A comparison of conservative therapy and early selective ligation in the treatment of lymphatic complications following vascular procedures

Schwartz, Mark A.; Schanzer, Harry; Skladany, Milan; Haimov, M; Stein, Jeffrey S.

doi:10.1016/s0002-9610(99)80287-6

Cited by 56 publications

(43 citation statements)

References 7 publications

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“…Tyndall et al [28] fanden nach operativer Sanierung eine Verkürzung der Wundheilungszeit auf durchschnittlich neun Tage. Schwartz et al [23] beschrieben nur ein Rezidiv bei zehn operierten Patienten. Die Lymphleckagestelle wird intraoperativ aufgesucht und ligiert.…”

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Strahlentherapie von Lymphfisteln und Lymphozelen

Neu

Haase

et al. 2000

Strahlenther Onkol

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Strahlentherapie von Lymphfisteln und Lymphozelen

Neu

Haase

et al. 2000

Strahlenther Onkol

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“…To date, lymphoscintigraphy and intra-operative blue dye staining have been used to describe the lymphatic anatomy in patients suffering from lymphocutaneous fistulas [7][8][9][10]. Jackson et al [7] presented a patient in whom a lymphatic wound discharge was observed post-operatively after renal transplantation.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, owing to the minimal invasiveness and lack of radiation, a diagnostic MRL follow-up can be performed routinely without risk for the patient. Regarding the method of blue dye staining, a study including four patients with lymphocutaneous fistulas following vascular procedures has been presented by Schwartz et al [9]. These patients received a dye-assisted ligation, which showed a clear and precise identification of the transected lymphatic vessels.…”

Section: Lohrmann E Foeldi and M Langermentioning

confidence: 99%

“…A variety of treatment options has been described in the medical literature for lymphocutaneous fistulas, including leg elevation, continuous local pressure, negative pressure dressing therapy, radiotherapy and surgical therapy, including microsurgical and debulking procedures [4,[16][17][18][19]. On the basis of the MRL findings, two patients in the presented series were treated with surgical procedures.…”

Section: Lohrmann E Foeldi and M Langermentioning

confidence: 99%

“…Because the exact delineation and extent of the lymphocutaneous fistulas with adjacent lymphatic pathologies are important prognostic factors, performing a radiological evaluation with a high resolution is crucial for the patient's optimal therapeutic planning, which is used to describe the lymphatic anatomy in patients suffering from lymphocutaneous fistulas [7][8][9][10]. Magnetic resonance lymphangiography (MRL) with intracutaneous injection of an extracelllular paramagnetic contrast agent is an innovative diagnostic imaging method for the evaluation of the lymphatic system.…”

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confidence: 99%

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Lymphocutaneous fistulas: pre-therapeutic evaluation by magnetic resonance lymphangiography

Lohrmann

Foeldi²,

Langer³

2011

BJR

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Objective: Lymphocutaneous fistulas with intractable lymphatic leakage represent a serious clinical condition leading to a severe impairment of quality of life for the affected patients. To date, no adequate diagnostic imaging modality is in existence to allow selection of the correct treatment option. The aim of this study was to perform a pre-therapeutic evaluation of the lymphatic system in patients with lymphocutaneous fistulas by magnetic resonance lymphangiography (MRL). Methods: Eight lower extremities in four patients with lymphocutaneous fistulas were examined by MRL. Three locations were examined: first, the lower leg and foot regions; second, the upper leg and the knee region; and third, the pelvic and retroperitoneal regions. A T 1 weighted three-dimensional (3D) spoiled gradient echo and a heavily T 2 weighted 3D turbo spin echo (3D-TSE) sequence were utilised to undertake MRL. Results: In all four patients (100%), the clinically suspected lymphocutaneous fistulas (groin and forefoot) were exactly delineated by MRL. In two patients (50%) adjacent diffuse lymphangiomatous changes were detected, extending into the upper leg, pelvis, retroperitoneum, abdomen and abdominal walls. In one patient (25%) with primary lymphoedema of the right lower extremity, MRL revealed an aplasia of the lymphatic collectors at the levels of the lower and upper leg. All patients (100%) suffered from an ipsilateral lymphoedema of the lower extremity, whereby in two patients with diffuse lymphangiomatosis the lymphatic vessels were consecutively enlarged up to a diameter of 6 mm. Conclusion: MRL is a safe and accurate imaging modality for a comprehensive evaluation of the lymphatic system in patients suffering from lymphocutaneous fistulas.

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Complications and Secondary Procedures after Elective Endovascular Aortic Aneurysm Repair

Sideman

Taubman

2009

Aortic Aneurysms

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A comparison of conservative therapy and early selective ligation in the treatment of lymphatic complications following vascular procedures

Cited by 56 publications

References 7 publications

Strahlentherapie von Lymphfisteln und Lymphozelen

Strahlentherapie von Lymphfisteln und Lymphozelen

Lymphocutaneous fistulas: pre-therapeutic evaluation by magnetic resonance lymphangiography

Complications and Secondary Procedures after Elective Endovascular Aortic Aneurysm Repair

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