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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Investigational Lymphatic Imaging at the Bedside in a Pediatric Postoperative Chylothorax Patient</title><author><name sortKey="Tan, I Chih" sort="Tan, I Chih" uniqKey="Tan I" first="I-Chih" last="Tan">I-Chih Tan</name></author><author><name sortKey="Rasmussen, John C" sort="Rasmussen, John C" uniqKey="Rasmussen J" first="John C." last="Rasmussen">John C. Rasmussen</name></author><author><name sortKey="Sevick Muraca, Eva M" sort="Sevick Muraca, Eva M" uniqKey="Sevick Muraca E" first="Eva M." last="Sevick-Muraca">Eva M. Sevick-Muraca</name></author><author><name sortKey="Balaguru, Duraisamy" sort="Balaguru, Duraisamy" uniqKey="Balaguru D" first="Duraisamy" last="Balaguru">Duraisamy Balaguru</name></author><author><name sortKey="Bricker, John T" sort="Bricker, John T" uniqKey="Bricker J" first="John T." last="Bricker">John T. Bricker</name></author><author><name sortKey="Guilliod, Renie" sort="Guilliod, Renie" uniqKey="Guilliod R" first="Renie" last="Guilliod">Renie Guilliod</name></author><author><name sortKey="Douglas, William I" sort="Douglas, William I" uniqKey="Douglas W" first="William I." last="Douglas">William I. Douglas</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24972649</idno><idno type="pmc">4167464</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4167464</idno><idno type="RBID">PMC:4167464</idno><idno type="doi">10.1007/s00246-014-0946-y</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">003734</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003734</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Investigational Lymphatic Imaging at the Bedside in a Pediatric Postoperative Chylothorax Patient</title><author><name sortKey="Tan, I Chih" sort="Tan, I Chih" uniqKey="Tan I" first="I-Chih" last="Tan">I-Chih Tan</name></author><author><name sortKey="Rasmussen, John C" sort="Rasmussen, John C" uniqKey="Rasmussen J" first="John C." last="Rasmussen">John C. Rasmussen</name></author><author><name sortKey="Sevick Muraca, Eva M" sort="Sevick Muraca, Eva M" uniqKey="Sevick Muraca E" first="Eva M." last="Sevick-Muraca">Eva M. Sevick-Muraca</name></author><author><name sortKey="Balaguru, Duraisamy" sort="Balaguru, Duraisamy" uniqKey="Balaguru D" first="Duraisamy" last="Balaguru">Duraisamy Balaguru</name></author><author><name sortKey="Bricker, John T" sort="Bricker, John T" uniqKey="Bricker J" first="John T." last="Bricker">John T. Bricker</name></author><author><name sortKey="Guilliod, Renie" sort="Guilliod, Renie" uniqKey="Guilliod R" first="Renie" last="Guilliod">Renie Guilliod</name></author><author><name sortKey="Douglas, William I" sort="Douglas, William I" uniqKey="Douglas W" first="William I." last="Douglas">William I. Douglas</name></author></analytic><series><title level="j">Pediatric cardiology</title><idno type="ISSN">0172-0643</idno><idno type="eISSN">1432-1971</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Chylothorax is a rare but serious complication in children who undergo heart surgery. Its pathogenesis is poorly understood, and invasive surgical treatments are considered only after conservative management fails. Current diagnostic imaging techniques, which could aid decision making for earlier surgical intervention, are difficult to apply. Herein, we deployed near-infrared fluorescence (NIRF) lymphatic imaging to allow the visualization of abnormal lymphatic drainage in an infant with postoperative chylothorax to guide the choice of surgical management.</p></sec><sec id="S2"><title>Methods</title><p id="P2">A 5-week-old male infant, who developed chylothoraces after undergoing Norwood surgery for hypoplastic left heart syndrome, was intradermally administered trace doses of indocyanine green in both feet and the left hand. NIRF imaging was then performed at the bedside to visualize lymphatic drainage patterns.</p></sec><sec id="S3"><title>Results</title><p id="P3">Imaging results indicated impeded lymphatic drainage from the feet toward the trunk with no fluorescence in the chest indicating no leakage of peripheral lymph at the thoracic duct. Instead, lymph drainage occurred from the axilla directly into the pleural cavity. As a result of imaging, left pleurodesis was performed to stop the pleural effusion with the result of temporary decrease of left chest tube drainage.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Although additional studies are required to understand normal and abnormal lymphatic drainage patterns in infants, we showed the potential of using NIRF lymphatic imaging at the bedside to visualize the lymphatic drainage pathway to guide therapy. Timely management of chylothorax may be improved by using NIRF imaging to understand lymphatic drainage pathways.