Venous dynamics in leg lymphedema.
Identifieur interne : 004C92 ( PubMed/Curation ); précédent : 004C91; suivant : 004C93Venous dynamics in leg lymphedema.
Auteurs : D I Kim [Corée du Sud] ; S. Huh ; J H Hwang ; Y I Kim ; B B LeeSource :
- Lymphology [ 0024-7766 ] ; 1999.
Descripteurs français
- KwdFr :
- MESH :
- physiologie : Débit sanguin régional, Pression veineuse.
- physiopathologie : Insuffisance veineuse, Lymphoedème.
- étiologie : Insuffisance veineuse.
- Adulte d'âge moyen, Femelle, Humains, Jambe, Lymphoedème, Mâle, Pléthysmographie, Échographie-doppler duplex.
English descriptors
- KwdEn :
- Female, Humans, Leg (blood supply), Lymphedema (complications), Lymphedema (physiopathology), Male, Middle Aged, Plethysmography, Regional Blood Flow (physiology), Ultrasonography, Doppler, Duplex, Venous Insufficiency (etiology), Venous Insufficiency (physiopathology), Venous Pressure (physiology).
- MESH :
- blood supply : Leg.
- complications : Lymphedema.
- etiology : Venous Insufficiency.
- physiology : Regional Blood Flow, Venous Pressure.
- physiopathology : Lymphedema, Venous Insufficiency.
- Female, Humans, Male, Middle Aged, Plethysmography, Ultrasonography, Doppler, Duplex.
Abstract
To determine whether there is anatomical and/or functional impairment to venous return in patients with lymphedema, we examined venous dynamics in 41 patients with unilateral leg lymphedema. A Volometer was used for computer analysis of leg volume, a color Duplex Doppler scanner was used to determine deep vein patency and skin thickness, and Air-plethysmography was used to assess ambulatory venous pressure, venous volume, venous filling index and the ejection fraction. In the lymphedematous leg, volume and skin thickness were uniformly increased (126.4 +/- 21.3% and 156.9 +/- 44.5%) (mean +/- S.D.), respectively. The ambulatory venous pressure was also increased (134 +/- 60.7%) as was the venous volume (124.5 +/- 37.5%), and the venous filling index (134.5 +/- 50.5%). The ejection fraction was decreased (94.9 +/- 26.1%). Greater leg volume correlated with increased venous volume and venous filling index (values = 0.327, 0.241, respectively) and decreased ejection fraction (r = -0.133). Increased subcutaneous thickness correlated with increased venous filling index and venous volume (r = 0.307, 0.126, respectively) and decreased ejection fraction (r = -0.202). These findings suggest that soft tissue edema from lymphatic stasis gradually impedes venous return which in turn aggravates the underlying lymphedema.
PubMed: 10197322
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Huh</name></author><author><name sortKey="Hwang, J H" sort="Hwang, J H" uniqKey="Hwang J" first="J H" last="Hwang">J H Hwang</name></author><author><name sortKey="Kim, Y I" sort="Kim, Y I" uniqKey="Kim Y" first="Y I" last="Kim">Y I Kim</name></author><author><name sortKey="Lee, B B" sort="Lee, B B" uniqKey="Lee B" first="B B" last="Lee">B B Lee</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1999">1999</date><idno type="RBID">pubmed:10197322</idno><idno type="pmid">10197322</idno><idno type="wicri:Area/PubMed/Corpus">004C92</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004C92</idno><idno type="wicri:Area/PubMed/Curation">004C92</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">004C92</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Venous dynamics in leg lymphedema.</title><author><name sortKey="Kim, D I" sort="Kim, D I" uniqKey="Kim D" first="D I" last="Kim">D I Kim</name><affiliation wicri:level="1"><nlm:affiliation>Division of Vascular Surgery, Samsung Medical Center, College of Medicine, Sung kyun kwan University, Seoul, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Division of Vascular Surgery, Samsung Medical Center, College of Medicine, Sung kyun kwan University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Huh, S" sort="Huh, S" uniqKey="Huh S" first="S" last="Huh">S. Huh</name></author><author><name sortKey="Hwang, J H" sort="Hwang, J H" uniqKey="Hwang J" first="J H" last="Hwang">J H Hwang</name></author><author><name sortKey="Kim, Y I" sort="Kim, Y I" uniqKey="Kim Y" first="Y I" last="Kim">Y I Kim</name></author><author><name sortKey="Lee, B B" sort="Lee, B B" uniqKey="Lee B" first="B B" last="Lee">B B Lee</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="1999" type="published">1999</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Female</term><term>Humans</term><term>Leg (blood supply)</term><term>Lymphedema (complications)</term><term>Lymphedema (physiopathology)</term><term>Male</term><term>Middle Aged</term><term>Plethysmography</term><term>Regional Blood Flow (physiology)</term><term>Ultrasonography, Doppler, Duplex</term><term>Venous Insufficiency (etiology)</term><term>Venous Insufficiency (physiopathology)</term><term>Venous Pressure (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Débit sanguin régional (physiologie)</term><term>Femelle</term><term>Humains</term><term>Insuffisance veineuse (physiopathologie)</term><term>Insuffisance veineuse (étiologie)</term><term>Jambe ()</term><term>Lymphoedème ()</term><term>Lymphoedème (physiopathologie)</term><term>Mâle</term><term>Pléthysmographie</term><term>Pression veineuse (physiologie)</term><term>Échographie-doppler duplex</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Leg</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Venous Insufficiency</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Débit sanguin régional</term><term>Pression veineuse</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Regional Blood