Fluorescein sodium fluorescence microscope-integrated lymphangiography for lymphatic supermicrosurgery.
Identifieur interne : 001D73 ( Main/Exploration ); précédent : 001D72; suivant : 001D74Fluorescein sodium fluorescence microscope-integrated lymphangiography for lymphatic supermicrosurgery.
Auteurs : Benoit Ayestaray [France] ; Farid Bekara [France]Source :
- Microsurgery [ 1098-2752 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical : Fluorescein, Fluorescent Dyes.
- diagnosis : Lymphedema.
- methods : Lymphography, Microscopy, Fluorescence, Microsurgery.
- surgery : Lymphatic Vessels, Lymphedema, Venules.
- Aged, Anastomosis, Surgical, Female, Humans.
Abstract
Microscope-integrated lymphangiography is a useful method in the field of lymphatic supermicrosurgery. Fluorescence based on indocyanine green (ICG) is the most commonly used. Fluorescein sodium is a fluorescent tracer used for retinal and neurosurgical angiography but not yet for lymphatic supermicrosurgery. In this report, we present a case in which the fluorescein sodium fluorescence microscope-integrated lymphangiography was used for assessment of lymphatic drainage pathway and patency in a patient treated for secondary lymphedema by lymphaticovenular anastomoses. Fluorescein sodium fluorescence microscope-integrated lymphangiography was evaluated in a 67-year-old female presented for a Campisi clinical stage IV lymphedema of the upper limb. Transcutaneous guidance and vascular fluorescence were assessed. A comparison with ICG fluorescence was made intraoperatively. Two lymphaticovenular anastomoses were performed and their patency were checked by lymphangiography. Transcutaneous signal was found higher with fluorescein sodium fluorescence. Intraluminal visualization was possible with fluorescein sodium coloration during lymphaticovenular anastomoses. No adverse reaction occurred. The circumferential differential reduction rate of affected limb was 8.1% 3 months after lymphaticovenular anastomoses. The use of fluorescence microscope-integrated lymphangiography with fluorescein sodium may be superior to ICG fluorescence in assistance of lymphaticovenular anastomoses.
DOI: 10.1002/micr.22368
PubMed: 25565342
Affiliations:
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France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Sud Francilien Hospital, University Paris Sud XI, 116, Bd Jean Jaurès, 91000, Evry</wicri:regionArea><wicri:noRegion>91000, Evry</wicri:noRegion><wicri:noRegion>91000, Evry</wicri:noRegion></affiliation></author><author><name sortKey="Bekara, Farid" sort="Bekara, Farid" uniqKey="Bekara F" first="Farid" last="Bekara">Farid Bekara</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Sud Francilien Hospital, University Paris Sud XI, 116, Bd Jean Jaurès, 91000, Evry, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Sud Francilien Hospital, University Paris Sud XI, 116, Bd Jean Jaurès, 91000, Evry</wicri:regionArea><wicri:noRegion>91000, Evry</wicri:noRegion><wicri:noRegion>91000, Evry</wicri:noRegion></affiliation></author></analytic><series><title level="j">Microsurgery</title><idno type="eISSN">1098-2752</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Anastomosis, Surgical</term><term>Female</term><term>Fluorescein</term><term>Fluorescent Dyes</term><term>Humans</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (surgery)</term><term>Lymphography (methods)</term><term>Microscopy, Fluorescence (methods)</term><term>Microsurgery (methods)</term><term>Venules (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anastomose chirurgicale</term><term>Colorants fluorescents</term><term>Femelle</term><term>Fluorescéine</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (diagnostic)</term><term>Lymphographie ()</term><term>Microchirurgie ()</term><term>Microscopie de fluorescence ()</term><term>Sujet âgé</term><term>Vaisseaux lymphatiques ()</term><term>Veinules ()</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Fluorescein</term><term>Fluorescent Dyes</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymphography</term><term>Microscopy, Fluorescence</term><term>Microsurgery</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Venules</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Anastomosis, Surgical</term><term>Female</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Anastomose chirurgicale</term><term>Colorants fluorescents</term><term>Femelle</term><term>Fluorescéine</term><term>Humains</term><term>Lymphoedème</term><term>Lymphographie</term><term>Microchirurgie</term><term>Microscopie de fluorescence</term><term>Sujet âgé</term><term>Vaisseaux lymphatiques</term><term>Veinules</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Microscope-integrated lymphangiography is a useful method in the field of lymphatic supermicrosurgery. Fluorescence based on indocyanine green (ICG) is the most commonly used. Fluorescein sodium is a fluorescent tracer used for retinal and neurosurgical angiography but not yet for lymphatic supermicrosurgery. In this report, we present a case in which the fluorescein sodium fluorescence microscope-integrated lymphangiography was used for assessment of lymphatic drainage pathway and patency in a patient treated for secondary lymphedema by lymphaticovenular anastomoses. Fluorescein sodium fluorescence microscope-integrated lymphangiography was evaluated in a 67-year-old female presented for a Campisi clinical stage IV lymphedema of the upper limb. Transcutaneous guidance and vascular fluorescence were assessed. A comparison with ICG fluorescence was made intraoperatively. Two lymphaticovenular anastomoses were performed and their patency were checked by lymphangiography. Transcutaneous signal was found higher with fluorescein sodium fluorescence. Intraluminal visualization was possible with fluorescein sodium coloration during lymphaticovenular anastomoses. No adverse reaction occurred. The circumferential differential reduction rate of affected limb was 8.1% 3 months after lymphaticovenular anastomoses. The use of fluorescence microscope-integrated lymphangiography with fluorescein sodium may be superior to ICG fluorescence in assistance of lymphaticovenular anastomoses.</div></front></TEI><affiliations><list><country><li>France</li></country></list><tree><country name="France"><noRegion><name sortKey="Ayestaray, Benoit" sort="Ayestaray, Benoit" uniqKey="Ayestaray B" first="Benoit" last="Ayestaray">Benoit Ayestaray</name></noRegion><name sortKey="Bekara, Farid" sort="Bekara, Farid" uniqKey="Bekara F" first="Farid" last="Bekara">Farid Bekara</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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