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Title: Relationship between perimetric increase and fluoroscopic pattern type in secondary upper limb lymphedema observed by Indocyanine green lymphography
Authors: Medina Rodríguez, María Elena 
de-la-Casa-Almeida, María
Mena-Rodríguez, Antonio
González-Martín, Jesús María
Medrano-Sánchez, Esther Mª
UNESCO Clasification: 32 Ciencias médicas
Keywords: Indocyanine green
Lymphatic vessels
Issue Date: 2020
Journal: Medicine 
Abstract: To ascertain the relationship between the perimetric differences obtained between the limbs and the type of fluoroscopic pattern observed by Indocyanine green (ICG) lymphography in patients with upper limb lymphedema.A correlational descriptive study was carried out in 19 patients with upper limb lymphedema secondary to breast cancer. The perimetric increase was recorded in 11 anatomical regions after ICG injection, fluoroscopic patterns were identified using an infrared camera. The ICG patterns were categorized into worse (stardust, diffuse) or better (linear, splash) patterns.The pattern coincidence between the anterior and posterior regions of the edematous extremities was 45%. At the wrist level, a difference of 2 cm was associated with the presence of a worse fluoroscopic pattern, whereas perimeter differences of 4.25 cm in the elbow and 2.25 cm in the arm (12 cm from the epicondyle) were associated with the presence of a better fluoroscopic pattern.The perimetric differences observed between the healthy and affected upper limbs in 4 specific anatomical areas allowed us to predict the type of fluoroscopic pattern. ICG lymphography has facilitated the study of the posterior regions of edema, which are difficult to visualize using other imaging techniques.
ISSN: 1536-5964
DOI: 10.1097/MD.0000000000020432
Source: Medicine [EISSN 1536-5964], v. 99 (24), (Junio 2020)
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