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May 1, 2011Plastic & Reconstructive Surgery

Characteristic Indocyanine Green Lymphography Findings in Lower Extremity Lymphedema: The Generation of a Novel Lymphedema Severity Staging System Using Dermal Backflow Patterns

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Authors

TYTakumi YamamotoNational Center for Global Health and MedicineMNMitsunaga NarushimaMie UniversityKDKentaro DoiToyohashi University of Technology

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Implication

Observational study reveals distinct dermal backflow patterns during indocyanine green lymphography in lower extremity lymphedema, indicating a reliable staging framework for surgical planning.

Key Points

  • To describe, analyze, and categorize indocyanine green lymphography findings in lower extremity lymphedema to establish an anatomical severity staging system for surgical planning.
  • Assessed 45 patients (78 limbs) presenting with lower extremity lymphedema using indocyanine green lymphography.
  • Recorded imaging across photographs and videos to classify lymphographic features against clinical severity defined by Campisi clinical lymphedema staging.
  • Identified two primary imaging categories: a linear lymphatic channel pattern in mild disease and a dermal backflow pattern with retrograde flow in more severe disease.
  • Characterized three distinct dermal backflow morphologies—splash, stardust, and diffuse—that correlated directly with increasing clinical severity to generate the dermal backflow staging system.

Cite This Study

Yamamoto et al. (2011) studied this question.

synapsesocial.com/papers/6a045b0c85f419498a2cdfeahttps://doi.org/10.1097/prs.0b013e31820cf5df
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Novel Lymphography Using Indocyanine Green Dye for Near-Infrared Fluorescence Labeling2007 · 160 citations
  2. 2Primary lower extremity lymphedema: CT diagnosis.1983 · 27 citations
  3. 3Ultrastructural Observations of Lymphatic Vessels in Lymphedema in Human Extremities1996 · 175 citations
  4. 4Microsurgical Techniques for Lymphedema Treatment: Derivative Lymphatic‐Venous Microsurgery2004 · 156 citations
  5. 5FURTHER EXPERIENCES WITH THE KONDOLÉON OPERATION FOR ELEPHANTIASIS1918 · 79 citations