</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>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8003849</journal-id><journal-id journal-id-type="pubmed-jr-id">6489</journal-id><journal-id journal-id-type="nlm-ta">Pediatr Cardiol</journal-id><journal-id journal-id-type="iso-abbrev">Pediatr Cardiol</journal-id><journal-title-group><journal-title>Pediatric cardiology</journal-title></journal-title-group><issn pub-type="ppub">0172-0643</issn><issn pub-type="epub">1432-1971</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24972649</article-id><article-id pub-id-type="pmc">4167464</article-id><article-id pub-id-type="doi">10.1007/s00246-014-0946-y</article-id><article-id pub-id-type="manuscript">NIHMS609396</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Investigational Lymphatic Imaging at the Bedside in a Pediatric Postoperative Chylothorax Patient</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Tan</surname><given-names>I-Chih</given-names></name><aff id="A1">Center for Molecular Imaging, Institute of Molecular Medicine, The University of Texas Health Science Center, Houston, TX 77030, USA</aff></contrib><contrib contrib-type="author"><name><surname>Rasmussen</surname><given-names>John C.</given-names></name><aff id="A2">Center for Molecular Imaging, Institute of Molecular Medicine, The University of Texas Health Science Center, Houston, TX 77030, USA</aff></contrib><contrib contrib-type="author"><name><surname>Sevick-Muraca</surname><given-names>Eva M.</given-names></name><aff id="A3">Center for Molecular Imaging, Institute of Molecular Medicine, The University of Texas Health Science Center, Houston, TX 77030, USA</aff></contrib><contrib contrib-type="author"><name><surname>Balaguru</surname><given-names>Duraisamy</given-names></name><aff id="A4">Division of Pediatric Cardiology, The University of Texas Health Science Center, Houston, TX 77030, USA</aff></contrib><contrib contrib-type="author"><name><surname>Bricker</surname><given-names>John T.</given-names></name><aff id="A5">Division of Pediatric Cardiology, The University of Texas Health Science Center, Houston, TX 77030, USA</aff></contrib><contrib contrib-type="author"><name><surname>Guilliod</surname><given-names>Renie</given-names></name><aff id="A6">Division of Cardiology and Hyperbaric Medicine, The University of Texas Health Science Center, Houston, TX 77030, USA</aff></contrib><contrib contrib-type="author"><name><surname>Douglas</surname><given-names>William I.</given-names></name><aff id="A7">Division of Pediatric Cardiovascular Surgery, The University of Texas Health Science Center, Houston, TX 77030, USA</aff></contrib></contrib-group><author-notes><corresp id="CR1"><email>i-chih.tan@uth.tmc.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>29</day><month>6</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>28</day><month>6</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>10</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>10</month><year>2015</year></pub-date><volume>35</volume><issue>7</issue><fpage>1295</fpage><lpage>1300</lpage><pmc-comment>elocation-id from pubmed: 10.1007/s00246-014-0946-y</pmc-comment>
<permissions><copyright-statement>© Springer Science+Business Media, LLC 2013</copyright-statement><copyright-year>2013</copyright-year></permissions><abstract><sec id="S1"><title>Background</title><p id="P1">Chylothorax is a rare but serious complication in children who undergo heart surgery. Its pathogenesis is poorly understood, and invasive surgical treatments are considered only after conservative management fails. Current diagnostic imaging techniques, which could aid decision making for earlier surgical intervention, are difficult to apply. Herein, we deployed near-infrared fluorescence (NIRF) lymphatic imaging to allow the visualization of abnormal lymphatic drainage in an infant with postoperative chylothorax to guide the choice of surgical management.</p></sec><sec id="S2"><title>Methods</title><p id="P2">A 5-week-old male infant, who developed chylothoraces after undergoing Norwood surgery for hypoplastic left heart syndrome, was intradermally administered trace doses of indocyanine green in both feet and the left hand. NIRF imaging was then performed at the bedside to visualize lymphatic drainage patterns.</p></sec><sec id="S3"><title>Results</title><p id="P3">Imaging results indicated impeded lymphatic drainage from the feet toward the trunk with no fluorescence in the chest indicating no leakage of peripheral lymph at the thoracic duct. Instead, lymph drainage occurred from the axilla directly into the pleural cavity. As a result of imaging, left pleurodesis was performed to stop the pleural effusion with the result of temporary decrease of left chest tube drainage.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Although additional studies are required to understand normal and abnormal lymphatic drainage patterns in infants, we showed the potential of using NIRF lymphatic imaging at the bedside to visualize the lymphatic drainage pathway to guide therapy. Timely management of chylothorax may be improved by using NIRF imaging to understand lymphatic drainage pathways.</p></sec></abstract><kwd-group><kwd>Near-infrared fluorescence imaging</kwd><kwd>Chylothorax</kwd><kwd>Congenital heart defect</kwd><kwd>Postoperative care</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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