Flow</term><term>Venous Pressure</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Insuffisance veineuse</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term><term>Venous Insufficiency</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Insuffisance veineuse</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Plethysmography</term><term>Ultrasonography, Doppler, Duplex</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème</term><term>Mâle</term><term>Pléthysmographie</term><term>Échographie-doppler duplex</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To determine whether there is anatomical and/or functional impairment to venous return in patients with lymphedema, we examined venous dynamics in 41 patients with unilateral leg lymphedema. A Volometer was used for computer analysis of leg volume, a color Duplex Doppler scanner was used to determine deep vein patency and skin thickness, and Air-plethysmography was used to assess ambulatory venous pressure, venous volume, venous filling index and the ejection fraction. In the lymphedematous leg, volume and skin thickness were uniformly increased (126.4 +/- 21.3% and 156.9 +/- 44.5%) (mean +/- S.D.), respectively. The ambulatory venous pressure was also increased (134 +/- 60.7%) as was the venous volume (124.5 +/- 37.5%), and the venous filling index (134.5 +/- 50.5%). The ejection fraction was decreased (94.9 +/- 26.1%). Greater leg volume correlated with increased venous volume and venous filling index (values = 0.327, 0.241, respectively) and decreased ejection fraction (r = -0.133). Increased subcutaneous thickness correlated with increased venous filling index and venous volume (r = 0.307, 0.126, respectively) and decreased ejection fraction (r = -0.202). These findings suggest that soft tissue edema from lymphatic stasis gradually impedes venous return which in turn aggravates the underlying lymphedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10197322</PMID><DateCreated><Year>1999</Year><Month>06</Month><Day>14</Day></DateCreated><DateCompleted><Year>1999</Year><Month>06</Month><Day>14</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>03</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0024-7766</ISSN><JournalIssue CitedMedium="Print"><Volume>32</Volume><Issue>1</Issue><PubDate><Year>1999</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Lymphology</Title><ISOAbbreviation>Lymphology</ISOAbbreviation></Journal><ArticleTitle>Venous dynamics in leg lymphedema.</ArticleTitle><Pagination><MedlinePgn>11-4</MedlinePgn></Pagination><Abstract><AbstractText>To determine whether there is anatomical and/or functional impairment to venous return in patients with lymphedema, we examined venous dynamics in 41 patients with unilateral leg lymphedema. A Volometer was used for computer analysis of leg volume, a color Duplex Doppler scanner was used to determine deep vein patency and skin thickness, and Air-plethysmography was used to assess ambulatory venous pressure, venous volume, venous filling index and the ejection fraction. In the lymphedematous leg, volume and skin thickness were uniformly increased (126.4 +/- 21.3% and 156.9 +/- 44.5%) (mean +/- S.D.), respectively. The ambulatory venous pressure was also increased (134 +/- 60.7%) as was the venous volume (124.5 +/- 37.5%), and the venous filling index (134.5 +/- 50.5%). The ejection fraction was decreased (94.9 +/- 26.1%). Greater leg volume correlated with increased venous volume and venous filling index (values = 0.327, 0.241, respectively) and decreased ejection fraction (r = -0.133). Increased subcutaneous thickness correlated with increased venous filling index and venous volume (r = 0.307, 0.126, respectively) and decreased ejection fraction (r = -0.202). These findings suggest that soft tissue edema from lymphatic stasis gradually impedes venous return which in turn aggravates the underlying lymphedema.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>D I</ForeName><Initials>DI</Initials><AffiliationInfo><Affiliation>Division of Vascular Surgery, Samsung Medical Center, College of Medicine, Sung kyun kwan University, Seoul, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huh</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Hwang</LastName><ForeName>J H</ForeName><Initials>JH</Initials></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Y I</ForeName><Initials>YI</Initials></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>B B</ForeName><Initials>BB</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphology</MedlineTA><NlmUniqueID>0155112</NlmUniqueID><ISSNLinking>0024-7766</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="Y">blood supply</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010991" MajorTopicYN="N">Plethysmography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012039" MajorTopicYN="N">Regional Blood Flow</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018616" MajorTopicYN="N">Ultrasonography, Doppler, Duplex</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014689" MajorTopicYN="N">Venous Insufficiency</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014690" MajorTopicYN="N">Venous Pressure</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1999</Year><Month>4</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1999</Year><Month>4</Month><Day>10</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1999</Year><Month>4</Month><Day>10</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10197322</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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