LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000827

Effect of sequential intermittent pneumatic compression of both leg lymphedema volume and on lymph transport as semi-quantitatively evaluated by lymphoscintigraphy

Identifieur interne : 000827 ( PascalFrancis/Corpus ); précédent : 000826; suivant : 000828

Effect of sequential intermittent pneumatic compression of both leg lymphedema volume and on lymph transport as semi-quantitatively evaluated by lymphoscintigraphy

Auteurs : F. Jr Miranda ; M. Del C. J. Perez ; M. L. V. Castiglioni ; Y. Juliano ; J. E. Amorim ; L. C. U. Nakano ; N. Jr De Barros ; W. G. Lustre ; E. Burihan

Source :

Lymphology [ 0024-7766 ] ; 2001.

RBID : Pascal:01-0481400

Descripteurs français

Pascal (Inist)
- Lymphoedème, Membre inférieur, Homme, Traitement, Compression, Intermittent, Exploration radioisotopique, Mécanisme action, Scintigraphie, Système lymphatique.

English descriptors

KwdEn :
- Compression, Human, Intermittent, Lower limb, Lymphatic system, Lymphedema, Mechanism of action, Radionuclide study, Scintigraphy, Treatment.

Abstract

Sequential Intermittent Pneumatic Compression (SIPC) is an accepted method for treatment of peripheral lymphedema. This prospective study evaluated the effect in 11 patients of a single session of SIPC on both lymphedema volume of the leg and isotope lymphography (99Tc dextran) before SIPC (control) and 48 hours later after a 3 hour session of SIPC. Qualitative analysis of the 2 lymphoscintigrams (LS) was done by image interpretation by 3 physicians on a blind study protocol. The LS protocol attributed an index score based on the following variables: appearance, density and number of lymphatics, dermal backflow and collateral lymphatics in leg and thigh, visualization and intensity of popliteal and inguinal lymph nodes. Volume of the leg edema was evaluated by measuring limb circumference before and after SIPC at 6 designated sites. Whereas there was a significant reduction of circumference in the leg after SIPC (p<0.05),there was no significant difference in the index scores of the LS before and after treatment. This acute or single session SIPC suggests that compression increased transport of lymph fluid (i.e., water) without comparable transport of macromolecules (i.e., protein). Alternatively, SIPC reduced lymphedema by decreasing blood capillary filtration (lymph formation) rather than by accelerating lymph return thereby restoring the balance in lymph kinetics responsible for edema in the first place.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0024-7766`
A02	`01`			`@0 LYMPBN`
A03		`1`		`@0 Lymphology`
A05				`@2 34`
A06				`@2 3`
A08	`01`	`1`	`ENG`	`@1 Effect of sequential intermittent pneumatic compression of both leg lymphedema volume and on lymph transport as semi-quantitatively evaluated by lymphoscintigraphy`
A11	`01`	`1`		`@1 MIRANDA (F. JR)`
A11	`02`	`1`		`@1 DEL C.J. PEREZ (M.)`
A11	`03`	`1`		`@1 CASTIGLIONI (M. L. V.)`
A11	`04`	`1`		`@1 JULIANO (Y.)`
A11	`05`	`1`		`@1 AMORIM (J. E.)`
A11	`06`	`1`		`@1 NAKANO (L. C. U.)`
A11	`07`	`1`		`@1 DE BARROS (N. JR)`
A11	`08`	`1`		`@1 LUSTRE (W. G.)`
A11	`09`	`1`		`@1 BURIHAN (E.)`
A14	`01`			`@1 Vascular Surgery Division, Federal University of Sao Paulo, Paulista School of Medicine @2 São Paulo @3 BRA @Z 1 aut. @Z 2 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut. @Z 9 aut.`
A14	`02`			`@1 Nuclear Medicine Sector, Federal University of Sao Paulo, Paulista School of Medicine @2 São Paulo @3 BRA @Z 3 aut.`
