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Relationship Between Lymphedema and Arteriosclerosis: Higher Cardio-Ankle Vascular Index (CAVI) in Lymphedematous Limbs.

Identifieur interne : 001041 ( PubMed/Curation ); précédent : 001040; suivant : 001042

Relationship Between Lymphedema and Arteriosclerosis: Higher Cardio-Ankle Vascular Index (CAVI) in Lymphedematous Limbs.

Auteurs : Takumi Yamamoto [Japon] ; Nana Yamamoto ; Marie Yamashita ; Megumi Furuya ; Akitatsu Hayashi ; Isao Koshima

Source :

RBID : pubmed:25695448

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English descriptors

Abstract

Arteriosclerosis is one of the most important public health issues because it is very common in developed countries and its sequelae are lethal. Lymphatic vessel insufficiency has been reported to be associated with atherogenesis. Lymphedema seems to affect progression of arteriosclerosis, but no clinical study has been reported.

DOI: 10.1097/SAP.0000000000000481
PubMed: 25695448

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pubmed:25695448

Le document en format XML

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<title xml:lang="en">Relationship Between Lymphedema and Arteriosclerosis: Higher Cardio-Ankle Vascular Index (CAVI) in Lymphedematous Limbs.</title>
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<name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto</name>
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<nlm:affiliation>From the *Department of Plastic and Reconstructive Surgery, the University of Tokyo, Tokyo, Japan; and †Department of Plastic Surgery, Toranomon Hospital, Tokyo, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>From the *Department of Plastic and Reconstructive Surgery, the University of Tokyo, Tokyo, Japan; and †Department of Plastic Surgery, Toranomon Hospital, Tokyo</wicri:regionArea>
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<name sortKey="Yamamoto, Nana" sort="Yamamoto, Nana" uniqKey="Yamamoto N" first="Nana" last="Yamamoto">Nana Yamamoto</name>
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<name sortKey="Yamashita, Marie" sort="Yamashita, Marie" uniqKey="Yamashita M" first="Marie" last="Yamashita">Marie Yamashita</name>
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<name sortKey="Furuya, Megumi" sort="Furuya, Megumi" uniqKey="Furuya M" first="Megumi" last="Furuya">Megumi Furuya</name>
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<name sortKey="Hayashi, Akitatsu" sort="Hayashi, Akitatsu" uniqKey="Hayashi A" first="Akitatsu" last="Hayashi">Akitatsu Hayashi</name>
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<name sortKey="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name>
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<title xml:lang="en">Relationship Between Lymphedema and Arteriosclerosis: Higher Cardio-Ankle Vascular Index (CAVI) in Lymphedematous Limbs.</title>
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<name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto</name>
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<nlm:affiliation>From the *Department of Plastic and Reconstructive Surgery, the University of Tokyo, Tokyo, Japan; and †Department of Plastic Surgery, Toranomon Hospital, Tokyo, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>From the *Department of Plastic and Reconstructive Surgery, the University of Tokyo, Tokyo, Japan; and †Department of Plastic Surgery, Toranomon Hospital, Tokyo</wicri:regionArea>
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<name sortKey="Yamamoto, Nana" sort="Yamamoto, Nana" uniqKey="Yamamoto N" first="Nana" last="Yamamoto">Nana Yamamoto</name>
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<name sortKey="Yamashita, Marie" sort="Yamashita, Marie" uniqKey="Yamashita M" first="Marie" last="Yamashita">Marie Yamashita</name>
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<name sortKey="Furuya, Megumi" sort="Furuya, Megumi" uniqKey="Furuya M" first="Megumi" last="Furuya">Megumi Furuya</name>
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<name sortKey="Hayashi, Akitatsu" sort="Hayashi, Akitatsu" uniqKey="Hayashi A" first="Akitatsu" last="Hayashi">Akitatsu Hayashi</name>
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<title level="j">Annals of plastic surgery</title>
<idno type="eISSN">1536-3708</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arteriolosclerosis (diagnosis)</term>
<term>Arteriolosclerosis (etiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Linear Models</term>
<term>Lymphedema (complications)</term>
<term>Middle Aged</term>
<term>Pelvic Neoplasms (complications)</term>
<term>Pelvic Neoplasms (therapy)</term>
<term>Risk Factors</term>
<term>Vascular Stiffness</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Artériolosclérose (diagnostic)</term>
<term>Artériolosclérose (étiologie)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Modèles linéaires</term>
<term>Rigidité vasculaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du bassin ()</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Lymphedema</term>
