde de technétium (99mTc), Transplantation de main, Traumatismes de l'avant-bras (), Vaisseaux lymphatiques (physiopathologie).
- MESH :
- imagerie diagnostique : Lymphangiectasie, Lymphoedème.
- physiopathologie : Lymphoedème, Vaisseaux lymphatiques.
- Allotransplantation composite vascularisée, Amputation traumatique, Avant-bras, Humains, Membre supérieur, Radiopharmaceutiques, Scintigraphie, Sulfocolloïde de technétium (99mTc), Transplantation de main, Traumatismes de l'avant-bras.
English descriptors
- KwdEn :
- Amputation, Traumatic (surgery), Forearm (surgery), Forearm Injuries (surgery), Hand Transplantation, Humans, Lymphangiectasis (diagnostic imaging), Lymphatic Vessels (physiopathology), Lymphedema (diagnostic imaging), Lymphedema (physiopathology), Radionuclide Imaging, Radiopharmaceuticals, Technetium Tc 99m Sulfur Colloid, Upper Extremity (surgery), Vascularized Composite Allotransplantation.
- MESH :
- chemical : Radiopharmaceuticals, Technetium Tc 99m Sulfur Colloid.
- diagnostic imaging : Lymphangiectasis, Lymphedema.
- physiopathology : Lymphatic Vessels, Lymphedema.
- surgery : Amputation, Traumatic, Forearm, Forearm Injuries, Upper Extremity.
- Hand Transplantation, Humans, Radionuclide Imaging, Vascularized Composite Allotransplantation.
Abstract
Lymphatic vasculature is known to spontaneously reconnect after hand replantation. Nonetheless, lymphatic outflow has not been specifically studied in hand transplantation.Lymphedema was studied clinically and scintigraphically in 3 bilateral upper limb transplants performed in Valencia, Spain, since 2006. Case 1 was a radiocarpal level, case 2 midforearm and proximal forearm, and case 3 was a transhumeral transplantation. Follow-up was 5, 4, and 3 years, respectively. Clinically, in case 1, there was a left-sided moderate lymphedema, case 2 was normal, and a right-sided moderate lymphedema was present in case 3. Lymphoscintigraphy results were consistent with the clinical findings. It was normal in the 4 nonedematous limbs. In the 2 affected limbs, there were scintigraphic findings of lymphatic block and lymphangiectasia.The study demonstrates objectively that lymphatic circulation can reconnect spontaneously in hand transplantations, although not in a homogeneously efficient way.
DOI: 10.1097/SAP.0b013e31828349ff
PubMed: 23782850
Affiliations:
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Cavadas</name><affiliation wicri:level="1"><nlm:affiliation>Reconstructive Surgery, Clínica Cavadas, Hospital de Manises, Valencia, Spain. pcavadas@telefonica.net</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Reconstructive Surgery, Clínica Cavadas, Hospital de Manises, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Thione, Alessandro" sort="Thione, Alessandro" uniqKey="Thione A" first="Alessandro" last="Thione">Alessandro Thione</name></author><author><name sortKey="Carballeira, Alexo" sort="Carballeira, Alexo" uniqKey="Carballeira A" first="Alexo" last="Carballeira">Alexo Carballeira</name></author><author><name sortKey="Dominguez, Pablo Caro" sort="Dominguez, Pablo Caro" uniqKey="Dominguez P" first="Pablo Caro" last="Dominguez">Pablo Caro Dominguez</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23782850</idno><idno type="pmid">23782850</idno><idno type="doi">10.1097/SAP.0b013e31828349ff</idno><idno type="wicri:Area/PubMed/Corpus">001A67</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001A67</idno><idno type="wicri:Area/PubMed/Curation">001A67</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001A67</idno><idno type="wicri:Area/PubMed/Checkpoint">001A67</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001A67</idno><idno type="wicri:Area/Ncbi/Merge">005A48</idno><idno type="wicri:Area/Ncbi/Curation">005A48</idno><idno type="wicri:Area/Ncbi/Checkpoint">005A48</idno><idno type="wicri:Area/Main/Merge">003459</idno><idno type="wicri:Area/Main/Curation">003453</idno><idno type="wicri:Area/Main/Exploration">003453</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymphedema after upper limb transplantation: scintigraphic study in 3 patients.