Segmental Blood Flow and Hemodynamic State of Lymphedematous and Nonlymphedematous Arms
Identifieur interne : 002D47 ( Pmc/Checkpoint ); précédent : 002D46; suivant : 002D48Segmental Blood Flow and Hemodynamic State of Lymphedematous and Nonlymphedematous Arms
Auteurs : Leslie D. Montgomery ; Mary S. Dietrich ; Jane M. Armer ; B. R. Stewart ; Sheila H. RidnerSource :
- Lymphatic Research and Biology [ 1539-6851 ] ; 2011.
Abstract
Findings regarding the influence hemodynamic factors, such as increased arterial blood flow or venous abnormalities, on breast cancer treatment-related lymphedema are mixed. The purpose of this study was to compare segmental arterial blood flow, venous blood return, and blood volumes between breast cancer survivors with treatment-related lymphedema and healthy normal individuals without lymphedema.
A Tetrapolar High Resolution Impedance Monitor and Cardiotachometer were used to compare segmental arterial blood flow, venous blood return, and blood volumes between breast cancer survivors with treatment-related lymphedema and healthy normal volunteers. Average arterial blood flow in lymphedema-affected arms was higher than that in arms of healthy normal volunteers or in contralateral nonlymphedema affected arms. Time of venous outflow period of blood flow pulse was lower in lymphedema-affected arms than in healthy normal or lymphedema nonaffected arms. Amplitude of the venous component of blood flow pulse signal was lower in lymphedema-affected arms than in healthy or lymphedema nonaffected arms. Index of venular tone was also lower in lymphedema-affected arms than healthy or lymphedema nonaffected arms.
Both arterial and venous components may be altered in the lymphedema-affected arms when compared to healthy normal arms and contralateral arms in the breast cancer survivors.
Url:
DOI: 10.1089/lrb.2010.0012
PubMed: 21417765
PubMed Central: 3060729
Affiliations:
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<author><name sortKey="Armer, Jane M" sort="Armer, Jane M" uniqKey="Armer J" first="Jane M." last="Armer">Jane M. Armer</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="2011">2011</date>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<sec><title>Background</title>
<p>Findings regarding the influence hemodynamic factors, such as increased arterial blood flow or venous abnormalities, on breast cancer treatment-related lymphedema are mixed. The purpose of this study was to compare segmental arterial blood flow, venous blood return, and blood volumes between breast cancer survivors with treatment-related lymphedema and healthy normal individuals without lymphedema.</p>
</sec>
<sec><title>Methods and Results</title>
<p>A Tetrapolar High Resolution Impedance Monitor and Cardiotachometer were used to compare segmental arterial blood flow, venous blood return, and blood volumes between breast cancer survivors with treatment-related lymphedema and healthy normal volunteers. Average arterial blood flow in lymphedema-affected arms was higher than that in arms of healthy normal volunteers or in contralateral nonlymphedema affected arms. Time of venous outflow period of blood flow pulse was lower in lymphedema-affected arms than in healthy normal or lymphedema nonaffected arms. Amplitude of the venous component of blood flow pulse signal was lower in lymphedema-affected arms than in healthy or lymphedema nonaffected arms. Index of venular tone was also lower in lymphedema-affected arms than healthy or lymphedema nonaffected arms.</p>
</sec>
<sec><title>Conclusions</title>
<p>Both arterial and venous components may be altered in the lymphedema-affected arms when compared to healthy normal arms and contralateral arms in the breast cancer survivors.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Lymphat Res Biol</journal-id>
<journal-id journal-id-type="publisher-id">lrb</journal-id>
<journal-title-group><journal-title>Lymphatic Research and Biology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1539-6851</issn>
<issn pub-type="epub">1557-8585</issn>
<publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name>
<publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21417765</article-id>
<article-id pub-id-type="pmc">3060729</article-id>
<article-id pub-id-type="publisher-id">10.1089/lrb.2010.0012</article-id>
