A Novel Arm Sleeve for Upper Extremity Lymphedema: A Pilot Study
Identifieur interne : 002E54 ( Main/Exploration ); précédent : 002E53; suivant : 002E55A Novel Arm Sleeve for Upper Extremity Lymphedema: A Pilot Study
Auteurs : Kotaro Suehiro [Japon] ; Saiko Honda [Japon] ; Hiromi Kakutani [Japon] ; Noriyasu Morikage [Japon] ; Masanori Murakami [Japon] ; Osamu Yamashita [Japon] ; Koshiro Ueda [Japon] ; Makoto Samura [Japon] ; Kimikazu Hamano [Japon]Source :
- Annals of Vascular Diseases [ 1881-641X ] ; 2014.
Abstract
Objective: To investigate the safety and efficacy of a novel arm sleeve composed of a conventional arm sleeve extending to a wider area of the body.
Materials and Methods: Five subjects with post-mastectomy upper extremity lymphedema, who had already been using their own arm sleeve, used a brand-new conventional arm sleeve for 2 weeks, followed by a novel arm sleeve for 2 weeks. The adverse events, arm-related symptoms, interface pressures, and subcutaneous fluid distributions observed by magnetic resonance imaging (MRI) were assessed.
Results: The use of the novel arm sleeve resulted in a graduated compression extending to the shoulder (forearm, 21.8 ± 3.7 mmHg; upper arm, 15.2 ± 3.3 mmHg; shoulder, 8.8 ± 3.1 mmHg). By eliminating the wring seen in the conventional arm sleeve, the disturbed proximal diffusion of the subcutaneous fluid and venous occlusion were successfully avoided, as confirmed by MRI. No adverse event or worsening of arm-related symptoms was reported.
Conclusion: The novel arm sleeve seemed to provide graduated compression to a wider area, allowing improved subcutaneous fluid and venous drainage without any adverse events. Therefore, the novel arm sleeve may be recommended as a compression therapy option for upper extremity lymphedema.
Url:
DOI: 10.3400/avd.oa.14-00013
PubMed: 24995057
PubMed Central: 4072861
Affiliations:
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Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Murakami, Masanori" sort="Murakami, Masanori" uniqKey="Murakami M" first="Masanori" last="Murakami">Masanori Murakami</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Yamashita, Osamu" sort="Yamashita, Osamu" uniqKey="Yamashita O" first="Osamu" last="Yamashita">Osamu Yamashita</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Ueda, Koshiro" sort="Ueda, Koshiro" uniqKey="Ueda K" first="Koshiro" last="Ueda">Koshiro Ueda</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Samura, Makoto" sort="Samura, Makoto" uniqKey="Samura M" first="Makoto" last="Samura">Makoto Samura</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author><author><name sortKey="Hamano, Kimikazu" sort="Hamano, Kimikazu" uniqKey="Hamano K" first="Kimikazu" last="Hamano">Kimikazu Hamano</name><affiliation wicri:level="1"><nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi</wicri:regionArea><wicri:noRegion>Yamaguchi</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annals of Vascular Diseases</title><idno type="ISSN">1881-641X</idno><idno type="eISSN">1881-6428</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Objective: To investigate the safety and efficacy of a novel arm sleeve composed of a conventional arm sleeve extending to a wider area of the body.</p><p>Materials and Methods: Five subjects with post-mastectomy upper extremity lymphedema, who had already been using their own arm sleeve, used a brand-new conventional arm sleeve for 2 weeks, followed by a novel arm sleeve for 2 weeks. The adverse events, arm-related symptoms, interface pressures, and subcutaneous fluid distributions observed by magnetic resonance imaging (MRI) were assessed.</p><p>Results: The use of the novel arm sleeve resulted in a graduated compression extending to the shoulder (forearm, 21.8 ± 3.7 mmHg; upper arm, 15.2 ± 3.3 mmHg; shoulder, 8.8 ± 3.1 mmHg). By eliminating the wring seen in the conventional arm sleeve, the disturbed proximal diffusion of the subcutaneous fluid and venous occlusion were successfully avoided, as confirmed by MRI. No adverse event or worsening of arm-related symptoms was reported.</p><p>Conclusion: The novel arm sleeve seemed to provide graduated compression to a wider area, allowing improved subcutaneous fluid and venous drainage without any adverse events. Therefore, the novel arm sleeve may be recommended as a compression therapy option for upper extremity lymphedema.</p></div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Suehiro, Kotaro" sort="Suehiro, Kotaro" uniqKey="Suehiro K" first="Kotaro" last="Suehiro">Kotaro Suehiro</name></noRegion><name sortKey="Hamano, Kimikazu" sort="Hamano, Kimikazu" uniqKey="Hamano K" first="Kimikazu" last="Hamano">Kimikazu Hamano</name><name sortKey="Honda, Saiko" sort="Honda, Saiko" uniqKey="Honda S" first="Saiko" last="Honda">Saiko Honda</name><name sortKey="Kakutani, Hiromi" sort="Kakutani, Hiromi" uniqKey="Kakutani H" first="Hiromi" last="Kakutani">Hiromi Kakutani</name><name sortKey="Morikage, Noriyasu" sort="Morikage, Noriyasu" uniqKey="Morikage N" first="Noriyasu" last="Morikage">Noriyasu Morikage</name><name sortKey="Murakami, Masanori" sort="Murakami, Masanori" uniqKey="Murakami M" first="Masanori" last="Murakami">Masanori Murakami</name><name sortKey="Samura, Makoto" sort="Samura, Makoto" uniqKey="Samura M" first="Makoto" last="Samura">Makoto Samura</name><name sortKey="Ueda, Koshiro" sort="Ueda, Koshiro" uniqKey="Ueda K" first="Koshiro" last="Ueda">Koshiro Ueda</name><name sortKey="Yamashita, Osamu" sort="Yamashita, Osamu" uniqKey="Yamashita O" first="Osamu" last="Yamashita">Osamu Yamashita</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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