Forearm blood flow measured by venous occlusion plethysmography in healthy subjects and in women with postmastectomy oedema
Identifieur interne : 00B681 ( Main/Exploration ); précédent : 00B680; suivant : 00B682Forearm blood flow measured by venous occlusion plethysmography in healthy subjects and in women with postmastectomy oedema
Auteurs : A. W. B. Stanton [Royaume-Uni] ; B. Holroyd [Royaume-Uni] ; J. W. Northfield [Royaume-Uni] ; J. R. Levick [Royaume-Uni] ; Peter Mortimer (dermatologue) [Royaume-Uni]Source :
- Vascular medicine : (London) [ 1358-863X ] ; 1998.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Avant-bras (), Débit sanguin régional, Femelle, Humains, Lymphoedème (physiopathologie), Lymphoedème (étiologie), Mastectomie (effets indésirables), Microcirculation, Mâle, Pléthysmographie (), Reproductibilité des résultats, Sujet âgé, Sujet âgé de 80 ans ou plus, Vitesse du flux sanguin (physiologie).
- MESH :
- effets indésirables : Mastectomie.
- physiologie : Vitesse du flux sanguin.
- physiopathologie : Lymphoedème.
- étiologie : Lymphoedème.
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Avant-bras, Débit sanguin régional, Femelle, Humains, Lymphoedème, Membre supérieur, Microcirculation, Mâle, Pléthysmographie, Débit sanguin, Avant bras, Reproductibilité des résultats, Résection chirurgicale, Glande mammaire, Sujet âgé, Sujet âgé de 80 ans ou plus, Technique, Traitement, Complication, Exploration, Homme, Sexe, Femelle.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Blood Flow Velocity (physiology), Blood flow, Complication, Exploration, Female, Forearm, Forearm (blood supply), Human, Humans, Lymphedema, Lymphedema (etiology), Lymphedema (physiopathology), Male, Mammary gland, Mastectomy (adverse effects), Microcirculation, Middle Aged, Plethysmography, Plethysmography (methods), Regional Blood Flow, Reproducibility of Results, Sex, Surgical resection, Technique, Treatment, Upper limb.
- MESH :
- adverse effects : Mastectomy.
- blood supply : Forearm.
- etiology : Lymphedema.
- methods : Plethysmography.
- physiology : Blood Flow Velocity.
- physiopathology : Lymphedema.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Microcirculation, Middle Aged, Regional Blood Flow, Reproducibility of Results.
Abstract
A chronic swelling of the arm may develop following damage to axillary lymph vessels during breast cancer treatment. Certain unusual pathophysiological features of postmastectomy oedema indicate that factors additional to lymphatic damage are important. One factor postulated previously is a haemodynamic abnormality. Forearm blood flow was therefore measured by venous occlusion plethysmography using both a conventional mercury strain gauge and a newer optical volumeter (Perometer®). The latter was initially assessed in healthy subjects. When forearm blood flow was measured using the two methods simultaneously, the strain gauge and Perometer® did not differ significantly for healthy or oedematous arms. Dominant and non-dominant arm blood flow in healthy subjects was similar but with greater variation between sides with the Perometer®. Using the strain gauge, blood flow in the oedematous arm (2.51±1.33 ml/100 ml per min) was significantly lower than in the opposite unaffected arm (3.77±2.29 ml/100 ml per min; p = 0.026). The Perometer® results showed a similar but non-significant trend (p = 0.105). Taking into account the greater limb volume on the affected side, total forearm blood flow was essentially the same in each arm (unaffected: 40.72 ± 28.70 ml/min; oedematous: 41.78 ± 22.11 ml/min). The reduced blood flow per unit volume of arm was therefore likely to be due to a simple 'dilution' effect of the increase in volume. The results indicate that it is unlikely that raised blood flow contributes to oedema formation, contrary to the haemodynamic concept.
