Impaired ambulatory venous function in lymphedema assessed by near-infrared spectroscopy
Identifieur interne : 008629 ( Main/Exploration ); précédent : 008628; suivant : 008630Impaired ambulatory venous function in lymphedema assessed by near-infrared spectroscopy
Auteurs : T. Saito [Japon] ; Y. Hosoi [Japon] ; A. Onozuka [Japon] ; T. Komiyama [Japon] ; T. Miyata [Japon] ; H. Shigematsu [Japon] ; H. Nagawa [Japon]Source :
- International angiology [ 0392-9590 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Hémoglobine S (métabolisme), Indice de gravité médicale, Insuffisance veineuse (physiopathologie), Insuffisance veineuse (sang), Insuffisance veineuse (étiologie), Lymphoedème (), Lymphoedème (physiopathologie), Lymphoedème (sang), Maladie chronique, Mâle, Spectroscopie proche infrarouge, Sujet âgé, Sujet âgé de 80 ans ou plus, Épreuve d'effort, Études de suivi.
- MESH :
- métabolisme : Hémoglobine S.
- physiopathologie : Insuffisance veineuse, Lymphoedème.
- sang : Insuffisance veineuse, Lymphoedème.
- étiologie : Insuffisance veineuse.
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Appareil circulatoire pathologie, Femelle, Humains, Indice de gravité médicale, Lymphoedème, Maladie chronique, Mâle, Spectroscopie proche infrarouge, Sujet âgé, Sujet âgé de 80 ans ou plus, Varice, Insuffisance veineuse, Ambulatoire, Spectrométrie IR proche, Oedème, Exercice physique, Hémoglobine, Épreuve d'effort, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Ambulatory, Cardiovascular disease, Chronic Disease, Edema, Exercise Test, Female, Follow-Up Studies, Hemoglobin, Hemoglobin, Sickle (metabolism), Humans, Lymphedema, Lymphedema (blood), Lymphedema (complications), Lymphedema (physiopathology), Male, Middle Aged, Near infrared spectrometry, Physical exercise, Severity of Illness Index, Spectroscopy, Near-Infrared, Varix, Venous Insufficiency (blood), Venous Insufficiency (etiology), Venous Insufficiency (physiopathology), Venous incompetence.
- MESH :
- chemical , metabolism : Hemoglobin, Sickle.
- blood : Lymphedema, Venous Insufficiency.
- complications : Lymphedema.
- etiology : Venous Insufficiency.
- physiopathology : Lymphedema, Venous Insufficiency.
- Adult, Aged, Aged, 80 and over, Chronic Disease, Exercise Test, Female, Follow-Up Studies, Humans, Male, Middle Aged, Severity of Illness Index, Spectroscopy, Near-Infrared.
Abstract
Aim. The aim of this study was to investigate venous function in patients with leg lymphedema during exercise using near-infrared spectroscopy (NIRS), compared with that of patients with chronic venous insufficiency (CVI). Methods. Forty-three legs of 33 patients (5 males, 28 females; mean age: 53 years) with leg lymphedema without varicose veins or deep vein thrombosis underwent a treadmill walking test with simultaneous NIRS. For comparison, 136 legs of 91 patients (35 males, 56 females; mean age: 56 years) with varicose veins as a CVI group and 45 legs of 38 healthy volunteers (23 males, 15 females; mean age: 50 years) were also evaluated in the same method. Deoxygenated hemoglobin (HHb) was continuously measured during exercise, and the ambulatory venous retention index (AVRI) of each leg was obtained from the serial changes in HHb. Results. The mean AVRI of the lymphedema group was significantly higher than that of healthy legs and significantly lower than of legs with moderate or severe CVI. Furthermore, it was similar to that in the mild CVI group. Conclusion. Venous function is impaired in exercising legs with lymphedema, and corresponds to that in legs with mild venous insufficiency. The treatment of lymphedema should take CVI into consideration.