A14	`03`			`@1 Epidemiology, Federal University of Sao Paulo, Paulista School of Medicine @2 São Paulo @3 BRA @Z 4 aut.`
A20				`@1 135-141`
A21				`@1 2001`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 14604 @5 354000099449510040`
A44				`@0 0000 @1 © 2001 INIST-CNRS. All rights reserved.`
A45				`@0 15 ref.`
A47	`01`	`1`		`@0 01-0481400`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 Lymphology`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 Sequential Intermittent Pneumatic Compression (SIPC) is an accepted method for treatment of peripheral lymphedema. This prospective study evaluated the effect in 11 patients of a single session of SIPC on both lymphedema volume of the leg and isotope lymphography (99Tc dextran) before SIPC (control) and 48 hours later after a 3 hour session of SIPC. Qualitative analysis of the 2 lymphoscintigrams (LS) was done by image interpretation by 3 physicians on a blind study protocol. The LS protocol attributed an index score based on the following variables: appearance, density and number of lymphatics, dermal backflow and collateral lymphatics in leg and thigh, visualization and intensity of popliteal and inguinal lymph nodes. Volume of the leg edema was evaluated by measuring limb circumference before and after SIPC at 6 designated sites. Whereas there was a significant reduction of circumference in the leg after SIPC (p<0.05),there was no significant difference in the index scores of the LS before and after treatment. This acute or single session SIPC suggests that compression increased transport of lymph fluid (i.e., water) without comparable transport of macromolecules (i.e., protein). Alternatively, SIPC reduced lymphedema by decreasing blood capillary filtration (lymph formation) rather than by accelerating lymph return thereby restoring the balance in lymph kinetics responsible for edema in the first place.
C02	`01`	`X`		`@0 002B25F`
C03	`01`	`X`	`FRE`	`@0 Lymphoedème @5 01`
C03	`01`	`X`	`ENG`	`@0 Lymphedema @5 01`
C03	`01`	`X`	`SPA`	`@0 Linfedema @5 01`
C03	`02`	`X`	`FRE`	`@0 Membre inférieur @5 02`
C03	`02`	`X`	`ENG`	`@0 Lower limb @5 02`
C03	`02`	`X`	`SPA`	`@0 Miembro inferior @5 02`
C03	`03`	`X`	`FRE`	`@0 Homme @5 03`
C03	`03`	`X`	`ENG`	`@0 Human @5 03`
C03	`03`	`X`	`SPA`	`@0 Hombre @5 03`
C03	`04`	`X`	`FRE`	`@0 Traitement @5 04`
C03	`04`	`X`	`ENG`	`@0 Treatment @5 04`
C03	`04`	`X`	`SPA`	`@0 Tratamiento @5 04`
C03	`05`	`X`	`FRE`	`@0 Compression @5 05`
C03	`05`	`X`	`ENG`	`@0 Compression @5 05`
C03	`05`	`X`	`SPA`	`@0 Compresión @5 05`
C03	`06`	`X`	`FRE`	`@0 Intermittent @5 06`
C03	`06`	`X`	`ENG`	`@0 Intermittent @5 06`
C03	`06`	`X`	`SPA`	`@0 Intermitente @5 06`
C03	`07`	`X`	`FRE`	`@0 Exploration radioisotopique @5 07`
C03	`07`	`X`	`ENG`	`@0 Radionuclide study @5 07`
C03	`07`	`X`	`SPA`	`@0 Exploración radioisotópica @5 07`
C03	`08`	`X`	`FRE`	`@0 Mécanisme action @5 08`
C03	`08`	`X`	`ENG`	`@0 Mechanism of action @5 08`
C03	`08`	`X`	`SPA`	`@0 Mecanismo acción @5 08`
C03	`09`	`X`	`FRE`	`@0 Scintigraphie @5 09`
C03	`09`	`X`	`ENG`	`@0 Scintigraphy @5 09`
C03	`09`	`X`	`SPA`	`@0 Centelleografía @5 09`
C03	`10`	`X`	`FRE`	`@0 Système lymphatique @5 10`
C03	`10`	`X`	`ENG`	`@0 Lymphatic system @5 10`
C03	`10`	`X`	`SPA`	`@0 Sistema linfático @5 10`
C07	`01`	`X`	`FRE`	`@0 Appareil circulatoire pathologie @5 37`
C07	`01`	`X`	`ENG`	`@0 Cardiovascular disease @5 37`
C07	`01`	`X`	`SPA`	`@0 Aparato circulatorio patología @5 37`
C07	`02`	`X`	`FRE`	`@0 Lymphatique pathologie @5 38`
C07	`02`	`X`	`ENG`	`@0 Lymphatic vessel disease @5 38`
C07	`02`	`X`	`SPA`	`@0 Linfático patología @5 38`
N21				`@1 344`

Format Inist (serveur)