<article-id pub-id-type="doi">10.1089/lrb.2010.0012</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject>
</subj-group>
</article-categories>
<title-group><article-title>Segmental Blood Flow and Hemodynamic State of Lymphedematous and Nonlymphedematous Arms</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Montgomery</surname>
<given-names>Leslie D.</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dietrich</surname>
<given-names>Mary S.</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Armer</surname>
<given-names>Jane M.</given-names>
</name>
<degrees>Ph.D., R.N., F.A.A.N.</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Stewart</surname>
<given-names>B. R.</given-names>
</name>
<degrees>Ed.D.</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Ridner</surname>
<given-names>Sheila H.</given-names>
</name>
<degrees>Ph.D., R.N.</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<aff id="aff1"><label><sup>1</sup>
</label>
<institution>LDM Associates</institution>
, San Jose, California.</aff>
<aff id="aff2"><label><sup>2</sup>
</label>
<institution>Vanderbilt University</institution>
, Nashville, Tennessee.</aff>
<aff id="aff3"><label><sup>3</sup>
</label>
<institution>University of Missouri School of Nursing</institution>
, Columbia, Missouri.</aff>
</contrib-group>
<author-notes><corresp>Address correspondence to: <italic>Sheila H. Ridner, Ph.D., R.N., 525 Godchaux Hall, Vanderbilt University, 461 21</italic>
<sup><italic>st</italic>
</sup>
<italic>Ave. South, Nashville, TN 37240. E-mail:</italic>
<email xlink:href="mailto:sheila.ridner@vanderbilt.edu">sheila.ridner@vanderbilt.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>3</month>
<year>2011</year>
<pmc-comment>string-date: March 2011</pmc-comment>
</pub-date>
<volume>9</volume>
<issue>1</issue>
<fpage>31</fpage>
<lpage>42</lpage>
<permissions><copyright-statement>Copyright 2011, Mary Ann Liebert, Inc.</copyright-statement>
</permissions>
<self-uri xlink:type="simple" xlink:href="lrb.2010.0012.pdf"></self-uri>
<abstract><title>Abstract</title>
<sec><title>Background</title>
<p>Findings regarding the influence hemodynamic factors, such as increased arterial blood flow or venous abnormalities, on breast cancer treatment-related lymphedema are mixed. The purpose of this study was to compare segmental arterial blood flow, venous blood return, and blood volumes between breast cancer survivors with treatment-related lymphedema and healthy normal individuals without lymphedema.</p>
</sec>
<sec><title>Methods and Results</title>
<p>A Tetrapolar High Resolution Impedance Monitor and Cardiotachometer were used to compare segmental arterial blood flow, venous blood return, and blood volumes between breast cancer survivors with treatment-related lymphedema and healthy normal volunteers. Average arterial blood flow in lymphedema-affected arms was higher than that in arms of healthy normal volunteers or in contralateral nonlymphedema affected arms. Time of venous outflow period of blood flow pulse was lower in lymphedema-affected arms than in healthy normal or lymphedema nonaffected arms. Amplitude of the venous component of blood flow pulse signal was lower in lymphedema-affected arms than in healthy or lymphedema nonaffected arms. Index of venular tone was also lower in lymphedema-affected arms than healthy or lymphedema nonaffected arms.</p>
</sec>
<sec><title>Conclusions</title>
<p>Both arterial and venous components may be altered in the lymphedema-affected arms when compared to healthy normal arms and contralateral arms in the breast cancer survivors.</p>
</sec>
</abstract>
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<tree><noCountry><name sortKey="Armer, Jane M" sort="Armer, Jane M" uniqKey="Armer J" first="Jane M." last="Armer">Jane M. Armer</name>
<name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name>
<name sortKey="Montgomery, Leslie D" sort="Montgomery, Leslie D" uniqKey="Montgomery L" first="Leslie D." last="Montgomery">Leslie D. Montgomery</name>
<name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H." last="Ridner">Sheila H. Ridner</name>
<name sortKey="Stewart, B R" sort="Stewart, B R" uniqKey="Stewart B" first="B. R." last="Stewart">B. R. Stewart</name>
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