Venous dynamics in leg lymphedema
Identifieur interne : 00AF88 ( Main/Exploration ); précédent : 00AF87; suivant : 00AF89Venous dynamics in leg lymphedema
Auteurs : D. I. Kim [Corée du Sud] ; S. Huh [Corée du Sud] ; J. H. Hwang [Corée du Sud] ; Y. I. Kim [Corée du Sud] ; B. B. Lee [Corée du Sud]Source :
- Lymphology [ 0024-7766 ] ; 1999.
Descripteurs français
- KwdFr :
- MESH :
- physiologie : Débit sanguin régional, Pression veineuse.
- physiopathologie : Insuffisance veineuse, Lymphoedème.
- étiologie : Insuffisance veineuse.
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Duplex ultrasonography, Female, Hemodynamics, Human, Humans, Leg (blood supply), Lymphedema, Lymphedema (complications), Lymphedema (physiopathology), Male, Middle Aged, Pathophysiology, Plethysmography, Regional Blood Flow (physiology), Ultrasonography, Doppler, Duplex, Vein, Venous Insufficiency (etiology), Venous Insufficiency (physiopathology), Venous Pressure (physiology).
- MESH :
- blood supply : Leg.
- complications : Lymphedema.
- etiology : Venous Insufficiency.
- physiology : Regional Blood Flow, Venous Pressure.
- physiopathology : Lymphedema, Venous Insufficiency.
- Female, Humans, Male, Middle Aged, Plethysmography, Ultrasonography, Doppler, Duplex.
Abstract
To determine whether there is anatomical and/or functional impairment to venous return in patients with lymphedema, we examined venous dynamics in 41 patients with unilateral leg lymphedema. A Volometer® was used for computer analysis of leg volume, a color Duplex Doppler scanner was used to determine deep vein patency and skin thickness, and Air-plethysmography was used to assess ambulatory venous pressure, venous volume, venous filling index and the ejection fraction. In the lymphedematous leg, volume and skin thickness were uniformly increased (126.4 ± 21.3% and 156.9 ± 44.5%) (mean ± S.D.), respectively. The ambulatory venous pressure was also increased (134 ± 60.7%) as was the venous volume (124.5 ± 37.5%), and the venous filling index (134.5 ± 50.5%). The ejection fraction was decreased (94.9 ± 26.1%). Greater leg volume correlated with increased venous volume and venous filling index (values = 0.327, 0.241, respectively) and decreased ejection fraction (r = -0.133). Increased subcutaneous thickness correlated with increased venous filling index and venous volume (r = 0.307, 0.126, respectively) and decreased ejection fraction (r = -0.202). These findings suggest that soft tissue edema from lymphatic stasis gradually impedes venous return which in turn aggravates the underlying lymph edema.
Affiliations:
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Le document en format XML
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<series><title level="j" type="main">Lymphology</title>
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<term>Female</term>
<term>Hemodynamics</term>
<term>Human</term>
<term>Humans</term>
<term>Leg (blood supply)</term>
<term>Lymphedema</term>
<term>Lymphedema (complications)</term>
<term>Lymphedema (physiopathology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pathophysiology</term>
<term>Plethysmography</term>
<term>Regional Blood Flow (physiology)</term>
<term>Ultrasonography, Doppler, Duplex</term>
<term>Vein</term>
<term>Venous Insufficiency (etiology)</term>
<term>Venous Insufficiency (physiopathology)</term>
<term>Venous Pressure (physiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Débit sanguin régional (physiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Insuffisance veineuse (physiopathologie)</term>
<term>Insuffisance veineuse (étiologie)</term>
<term>Jambe ()</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Mâle</term>
<term>Pléthysmographie</term>
<term>Pression veineuse (physiologie)</term>
<term>Échographie-doppler duplex</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Venous Insufficiency</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Débit sanguin régional</term>
<term>Pression veineuse</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Regional Blood Flow</term>
<term>Venous Pressure</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Insuffisance veineuse</term>
<term>Lymphoedème</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term>
<term>Venous Insufficiency</term>
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<front><div type="abstract" xml:lang="en">To determine whether there is anatomical and/or functional impairment to venous return in patients with lymphedema, we examined venous dynamics in 41 patients with unilateral leg lymphedema. A Volometer® was used for computer analysis of leg volume, a color Duplex Doppler scanner was used to determine deep vein patency and skin thickness, and Air-plethysmography was used to assess ambulatory venous pressure, venous volume, venous filling index and the ejection fraction. In the lymphedematous leg, volume and skin thickness were uniformly increased (126.4 ± 21.3% and 156.9 ± 44.5%) (mean ± S.D.), respectively. The ambulatory venous pressure was also increased (134 ± 60.7%) as was the venous volume (124.5 ± 37.5%), and the venous filling index (134.5 ± 50.5%). The ejection fraction was decreased (94.9 ± 26.1%). Greater leg volume correlated with increased venous volume and venous filling index (values = 0.327, 0.241, respectively) and decreased ejection fraction (r = -0.133). Increased subcutaneous thickness correlated with increased venous filling index and venous volume (r = 0.307, 0.126, respectively) and decreased ejection fraction (r = -0.202). These findings suggest that soft tissue edema from lymphatic stasis gradually impedes venous return which in turn aggravates the underlying lymph edema.</div>
</front>
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<affiliations><list><country><li>Corée du Sud</li>
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<name sortKey="Kim, Y I" sort="Kim, Y I" uniqKey="Kim Y" first="Y. I." last="Kim">Y. I. Kim</name>
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