Affiliations:
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Onozuka</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Vascular Surgery, Department of Surgery, The University of Tokyo</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Komiyama, T" sort="Komiyama, T" uniqKey="Komiyama T" first="T." last="Komiyama">T. Komiyama</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Vascular Surgery, Department of Surgery, The University of Tokyo</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Miyata, T" sort="Miyata, T" uniqKey="Miyata T" first="T." last="Miyata">T. Miyata</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Vascular Surgery, Department of Surgery, The University of Tokyo</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Shigematsu, H" sort="Shigematsu, H" uniqKey="Shigematsu H" first="H." last="Shigematsu">H. Shigematsu</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Vascular Surgery, Department of Surgery, The University of Tokyo</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Nagawa, H" sort="Nagawa, H" uniqKey="Nagawa H" first="H." last="Nagawa">H. Nagawa</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Vascular Surgery, Department of Surgery, The University of Tokyo</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author></analytic><series><title level="j" type="main">International angiology</title><title level="j" type="abbreviated">Int. angiol.</title><idno type="ISSN">0392-9590</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International angiology</title><title level="j" type="abbreviated">Int. angiol.</title><idno type="ISSN">0392-9590</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Ambulatory</term><term>Cardiovascular disease</term><term>Chronic Disease</term><term>Edema</term><term>Exercise Test</term><term>Female</term><term>Follow-Up Studies</term><term>Hemoglobin</term><term>Hemoglobin, Sickle (metabolism)</term><term>Humans</term><term>Lymphedema</term><term>Lymphedema (blood)</term><term>Lymphedema (complications)</term><term>Lymphedema (physiopathology)</term><term>Male</term><term>Middle Aged</term><term>Near infrared spectrometry</term><term>Physical exercise</term><term>Severity of Illness Index</term><term>Spectroscopy, Near-Infrared</term><term>Varix</term><term>Venous Insufficiency (blood)</term><term>Venous Insufficiency (etiology)</term><term>Venous Insufficiency (physiopathology)</term><term>Venous incompetence</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Hémoglobine S (métabolisme)</term><term>Indice de gravité médicale</term><term>Insuffisance veineuse (physiopathologie)</term><term>Insuffisance veineuse (sang)</term><term>Insuffisance veineuse (étiologie)</term><term>Lymphoedème ()</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoedème (sang)</term><term>Maladie chronique</term><term>Mâle</term><term>Spectroscopie proche infrarouge</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Épreuve d'effort</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Hemoglobin, Sickle</term></keywords><keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Lymphedema</term><term>Venous Insufficiency</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Venous Insufficiency</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Hémoglobine S</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Insuffisance veineuse</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term><term>Venous Insufficiency</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Insuffisance veineuse</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Insuffisance veineuse</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Chronic Disease</term><term>Exercise Test</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Severity of Illness Index</term><term>Spectroscopy, Near-Infrared</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Appareil circulatoire pathologie</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Lymphoedème</term><term>Maladie chronique</term><term>Mâle</term><term>Spectroscopie proche infrarouge</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Varice</term><term>Insuffisance veineuse</term><term>Ambulatoire</term><term>Spectrométrie IR proche</term><term>Oedème</term><term>Exercice physique</term><term>Hémoglobine</term><term>Épreuve d'effort</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aim. The aim of this study was to investigate venous function in patients with leg lymphedema during exercise using near-infrared spectroscopy (NIRS), compared with that of patients with chronic venous insufficiency (CVI). Methods. Forty-three legs of 33 patients (5 males, 28 females; mean age: 53 years) with leg lymphedema without varicose veins or deep vein thrombosis underwent a treadmill walking test with simultaneous NIRS. For comparison, 136 legs of 91 patients (35 males, 56 females; mean age: 56 years) with varicose veins as a CVI group and 45 legs of 38 healthy volunteers (23 males, 15 females; mean age: 50 years) were also evaluated in the same method. Deoxygenated hemoglobin (HHb) was continuously measured during exercise, and the ambulatory venous retention index (AVRI) of each leg was obtained from the serial changes in HHb. Results. The mean AVRI of the lymphedema group was significantly higher than that of healthy legs and significantly lower than of legs with moderate or severe CVI. Furthermore, it was similar to that in the mild CVI group. Conclusion. Venous function is impaired in exercising legs with lymphedema, and corresponds to that in legs with mild venous insufficiency. The treatment of lymphedema should take CVI into consideration.</div></front></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement><orgName><li>Université de Tokyo</li></orgName></list><tree><country name="Japon"><region name="Région de Kantō"><name sortKey="Saito, T" sort="Saito, T" uniqKey="Saito T" first="T." last="Saito">T. Saito</name></region><name sortKey="Hosoi, Y" sort="Hosoi, Y" uniqKey="Hosoi Y" first="Y." last="Hosoi">Y. Hosoi</name><name sortKey="Komiyama, T" sort="Komiyama, T" uniqKey="Komiyama T" first="T." last="Komiyama">T. Komiyama</name><name sortKey="Miyata, T" sort="Miyata, T" uniqKey="Miyata T" first="T." last="Miyata">T. Miyata</name><name sortKey="Nagawa, H" sort="Nagawa, H" uniqKey="Nagawa H" first="H." last="Nagawa">H. Nagawa</name><name sortKey="Onozuka, A" sort="Onozuka, A" uniqKey="Onozuka A" first="A." last="Onozuka">A. Onozuka</name><name sortKey="Shigematsu, H" sort="Shigematsu, H" uniqKey="Shigematsu H" first="H." last="Shigematsu">H. Shigematsu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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