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Use of Indocyanine Green-SPY Angiography for Tracking Lymphatic Recovery After Lymphaticovenous Anastomosis.

Identifieur interne : 000570 ( PubMed/Checkpoint ); précédent : 000569; suivant : 000571

Use of Indocyanine Green-SPY Angiography for Tracking Lymphatic Recovery After Lymphaticovenous Anastomosis.

Auteurs : Hubert B. Shih [États-Unis] ; Afaaf Shakir ; Dung H. Nguyen

Source :

RBID : pubmed:27070461

Descripteurs français

English descriptors

Abstract

Lymphaticovenous anastomosis (LVA) is a surgical treatment option for patients with early stage lymphedema. To date, no ideal imaging modality exists for tracking patency of the LVA postoperatively. We hypothesize that laser angiography utilizing indocyanine green (ICG) via the SPY system (Lifecell Corp.) would be a useful methodology for assessing the patency of the LVA and lymphatic recovery postoperatively.

DOI: 10.1097/SAP.0000000000000766
PubMed: 27070461


Affiliations:


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pubmed:27070461

Le document en format XML

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<title xml:lang="en">Use of Indocyanine Green-SPY Angiography for Tracking Lymphatic Recovery After Lymphaticovenous Anastomosis.</title>
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<name sortKey="Shih, Hubert B" sort="Shih, Hubert B" uniqKey="Shih H" first="Hubert B" last="Shih">Hubert B. Shih</name>
<affiliation wicri:level="2">
<nlm:affiliation>From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford Hospital and Clinics, Stanford, CA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Californie</region>
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<wicri:cityArea>From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford Hospital and Clinics, Stanford</wicri:cityArea>
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<name sortKey="Shakir, Afaaf" sort="Shakir, Afaaf" uniqKey="Shakir A" first="Afaaf" last="Shakir">Afaaf Shakir</name>
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<author>
<name sortKey="Nguyen, Dung H" sort="Nguyen, Dung H" uniqKey="Nguyen D" first="Dung H" last="Nguyen">Dung H. Nguyen</name>
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<nlm:affiliation>From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford Hospital and Clinics, Stanford, CA.</nlm:affiliation>
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<title level="j">Annals of plastic surgery</title>
<idno type="eISSN">1536-3708</idno>
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<term>Adult</term>
<term>Anastomosis, Surgical</term>
<term>Female</term>
<term>Fluorescent Dyes</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Indocyanine Green</term>
<term>Lymphatic Vessels (diagnostic imaging)</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (surgery)</term>
<term>Middle Aged</term>
<term>Optical Imaging (methods)</term>
<term>Prospective Studies</term>
<term>Treatment Outcome</term>
<term>Venules (diagnostic imaging)</term>
<term>Venules (surgery)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Anastomose chirurgicale</term>
<term>Colorants fluorescents</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie optique ()</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Résultat thérapeutique</term>
<term>Vaisseaux lymphatiques ()</term>
<term>Vaisseaux lymphatiques (imagerie diagnostique)</term>
<term>Veinules ()</term>
<term>Veinules (imagerie diagnostique)</term>
<term>Vert indocyanine</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Fluorescent Dyes</term>
<term>Indocyanine Green</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Venules</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Lymphoedème</term>
<term>Vaisseaux lymphatiques</term>
<term>Veinules</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Optical Imaging</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Venules</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Anastomosis, Surgical</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Treatment Outcome</term>
</keywords>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Anastomose chirurgicale</term>
<term>Colorants fluorescents</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie optique</term>
<term>Lymphoedème</term>
<term>Résultat thérapeutique</term>
<term>Vaisseaux lymphatiques</term>
<term>Veinules</term>
<term>Vert indocyanine</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">Lymphaticovenous anastomosis (LVA) is a surgical treatment option for patients with early stage lymphedema. To date, no ideal imaging modality exists for tracking patency of the LVA postoperatively. We hypothesize that laser angiography utilizing indocyanine green (ICG) via the SPY system (Lifecell Corp.) would be a useful methodology for assessing the patency of the LVA and lymphatic recovery postoperatively.</div>
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<Month>04</Month>
<Day>13</Day>
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<DateCompleted>
<Year>2017</Year>
<Month>01</Month>
<Day>06</Day>
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<DateRevised>
<Year>2017</Year>
<Month>01</Month>
<Day>07</Day>
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<ISSN IssnType="Electronic">1536-3708</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>76 Suppl 3</Volume>
<PubDate>
<Year>2016</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>Annals of plastic surgery</Title>
<ISOAbbreviation>Ann Plast Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Use of Indocyanine Green-SPY Angiography for Tracking Lymphatic Recovery After Lymphaticovenous Anastomosis.</ArticleTitle>
<Pagination>
<MedlinePgn>S232-7</MedlinePgn>
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<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Lymphaticovenous anastomosis (LVA) is a surgical treatment option for patients with early stage lymphedema. To date, no ideal imaging modality exists for tracking patency of the LVA postoperatively. We hypothesize that laser angiography utilizing indocyanine green (ICG) via the SPY system (Lifecell Corp.) would be a useful methodology for assessing the patency of the LVA and lymphatic recovery postoperatively.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A prospective trial was performed on patients with stage II lymphedema who underwent LVA from 2013 to 2014 by a single surgeon. All candidates underwent preoperative and postoperative lymphatic mapping using ICG-SPY angiography. Postoperative analyses were performed at 1 month and at 9 months after surgery and assessed for patency at the site of the LVAs and for changes in lymphatic pattern.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Five patients underwent LVA, 3 for upper extremity and 2 for lower extremity stage II lymphedema. The number of LVAs per extremity was 1 to 3 (total, 11). One month postoperative ICG-SPY angiography demonstrated flow through 9 of 11 anastomoses. Evaluation at 9 months postoperative showed improvement in lymphatic drainage.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Indocyanine green-SPY angiography may be used to objectively evaluate the surgical outcome of LVA.</AbstractText>
</Abstract>
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<LastName>Shih</LastName>
<ForeName>Hubert B</ForeName>
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<Affiliation>From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford Hospital and Clinics, Stanford, CA.</Affiliation>
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<ForeName>Dung H</ForeName>
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