<term>Pelvic Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Arteriolosclerosis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Artériolosclérose</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Arteriolosclerosis</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Pelvic Neoplasms</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Artériolosclérose</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Linear Models</term>
<term>Middle Aged</term>
<term>Risk Factors</term>
<term>Vascular Stiffness</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Modèles linéaires</term>
<term>Rigidité vasculaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du bassin</term>
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<front>
<div type="abstract" xml:lang="en">Arteriosclerosis is one of the most important public health issues because it is very common in developed countries and its sequelae are lethal. Lymphatic vessel insufficiency has been reported to be associated with atherogenesis. Lymphedema seems to affect progression of arteriosclerosis, but no clinical study has been reported.</div>
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<DateCreated>
<Year>2016</Year>
<Month>02</Month>
<Day>09</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>11</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>30</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1536-3708</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>76</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2016</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Annals of plastic surgery</Title>
<ISOAbbreviation>Ann Plast Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Relationship Between Lymphedema and Arteriosclerosis: Higher Cardio-Ankle Vascular Index (CAVI) in Lymphedematous Limbs.</ArticleTitle>
<Pagination>
<MedlinePgn>336-9</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1097/SAP.0000000000000481</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Arteriosclerosis is one of the most important public health issues because it is very common in developed countries and its sequelae are lethal. Lymphatic vessel insufficiency has been reported to be associated with atherogenesis. Lymphedema seems to affect progression of arteriosclerosis, but no clinical study has been reported.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Forty-eight limbs of 24 female patients with pelvic cancer-related lower extremity lymphedema (LEL) were evaluated. Cardio-ankle vascular index (CAVI), an indirect estimate of the arterial stiffness, was measured in each limb. Cardio-ankle vascular index was compared according to known arteriosclerosis risk factors including age (younger than 65 years vs 65 years), body mass index (BMI; <25 vs 25 kg/m), hypertension (HT), diabetes mellitus, hyperlipidemia (HL), and smoking, as well as according to LEL-related factors including duration of LEL (<5 years vs 5 years), pelvic irradiation, leg cellulitis, LEL index (<250 vs 250), and leg dermal backflow (LDB) stage (LDB stage 0/I vs LDB stage II/III/IV/V) using univariable analyses and multivariable analysis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Univariable analyses revealed statistically significant differences in CAVI between lower BMI and higher BMI [7.19 (0.75) vs 8.36 (1.24), P < 0.01], HT (-) and HT (+) [7.25 (0.81) vs 8.17 (1.29), P < 0.01], HL (-) and HL (+) [7.19 (0.74) vs 8.06 (1.27), P < 0.01], and lower LDB stage and higher LDB stage [6.87 (0.65) vs 7.76 (1.05), P < 0.01]. Multivariable analysis revealed statistically significant differences in CAVI between lower BMI and higher BMI (P < 0.01), shorter duration of LEL and longer duration of LEL [7.21 (1.04) vs 7.71 (0.97), P = 0.04], and lower LDB stage and higher LDB stage (P = 0.04) CONCLUSIONS: Higher BMI, longer duration of LEL, and higher LDB stage were independent factors associated with higher CAVI in pelvic cancer-related LEL.</AbstractText>
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<LastName>Yamamoto</LastName>
<ForeName>Takumi</ForeName>
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<Affiliation>From the *Department of Plastic and Reconstructive Surgery, the University of Tokyo, Tokyo, Japan; and †Department of Plastic Surgery, Toranomon Hospital, Tokyo, Japan.</Affiliation>
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<ISSNLinking>0148-7043</ISSNLinking>
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<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<DescriptorName UI="D050379" MajorTopicYN="N">Arteriolosclerosis</DescriptorName>
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<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D016014" MajorTopicYN="N">Linear Models</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
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<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D010386" MajorTopicYN="N">Pelvic Neoplasms</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D059289" MajorTopicYN="N">Vascular Stiffness</DescriptorName>
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<Year>2016</Year>
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