Abstract:
BACKGROUND:Lymphaticovenular anastomosis (LVA) is becoming a treatment option for lymphedema. It is challenging to perform LVA when a lymphatic vessel is too far from a vein to anastomose directly. METHODS:We applied vein grafting for simultaneous multisite LVA (SM-LVA), when there was a considerable distance between a lymphatic vessel and a vein. Five patients with lower extremity lymphedema (LEL) who underwent SM-LVA were included in this study. Feasibility and treatment effect of the method were evaluated. RESULTS:Simultaneous multisite LVA resulted in 35 anastomoses. Vein grafting was performed in 5 of 35 anastomoses with 100% technical success. All LVAs showed good intraoperative anastomosis patency. At 6 months postoperatively, LEL index was significantly lower than preoperative LEL index (251.0 ± 33.0 vs 271.0 ± 38.5, P < .001). CONCLUSION:In SM-LVA surgery, a vein can be harvested from another surgical field without additional invasiveness and is useful for bridging a lymphatic vessel and a distant vein.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Yamamoto T,Yoshimatsu H,Yamamoto N,Yokoyama A,Numahata T,Koshima Idoi
10.1177/1538574415614402subject
Has Abstractpub_date
2015-10-01 00:00:00pages
195-200issue
7eissn
1538-5744issn
1938-9116pii
1538574415614402journal_volume
49pub_type
杂志文章abstract::Prosthetic devices that come into contact with blood ultimately fail secondary to thrombus formation. This limits the utility of a variety of materials used to surgically treat cardiovascular disease, including vascular grafts and stents, as well as sensors and catheters placed within the circulatory system. Moreover,...
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