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A Novel Arm Sleeve for Upper Extremity Lymphedema: A Pilot Study

Identifieur interne : 002C35 ( Pmc/Corpus ); précédent : 002C34; suivant : 002C36

A Novel Arm Sleeve for Upper Extremity Lymphedema: A Pilot Study

Auteurs : Kotaro Suehiro ; Saiko Honda ; Hiromi Kakutani ; Noriyasu Morikage ; Masanori Murakami ; Osamu Yamashita ; Koshiro Ueda ; Makoto Samura ; Kimikazu Hamano

Source :

RBID : PMC:4072861

Abstract

Objective: To investigate the safety and efficacy of a novel arm sleeve composed of a conventional arm sleeve extending to a wider area of the body.

Materials and Methods: Five subjects with post-mastectomy upper extremity lymphedema, who had already been using their own arm sleeve, used a brand-new conventional arm sleeve for 2 weeks, followed by a novel arm sleeve for 2 weeks. The adverse events, arm-related symptoms, interface pressures, and subcutaneous fluid distributions observed by magnetic resonance imaging (MRI) were assessed.

Results: The use of the novel arm sleeve resulted in a graduated compression extending to the shoulder (forearm, 21.8 ± 3.7 mmHg; upper arm, 15.2 ± 3.3 mmHg; shoulder, 8.8 ± 3.1 mmHg). By eliminating the wring seen in the conventional arm sleeve, the disturbed proximal diffusion of the subcutaneous fluid and venous occlusion were successfully avoided, as confirmed by MRI. No adverse event or worsening of arm-related symptoms was reported.

Conclusion: The novel arm sleeve seemed to provide graduated compression to a wider area, allowing improved subcutaneous fluid and venous drainage without any adverse events. Therefore, the novel arm sleeve may be recommended as a compression therapy option for upper extremity lymphedema.


Url:
DOI: 10.3400/avd.oa.14-00013
PubMed: 24995057
PubMed Central: 4072861

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PMC:4072861

Le document en format XML

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<nlm:aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</nlm:aff>
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<name sortKey="Honda, Saiko" sort="Honda, Saiko" uniqKey="Honda S" first="Saiko" last="Honda">Saiko Honda</name>
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<name sortKey="Kakutani, Hiromi" sort="Kakutani, Hiromi" uniqKey="Kakutani H" first="Hiromi" last="Kakutani">Hiromi Kakutani</name>
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<div type="abstract" xml:lang="en">
<p>Objective: To investigate the safety and efficacy of a novel arm sleeve composed of a conventional arm sleeve extending to a wider area of the body.</p>
<p>Materials and Methods: Five subjects with post-mastectomy upper extremity lymphedema, who had already been using their own arm sleeve, used a brand-new conventional arm sleeve for 2 weeks, followed by a novel arm sleeve for 2 weeks. The adverse events, arm-related symptoms, interface pressures, and subcutaneous fluid distributions observed by magnetic resonance imaging (MRI) were assessed.</p>
<p>Results: The use of the novel arm sleeve resulted in a graduated compression extending to the shoulder (forearm, 21.8 ± 3.7 mmHg; upper arm, 15.2 ± 3.3 mmHg; shoulder, 8.8 ± 3.1 mmHg). By eliminating the wring seen in the conventional arm sleeve, the disturbed proximal diffusion of the subcutaneous fluid and venous occlusion were successfully avoided, as confirmed by MRI. No adverse event or worsening of arm-related symptoms was reported.</p>
<p>Conclusion: The novel arm sleeve seemed to provide graduated compression to a wider area, allowing improved subcutaneous fluid and venous drainage without any adverse events. Therefore, the novel arm sleeve may be recommended as a compression therapy option for upper extremity lymphedema.</p>
</div>
</front>
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<journal-id journal-id-type="nlm-ta">Ann Vasc Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann Vasc Dis</journal-id>
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<journal-title>Annals of Vascular Diseases</journal-title>
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<issn pub-type="ppub">1881-641X</issn>
<issn pub-type="epub">1881-6428</issn>
<publisher>
<publisher-name>The Editorial Committee of Annals of Vascular Diseases</publisher-name>
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<article-id pub-id-type="pmc">4072861</article-id>
<article-id pub-id-type="publisher-id">avd.oa.14-00013</article-id>
<article-id pub-id-type="doi">10.3400/avd.oa.14-00013</article-id>
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<subject>Original Article</subject>
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</article-categories>
<title-group>
<article-title>A Novel Arm Sleeve for Upper Extremity Lymphedema: A Pilot Study</article-title>
<alt-title alt-title-type="left-running-head">Suehiro K, et al.</alt-title>
<alt-title alt-title-type="right-running-head">A Pilot Study of a Novel Arm Sleeve</alt-title>
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<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Suehiro</surname>
<given-names>Kotaro</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Honda</surname>
<given-names>Saiko</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Kakutani</surname>
<given-names>Hiromi</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Morikage</surname>
<given-names>Noriyasu</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Murakami</surname>
<given-names>Masanori</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Yamashita</surname>
<given-names>Osamu</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Ueda</surname>
<given-names>Koshiro</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Samura</surname>
<given-names>Makoto</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Hamano</surname>
<given-names>Kimikazu</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<aff id="aff1">Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan</aff>
<aff id="aff2">Department of Nursing, Yamaguchi University Hospital, Ube, Yamaguchi, Japan</aff>
</contrib-group>
<author-notes>
<corresp>Corresponding author: Kotaro Suehiro, MD. Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1 Minamikogushi, Ube, Yamaguchi 755-8505, Japan Tel: +81-836-22-2260, Fax: +81-836-22-2423</corresp>
<fn>
<p>E-mail:
<email xlink:href="mailto:ksuehiro-circ@umin.ac.jp">ksuehiro-circ@umin.ac.jp</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>16</day>
<month>5</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub">
<year>2014</year>
</pub-date>
<volume>7</volume>
<issue>2</issue>
<fpage>134</fpage>
<lpage>140</lpage>
<history>
<date date-type="received">
<day>26</day>
<month>1</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>3</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>© Annals of Vascular Diseases 2014</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract>
<p>Objective: To investigate the safety and efficacy of a novel arm sleeve composed of a conventional arm sleeve extending to a wider area of the body.</p>
<p>Materials and Methods: Five subjects with post-mastectomy upper extremity lymphedema, who had already been using their own arm sleeve, used a brand-new conventional arm sleeve for 2 weeks, followed by a novel arm sleeve for 2 weeks. The adverse events, arm-related symptoms, interface pressures, and subcutaneous fluid distributions observed by magnetic resonance imaging (MRI) were assessed.</p>
<p>Results: The use of the novel arm sleeve resulted in a graduated compression extending to the shoulder (forearm, 21.8 ± 3.7 mmHg; upper arm, 15.2 ± 3.3 mmHg; shoulder, 8.8 ± 3.1 mmHg). By eliminating the wring seen in the conventional arm sleeve, the disturbed proximal diffusion of the subcutaneous fluid and venous occlusion were successfully avoided, as confirmed by MRI. No adverse event or worsening of arm-related symptoms was reported.</p>
<p>Conclusion: The novel arm sleeve seemed to provide graduated compression to a wider area, allowing improved subcutaneous fluid and venous drainage without any adverse events. Therefore, the novel arm sleeve may be recommended as a compression therapy option for upper extremity lymphedema.</p>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>arm</kwd>
<kwd>lymphedema</kwd>
<kwd>sleeve</kwd>
<kwd>compression</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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