NO :	PASCAL 01-0481400 INIST
ET :	Effect of sequential intermittent pneumatic compression of both leg lymphedema volume and on lymph transport as semi-quantitatively evaluated by lymphoscintigraphy
AU :	MIRANDA (F. JR); DEL C.J. PEREZ (M.); CASTIGLIONI (M. L. V.); JULIANO (Y.); AMORIM (J. E.); NAKANO (L. C. U.); DE BARROS (N. JR); LUSTRE (W. G.); BURIHAN (E.)
AF :	Vascular Surgery Division, Federal University of Sao Paulo, Paulista School of Medicine/São Paulo/Brésil (1 aut., 2 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut.); Nuclear Medicine Sector, Federal University of Sao Paulo, Paulista School of Medicine/São Paulo/Brésil (3 aut.); Epidemiology, Federal University of Sao Paulo, Paulista School of Medicine/São Paulo/Brésil (4 aut.)
DT :	Publication en série; Niveau analytique
SO :	Lymphology; ISSN 0024-7766; Coden LYMPBN; Etats-Unis; Da. 2001; Vol. 34; No. 3; Pp. 135-141; Bibl. 15 ref.
LA :	Anglais
EA :	Sequential Intermittent Pneumatic Compression (SIPC) is an accepted method for treatment of peripheral lymphedema. This prospective study evaluated the effect in 11 patients of a single session of SIPC on both lymphedema volume of the leg and isotope lymphography (99Tc dextran) before SIPC (control) and 48 hours later after a 3 hour session of SIPC. Qualitative analysis of the 2 lymphoscintigrams (LS) was done by image interpretation by 3 physicians on a blind study protocol. The LS protocol attributed an index score based on the following variables: appearance, density and number of lymphatics, dermal backflow and collateral lymphatics in leg and thigh, visualization and intensity of popliteal and inguinal lymph nodes. Volume of the leg edema was evaluated by measuring limb circumference before and after SIPC at 6 designated sites. Whereas there was a significant reduction of circumference in the leg after SIPC (p<0.05),there was no significant difference in the index scores of the LS before and after treatment. This acute or single session SIPC suggests that compression increased transport of lymph fluid (i.e., water) without comparable transport of macromolecules (i.e., protein). Alternatively, SIPC reduced lymphedema by decreasing blood capillary filtration (lymph formation) rather than by accelerating lymph return thereby restoring the balance in lymph kinetics responsible for edema in the first place.
CC :	002B25F
FD :	Lymphoedème; Membre inférieur; Homme; Traitement; Compression; Intermittent; Exploration radioisotopique; Mécanisme action; Scintigraphie; Système lymphatique
FG :	Appareil circulatoire pathologie; Lymphatique pathologie
ED :	Lymphedema; Lower limb; Human; Treatment; Compression; Intermittent; Radionuclide study; Mechanism of action; Scintigraphy; Lymphatic system
EG :	Cardiovascular disease; Lymphatic vessel disease
SD :	Linfedema; Miembro inferior; Hombre; Tratamiento; Compresión; Intermitente; Exploración radioisotópica; Mecanismo acción; Centelleografía; Sistema linfático
LO :	INIST-14604.354000099449510040
ID :	01-0481400

