Near-Infrared Fluorescence Lymphatic Imaging to Reconsider Occlusion Pressure of Superficial Lymphatic Collectors in Upper Extremities of Healthy Volunteers
Identifieur interne : 000D64 ( Main/Merge ); précédent : 000D63; suivant : 000D65Near-Infrared Fluorescence Lymphatic Imaging to Reconsider Occlusion Pressure of Superficial Lymphatic Collectors in Upper Extremities of Healthy Volunteers
Auteurs : Jean-Paul Belgrado ; Liesbeth Vandermeeren ; Sophie Vankerckhove ; Jean-Baptiste Valsamis ; Julie Malloizel-Delaunay ; Jean-Jacques Moraine ; Fabienne LiebensSource :
- Lymphatic Research and Biology [ 1539-6851 ] ; 2016.
Abstract
Url:
DOI: 10.1089/lrb.2015.0040
PubMed: 27167187
PubMed Central: 4926199
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PMC:4926199Le document en format XML
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<author><name sortKey="Belgrado, Jean Paul" sort="Belgrado, Jean Paul" uniqKey="Belgrado J" first="Jean-Paul" last="Belgrado">Jean-Paul Belgrado</name>
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<author><name sortKey="Vandermeeren, Liesbeth" sort="Vandermeeren, Liesbeth" uniqKey="Vandermeeren L" first="Liesbeth" last="Vandermeeren">Liesbeth Vandermeeren</name>
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<author><name sortKey="Vankerckhove, Sophie" sort="Vankerckhove, Sophie" uniqKey="Vankerckhove S" first="Sophie" last="Vankerckhove">Sophie Vankerckhove</name>
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<author><name sortKey="Malloizel Delaunay, Julie" sort="Malloizel Delaunay, Julie" uniqKey="Malloizel Delaunay J" first="Julie" last="Malloizel-Delaunay">Julie Malloizel-Delaunay</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Near-Infrared Fluorescence Lymphatic Imaging to Reconsider Occlusion Pressure of Superficial Lymphatic Collectors in Upper Extremities of Healthy Volunteers</title>
<author><name sortKey="Belgrado, Jean Paul" sort="Belgrado, Jean Paul" uniqKey="Belgrado J" first="Jean-Paul" last="Belgrado">Jean-Paul Belgrado</name>
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<author><name sortKey="Vandermeeren, Liesbeth" sort="Vandermeeren, Liesbeth" uniqKey="Vandermeeren L" first="Liesbeth" last="Vandermeeren">Liesbeth Vandermeeren</name>
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<author><name sortKey="Vankerckhove, Sophie" sort="Vankerckhove, Sophie" uniqKey="Vankerckhove S" first="Sophie" last="Vankerckhove">Sophie Vankerckhove</name>
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<author><name sortKey="Valsamis, Jean Baptiste" sort="Valsamis, Jean Baptiste" uniqKey="Valsamis J" first="Jean-Baptiste" last="Valsamis">Jean-Baptiste Valsamis</name>
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<author><name sortKey="Malloizel Delaunay, Julie" sort="Malloizel Delaunay, Julie" uniqKey="Malloizel Delaunay J" first="Julie" last="Malloizel-Delaunay">Julie Malloizel-Delaunay</name>
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<author><name sortKey="Moraine, Jean Jacques" sort="Moraine, Jean Jacques" uniqKey="Moraine J" first="Jean-Jacques" last="Moraine">Jean-Jacques Moraine</name>
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<author><name sortKey="Liebens, Fabienne" sort="Liebens, Fabienne" uniqKey="Liebens F" first="Fabienne" last="Liebens">Fabienne Liebens</name>
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<series><title level="j">Lymphatic Research and Biology</title>
<idno type="ISSN">1539-6851</idno>
<idno type="eISSN">1557-8585</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p><bold><italic>Background:</italic>
</bold>
There are very little scientific data on occlusion pressure for superficial lymphatic collectors. Given its importance in determining the transport capacity of lymphatic vessels, it is crucial to know its value. The novel method of near-infrared fluorescence lymphatic imaging (NIRFLI) can be used to visualize lymphatic flow in real time. The goal of this study was to see if this method could be used to measure the lymphatic occlusion pressure.</p>
<p><bold><italic>Methods:</italic>
</bold>
We observed and recorded lymph flow in the upper limb of healthy volunteers through a transparent cuff using near-infrared fluorescence lymphatic imaging. After obtaining a baseline of the lymph flow without pressure inside the cuff, the cuff was inflated by increments of 10 mm Hg starting at 30 mm Hg. A NIRFLI guided manual lymphatic drainage technique named “Fill & Flush Drainage Method” was performed during the measurement to promote lymph flow. Lymphatic occlusion pressure was determined by observing when lymph flow stopped under the cuff.</p>
<p><bold><italic>Results:</italic>
</bold>
We measured the lymphatic occlusion pressure on 30 healthy volunteers (11 men and 19 women). Mean lymphatic occlusion pressure in the upper limb was 86 mm Hg (CI ±3.7 mm Hg, α = 0.5%). No significant differences were found between age groups (<italic>p</italic>
= 0.18), gender (<italic>p</italic>
= 0.12), or limb side (<italic>p</italic>
= 0.85).</p>
<p><bold><italic>Conclusions:</italic>
</bold>
NIRFLI, a transparent sphygmomanometer cuff and the “Fill and Flush” manual lymphatic drainage method were used to measure the lymphatic occlusion pressure in 30 healthy humans. That combination of these techniques allows the visualization of the lymph flow in real time, while ensuring the continuous filling of the lymph collectors during the measurement session, reducing false negative observations. The measured occlusion pressures are much higher than previously described in the medical literature.</p>
</div>
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