Affiliations:
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W. B." last="Stanton">A. W. B. Stanton</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Medicine, Division of Physiological Medicine (Dermatology), St George's Hospital Medical School</s1><s2>London</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Holroyd, B" sort="Holroyd, B" uniqKey="Holroyd B" first="B." last="Holroyd">B. Holroyd</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>St George's Hospital Medical School</s1><s2>London</s2><s3>GBR</s3><sZ>2 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Northfield, J W" sort="Northfield, J W" uniqKey="Northfield J" first="J. W." last="Northfield">J. W. Northfield</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Mayday Hospital</s1><s2>Croydon</s2><s3>GBR</s3><sZ>3 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Mayday Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Levick, J R" sort="Levick, J R" uniqKey="Levick J" first="J. R." last="Levick">J. R. Levick</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Department of Physiology, St George's Hospital Medical School</s1><s2>London</s2><s3>GBR</s3><sZ>4 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Mortimer, P S" sort="Mortimer, P S" uniqKey="Mortimer P" first="P. S." last="Mortimer">Peter Mortimer (dermatologue)</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Medicine, Division of Physiological Medicine (Dermatology), St George's Hospital Medical School</s1><s2>London</s2><s3>GBR</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName type="university">Université de Londres</orgName></affiliation></author></analytic><series><title level="j" type="main">Vascular medicine : (London)</title><title level="j" type="abbreviated">Vasc. med. : (Lond.)</title><idno type="ISSN">1358-863X</idno><imprint><date when="1998">1998</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Vascular medicine : (London)</title><title level="j" type="abbreviated">Vasc. med. : (Lond.)</title><idno type="ISSN">1358-863X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Blood Flow Velocity (physiology)</term><term>Blood flow</term><term>Complication</term><term>Exploration</term><term>Female</term><term>Forearm</term><term>Forearm (blood supply)</term><term>Human</term><term>Humans</term><term>Lymphedema</term><term>Lymphedema (etiology)</term><term>Lymphedema (physiopathology)</term><term>Male</term><term>Mammary gland</term><term>Mastectomy (adverse effects)</term><term>Microcirculation</term><term>Middle Aged</term><term>Plethysmography</term><term>Plethysmography (methods)</term><term>Regional Blood Flow</term><term>Reproducibility of Results</term><term>Sex</term><term>Surgical resection</term><term>Technique</term><term>Treatment</term><term>Upper limb</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Avant-bras ()</term><term>Débit sanguin régional</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoedème (étiologie)</term><term>Mastectomie (effets indésirables)</term><term>Microcirculation</term><term>Mâle</term><term>Pléthysmographie ()</term><term>Reproductibilité des résultats</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Vitesse du flux sanguin (physiologie)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Forearm</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Plethysmography</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Vitesse du flux sanguin</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Blood Flow Velocity</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Microcirculation</term><term>Middle Aged</term><term>Regional Blood Flow</term><term>Reproducibility of Results</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Avant-bras</term><term>Débit sanguin régional</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Membre supérieur</term><term>Microcirculation</term><term>Mâle</term><term>Pléthysmographie</term><term>Débit sanguin</term><term>Avant bras</term><term>Reproductibilité des résultats</term><term>Résection chirurgicale</term><term>Glande mammaire</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Technique</term><term>Traitement</term><term>Complication</term><term>Exploration</term><term>Homme</term><term>Sexe</term><term>Femelle</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A chronic swelling of the arm may develop following damage to axillary lymph vessels during breast cancer treatment. Certain unusual pathophysiological features of postmastectomy oedema indicate that factors additional to lymphatic damage are important. One factor postulated previously is a haemodynamic abnormality. Forearm blood flow was therefore measured by venous occlusion plethysmography using both a conventional mercury strain gauge and a newer optical volumeter (Perometer®). The latter was initially assessed in healthy subjects. When forearm blood flow was measured using the two methods simultaneously, the strain gauge and Perometer® did not differ significantly for healthy or oedematous arms. Dominant and non-dominant arm blood flow in healthy subjects was similar but with greater variation between sides with the Perometer®. Using the strain gauge, blood flow in the oedematous arm (2.51±1.33 ml/100 ml per min) was significantly lower than in the opposite unaffected arm (3.77±2.29 ml/100 ml per min; p = 0.026). The Perometer® results showed a similar but non-significant trend (p = 0.105). Taking into account the greater limb volume on the affected side, total forearm blood flow was essentially the same in each arm (unaffected: 40.72 ± 28.70 ml/min; oedematous: 41.78 ± 22.11 ml/min). The reduced blood flow per unit volume of arm was therefore likely to be due to a simple 'dilution' effect of the increase in volume. The results indicate that it is unlikely that raised blood flow contributes to oedema formation, contrary to the haemodynamic concept.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>Université de Londres</li></orgName></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Stanton, A W B" sort="Stanton, A W B" uniqKey="Stanton A" first="A. W. B." last="Stanton">A. W. B. Stanton</name></region><name sortKey="Holroyd, B" sort="Holroyd, B" uniqKey="Holroyd B" first="B." last="Holroyd">B. Holroyd</name><name sortKey="Levick, J R" sort="Levick, J R" uniqKey="Levick J" first="J. R." last="Levick">J. R. Levick</name><name sortKey="Mortimer, P S" sort="Mortimer, P S" uniqKey="Mortimer P" first="P. S." last="Mortimer">Peter Mortimer (dermatologue)</name><name sortKey="Northfield, J W" sort="Northfield, J W" uniqKey="Northfield J" first="J. W." last="Northfield">J. W. Northfield</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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