Links to Exploration step

Pascal:01-0481400

Le document en format XML

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<author><name sortKey="De Barros, N Jr" sort="De Barros, N Jr" uniqKey="De Barros N" first="N. Jr" last="De Barros">N. Jr De Barros</name>
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<author><name sortKey="Lustre, W G" sort="Lustre, W G" uniqKey="Lustre W" first="W. G." last="Lustre">W. G. Lustre</name>
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<author><name sortKey="Burihan, E" sort="Burihan, E" uniqKey="Burihan E" first="E." last="Burihan">E. Burihan</name>
<affiliation><inist:fA14 i1="01"><s1>Vascular Surgery Division, Federal University of Sao Paulo, Paulista School of Medicine</s1>
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<series><title level="j" type="main">Lymphology</title>
<title level="j" type="abbreviated">Lymphology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Compression</term>
<term>Human</term>
<term>Intermittent</term>
<term>Lower limb</term>
<term>Lymphatic system</term>
<term>Lymphedema</term>
<term>Mechanism of action</term>
<term>Radionuclide study</term>
<term>Scintigraphy</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term>
<term>Membre inférieur</term>
<term>Homme</term>
<term>Traitement</term>
<term>Compression</term>
<term>Intermittent</term>
<term>Exploration radioisotopique</term>
<term>Mécanisme action</term>
<term>Scintigraphie</term>
<term>Système lymphatique</term>
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<front><div type="abstract" xml:lang="en">Sequential Intermittent Pneumatic Compression (SIPC) is an accepted method for treatment of peripheral lymphedema. This prospective study evaluated the effect in 11 patients of a single session of SIPC on both lymphedema volume of the leg and isotope lymphography (99Tc dextran) before SIPC (control) and 48 hours later after a 3 hour session of SIPC. Qualitative analysis of the 2 lymphoscintigrams (LS) was done by image interpretation by 3 physicians on a blind study protocol. The LS protocol attributed an index score based on the following variables: appearance, density and number of lymphatics, dermal backflow and collateral lymphatics in leg and thigh, visualization and intensity of popliteal and inguinal lymph nodes. Volume of the leg edema was evaluated by measuring limb circumference before and after SIPC at 6 designated sites. Whereas there was a significant reduction of circumference in the leg after SIPC (p<0.05),there was no significant difference in the index scores of the LS before and after treatment. This acute or single session SIPC suggests that compression increased transport of lymph fluid (i.e., water) without comparable transport of macromolecules (i.e., protein). Alternatively, SIPC reduced lymphedema by decreasing blood capillary filtration (lymph formation) rather than by accelerating lymph return thereby restoring the balance in lymph kinetics responsible for edema in the first place.</div>
</front>
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<fA02 i1="01"><s0>LYMPBN</s0>
</fA02>
<fA03 i2="1"><s0>Lymphology</s0>
</fA03>
<fA05><s2>34</s2>
</fA05>
<fA06><s2>3</s2>
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<fA08 i1="01" i2="1" l="ENG"><s1>Effect of sequential intermittent pneumatic compression of both leg lymphedema volume and on lymph transport as semi-quantitatively evaluated by lymphoscintigraphy</s1>
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<fA11 i1="01" i2="1"><s1>MIRANDA (F. JR)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>DEL C.J. PEREZ (M.)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>CASTIGLIONI (M. L. V.)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>JULIANO (Y.)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>AMORIM (J. E.)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>NAKANO (L. C. U.)</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>DE BARROS (N. JR)</s1>
</fA11>
<fA11 i1="08" i2="1"><s1>LUSTRE (W. G.)</s1>
</fA11>
<fA11 i1="09" i2="1"><s1>BURIHAN (E.)</s1>
</fA11>
<fA14 i1="01"><s1>Vascular Surgery Division, Federal University of Sao Paulo, Paulista School of Medicine</s1>
<s2>São Paulo</s2>
<s3>BRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Nuclear Medicine Sector, Federal University of Sao Paulo, Paulista School of Medicine</s1>
<s2>São Paulo</s2>
<s3>BRA</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Epidemiology, Federal University of Sao Paulo, Paulista School of Medicine</s1>
<s2>São Paulo</s2>
<s3>BRA</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA20><s1>135-141</s1>
</fA20>
<fA21><s1>2001</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>14604</s2>
<s5>354000099449510040</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2001 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>15 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>01-0481400</s0>
</fA47>
<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>Lymphology</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Sequential Intermittent Pneumatic Compression (SIPC) is an accepted method for treatment of peripheral lymphedema. This prospective study evaluated the effect in 11 patients of a single session of SIPC on both lymphedema volume of the leg and isotope lymphography (99Tc dextran) before SIPC (control) and 48 hours later after a 3 hour session of SIPC. Qualitative analysis of the 2 lymphoscintigrams (LS) was done by image interpretation by 3 physicians on a blind study protocol. The LS protocol attributed an index score based on the following variables: appearance, density and number of lymphatics, dermal backflow and collateral lymphatics in leg and thigh, visualization and intensity of popliteal and inguinal lymph nodes. Volume of the leg edema was evaluated by measuring limb circumference before and after SIPC at 6 designated sites. Whereas there was a significant reduction of circumference in the leg after SIPC (p<0.05),there was no significant difference in the index scores of the LS before and after treatment. This acute or single session SIPC suggests that compression increased transport of lymph fluid (i.e., water) without comparable transport of macromolecules (i.e., protein). Alternatively, SIPC reduced lymphedema by decreasing blood capillary filtration (lymph formation) rather than by accelerating lymph return thereby restoring the balance in lymph kinetics responsible for edema in the first place.