Abstract
Since indocyanine green (ICG) fluorescence lymphography was introduced in 2007, lymphatic venous anastomosis has been widely adopted for the treatment of chronic lymphedema. However, the results and other features remain unclear. In this chapter, I demonstrate the primary outcomes of ICG fluorescence lymphography to evaluate the patency of lymphatic venous anastomosis (LVA), particularly lymphaticovenous side-to-end anastomosis (LVSEA), peri- and postoperatively. The cumulative patency rate of LVSEA decreased over time, but I observed long-term patency (>5 years after surgery) and good clinical results in microsurgical treatment of peripheral lymphedema. Through this study, I recognized the usefulness, importance, and limitations of ICG fluorescence lymphography to evaluate superficial lymph flow and patency of LVSEA in patients with peripheral lymphedema.
Keywords
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
O’Brien BM, Sykes P, Threlfall GN, Browning FS (1977) Microlymphaticovenous anastomoses for obstructive lymphedema. Plast Reconstr Surg 60:197–211
Huang GK, Hu RQ, Liu ZZ, Shen YL, Lan TD, Pan GP (1985) Microlymphaticovenous anastomosis in the treatment of lower limb obstructive lymphedema: analysis of 91 cases. Plast Reconstr Surg 76:671–685
Campisi C, Boccardo F, Zilli A, Macciò A, Napoli F (2001) Long-term results after lymphatic-venous anastomoses for the treatment of obstructive lymphedema. Microsurgery 21:135–139
Koshima I, Nanba Y, Tsutsui T, Takahashi Y, Itoh S (2003) Long-term follow-up after lymphaticovenular anastomosis for lymphedema in the leg. J Reconstr Microsurg 19:209–215
O’Brien BM, Mellow CG, Khazanchi RK, Dvir E, Kumar V, Pederson WC (1990) Long-term results after microlymphaticovenous anastomoses for the treatment of obstructive lymphedema. Plast Reconstr Surg 85:562–572
Maegawa J, Mikami T, Yamamoto Y, Satake T, Kobayashi S (2010) Types of lymphoscintigraphy and indications for lymphaticovenous anastomosis. Microsurgery 30:437–442
Maegawa J, Hosono M, Tomoeda H, Tosaki A, Kobayashi S, Iwai T (2012) Net effect of lymphaticovenous anastomosis on volume reduction of peripheral lymphoedema after complex decongestive physiotherapy. Eur J Vasc Endovasc Surg 43:602–608
Maegawa J, Yabuki Y, Tomoeda H, Hosono M, Yasumura K (2012) Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema. J Vasc Surg 55:753–760
Ogata F, Narushima M, Mihara M, Azuma R, Morimoto Y, Koshima I (2007) Intraoperative lymphography using indocyanine green dye for near- infrared fluorescence labeling in lymphedema. Ann Plast Surg 59:180–184
Unno N, Inuzuka K, Suzuki M, Yamamoto N, Sagara D, Nishiyama M et al (2007) Preliminary experience with a novel fluorescence lymphography using indocyanine green in patients with secondary lymphedema. J Vasc Surg 45:1016–1021
Szuba A, Strauss W, Sirsikar SP, Rockson SG (2002) Quantitative radionuclide lymphoscintigraphy predicts outcome of manual lymphatic therapy in breast cancer-related lymphedema of the upper extremity. Nucl Med Commun 23:1171–1175
Pecking AP, Albérini JL, Wartski M, Edeline V, Cluzan RV (2008) Relationship between lymphoscintigraphy and clinical findings in lower limb lymphedema (LO): toward a comprehensive staging. Lymphology 41:1–10
Vaqueiro M, Gloviczki P, Fisher J, Hollier LH, Schirger A, Wahner HW (1986) Lymphoscintigraphy in lymphedema: an aid to microsurgery. J Nucl Med 27:1125–1130
Mikami T, Hosono M, Yabuki Y, Yamamoto Y, Yasumura K, Sawada H et al (2011) Classification of lymphoscintigraphy and relevance to surgical indication for lymphaticovenous anastomosis in upper limb lymphedema. Lymphology 44:155–167
Yamamoto T, Narushima M, Doi K, Oshima A, Ogata F, Mihara M et al (2011) Characteristic indocyanine green lymphography findings in lower extremity lymphedema: the generation of a novel lymphedema severity staging system using dermal backflow patterns. Plast Reconstr Surg 127:1979–1986
Shaper NJ, Rutt DR, Browse NL (1992) Use of Teflon stents for lymphovenous anastomosis. Br J Surg 79:633–636
Narushima M, Mihara M, Yamamoto Y, Iida T, Koshima I, Mundinger GS (2010) The intravascular stenting method for treatment of extremity lymphedema with multiconfiguration lymphaticovenous anastomoses. Plast Reconstr Surg 125:935–943
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer Japan
About this chapter
Cite this chapter
Maegawa, J. (2016). ICG Fluorescence Lymphography for Confirming Mid- to Long-term Patency of Lymphatic Venous Side-to-End Anastomosis in the Treatment of Peripheral Lymphedema. In: Kusano, M., Kokudo, N., Toi, M., Kaibori, M. (eds) ICG Fluorescence Imaging and Navigation Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55528-5_43
Download citation
DOI: https://doi.org/10.1007/978-4-431-55528-5_43
Published:
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-55527-8
Online ISBN: 978-4-431-55528-5
eBook Packages: MedicineMedicine (R0)