</title><author><name sortKey="Cavadas, Pedro C" sort="Cavadas, Pedro C" uniqKey="Cavadas P" first="Pedro C" last="Cavadas">Pedro C. Cavadas</name><affiliation wicri:level="1"><nlm:affiliation>Reconstructive Surgery, Clínica Cavadas, Hospital de Manises, Valencia, Spain. pcavadas@telefonica.net</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Reconstructive Surgery, Clínica Cavadas, Hospital de Manises, Valencia</wicri:regionArea><wicri:noRegion>Valencia</wicri:noRegion></affiliation></author><author><name sortKey="Thione, Alessandro" sort="Thione, Alessandro" uniqKey="Thione A" first="Alessandro" last="Thione">Alessandro Thione</name></author><author><name sortKey="Carballeira, Alexo" sort="Carballeira, Alexo" uniqKey="Carballeira A" first="Alexo" last="Carballeira">Alexo Carballeira</name></author><author><name sortKey="Dominguez, Pablo Caro" sort="Dominguez, Pablo Caro" uniqKey="Dominguez P" first="Pablo Caro" last="Dominguez">Pablo Caro Dominguez</name></author></analytic><series><title level="j">Annals of plastic surgery</title><idno type="eISSN">1536-3708</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Amputation, Traumatic (surgery)</term><term>Forearm (surgery)</term><term>Forearm Injuries (surgery)</term><term>Hand Transplantation</term><term>Humans</term><term>Lymphangiectasis (diagnostic imaging)</term><term>Lymphatic Vessels (physiopathology)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (physiopathology)</term><term>Radionuclide Imaging</term><term>Radiopharmaceuticals</term><term>Technetium Tc 99m Sulfur Colloid</term><term>Upper Extremity (surgery)</term><term>Vascularized Composite Allotransplantation</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Allotransplantation composite vascularisée</term><term>Amputation traumatique ()</term><term>Avant-bras ()</term><term>Humains</term><term>Lymphangiectasie (imagerie diagnostique)</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (physiopathologie)</term><term>Membre supérieur ()</term><term>Radiopharmaceutiques</term><term>Scintigraphie</term><term>Sulfocolloïde de technétium (99mTc)</term><term>Transplantation de main</term><term>Traumatismes de l'avant-bras ()</term><term>Vaisseaux lymphatiques (physiopathologie)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Radiopharmaceuticals</term><term>Technetium Tc 99m Sulfur Colloid</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphangiectasis</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphangiectasie</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphatic Vessels</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Amputation, Traumatic</term><term>Forearm</term><term>Forearm Injuries</term><term>Upper Extremity</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Hand Transplantation</term><term>Humans</term><term>Radionuclide Imaging</term><term>Vascularized Composite Allotransplantation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Allotransplantation composite vascularisée</term><term>Amputation traumatique</term><term>Avant-bras</term><term>Humains</term><term>Membre supérieur</term><term>Radiopharmaceutiques</term><term>Scintigraphie</term><term>Sulfocolloïde de technétium (99mTc)</term><term>Transplantation de main</term><term>Traumatismes de l'avant-bras</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphatic vasculature is known to spontaneously reconnect after hand replantation. Nonetheless, lymphatic outflow has not been specifically studied in hand transplantation.Lymphedema was studied clinically and scintigraphically in 3 bilateral upper limb transplants performed in Valencia, Spain, since 2006. Case 1 was a radiocarpal level, case 2 midforearm and proximal forearm, and case 3 was a transhumeral transplantation. Follow-up was 5, 4, and 3 years, respectively. Clinically, in case 1, there was a left-sided moderate lymphedema, case 2 was normal, and a right-sided moderate lymphedema was present in case 3. Lymphoscintigraphy results were consistent with the clinical findings. It was normal in the 4 nonedematous limbs. In the 2 affected limbs, there were scintigraphic findings of lymphatic block and lymphangiectasia.The study demonstrates objectively that lymphatic circulation can reconnect spontaneously in hand transplantations, although not in a homogeneously efficient way.</div></front></TEI><affiliations><list><country><li>Espagne</li></country></list><tree><noCountry><name sortKey="Carballeira, Alexo" sort="Carballeira, Alexo" uniqKey="Carballeira A" first="Alexo" last="Carballeira">Alexo Carballeira</name><name sortKey="Dominguez, Pablo Caro" sort="Dominguez, Pablo Caro" uniqKey="Dominguez P" first="Pablo Caro" last="Dominguez">Pablo Caro Dominguez</name><name sortKey="Thione, Alessandro" sort="Thione, Alessandro" uniqKey="Thione A" first="Alessandro" last="Thione">Alessandro Thione</name></noCountry><country name="Espagne"><noRegion><name sortKey="Cavadas, Pedro C" sort="Cavadas, Pedro C" uniqKey="Cavadas P" first="Pedro C" last="Cavadas">Pedro C. 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