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B25F</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Lymphoedème</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Lymphedema</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Linfedema</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Membre inférieur</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Lower limb</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Miembro inferior</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Homme</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Human</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Hombre</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Traitement</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Treatment</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Compression</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Compression</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Compresión</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Intermittent</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Intermittent</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Intermitente</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Exploration radioisotopique</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Radionuclide study</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Exploración radioisotópica</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Mécanisme action</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Mechanism of action</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Mecanismo acción</s0>
<s5>08</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Scintigraphie</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Scintigraphy</s0>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Centelleografía</s0>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Système lymphatique</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Lymphatic system</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Sistema linfático</s0>
<s5>10</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Appareil circulatoire pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Lymphatique pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Linfático patología</s0>
<s5>38</s5>
</fC07>
<fN21><s1>344</s1>
</fN21>
</pA>
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<server><NO>PASCAL 01-0481400 INIST</NO>
<ET>Effect of sequential intermittent pneumatic compression of both leg lymphedema volume and on lymph transport as semi-quantitatively evaluated by lymphoscintigraphy</ET>
<AU>MIRANDA (F. JR); DEL C.J. PEREZ (M.); CASTIGLIONI (M. L. V.); JULIANO (Y.); AMORIM (J. E.); NAKANO (L. C. U.); DE BARROS (N. JR); LUSTRE (W. G.); BURIHAN (E.)</AU>
<AF>Vascular Surgery Division, Federal University of Sao Paulo, Paulista School of Medicine/São Paulo/Brésil (1 aut., 2 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut.); Nuclear Medicine Sector, Federal University of Sao Paulo, Paulista School of Medicine/São Paulo/Brésil (3 aut.); Epidemiology, Federal University of Sao Paulo, Paulista School of Medicine/São Paulo/Brésil (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Lymphology; ISSN 0024-7766; Coden LYMPBN; Etats-Unis; Da. 2001; Vol. 34; No. 3; Pp. 135-141; Bibl. 15 ref.</SO>
<LA>Anglais</LA>
<EA>Sequential Intermittent Pneumatic Compression (SIPC) is an accepted method for treatment of peripheral lymphedema. This prospective study evaluated the effect in 11 patients of a single session of SIPC on both lymphedema volume of the leg and isotope lymphography (99Tc dextran) before SIPC (control) and 48 hours later after a 3 hour session of SIPC. Qualitative analysis of the 2 lymphoscintigrams (LS) was done by image interpretation by 3 physicians on a blind study protocol. The LS protocol attributed an index score based on the following variables: appearance, density and number of lymphatics, dermal backflow and collateral lymphatics in leg and thigh, visualization and intensity of popliteal and inguinal lymph nodes. Volume of the leg edema was evaluated by measuring limb circumference before and after SIPC at 6 designated sites. Whereas there was a significant reduction of circumference in the leg after SIPC (p<0.05),there was no significant difference in the index scores of the LS before and after treatment. This acute or single session SIPC suggests that compression increased transport of lymph fluid (i.e., water) without comparable transport of macromolecules (i.e., protein). Alternatively, SIPC reduced lymphedema by decreasing blood capillary filtration (lymph formation) rather than by accelerating lymph return thereby restoring the balance in lymph kinetics responsible for edema in the first place.</EA>
<CC>002B25F</CC>
<FD>Lymphoedème; Membre inférieur; Homme; Traitement; Compression; Intermittent; Exploration radioisotopique; Mécanisme action; Scintigraphie; Système lymphatique</FD>
<FG>Appareil circulatoire pathologie; Lymphatique pathologie</FG>
<ED>Lymphedema; Lower limb; Human; Treatment; Compression; Intermittent; Radionuclide study; Mechanism of action; Scintigraphy; Lymphatic system</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Miembro inferior; Hombre; Tratamiento; Compresión; Intermitente; Exploración radioisotópica; Mecanismo acción; Centelleografía; Sistema linfático</SD>
<LO>INIST-14604.354000099449510040</LO>
<ID>01-0481400</ID>
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Effect of sequential intermittent pneumatic compression of both leg lymphedema volume and on lymph transport as semi-quantitatively evaluated by lymphoscintigraphy

Effect of sequential intermittent pneumatic compression of both leg lymphedema volume and on lymph transport as semi-quantitatively evaluated by lymphoscintigraphy

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