Split Intravascular Stents for Side-to-End Lymphaticovenular Anastomosis
- 1 November 2013
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Plastic Surgery
- Vol. 71 (5), 538-540
- https://doi.org/10.1097/sap.0b013e318250f0a0
Abstract
Supermicrosurgical lymphaticovenular anastomosis (LVA) is becoming the treatment of choice for compression-refractory lymphedema. Among various types of LVA, side-to-end (S-E) LVA is considered to be the most efficient one, because it can divert bidirectional lymph flows into venous circulation via 1 anastomosis, but is technically difficult. We developed a new technique for safe and easy S-E LVA with modified intravascular stenting (IVaS) method. Different from the original IVaS method, a lymphatic vessel is pierced by an IVaS before creation of a lateral window. The IVaS is cut after window creation and the ends are inserted into the lymphatic vessel and the venule respectively, guiding the course of the needle throughout the S-E anastomosis procedure. This method makes S-E LVA easier without special instruments.Keywords
This publication has 12 references indexed in Scilit:
- Lower Extremity Lymphedema IndexAnnals of Plastic Surgery, 2011
- The Earliest Finding of Indocyanine Green Lymphography in Asymptomatic Limbs of Lower Extremity Lymphedema Patients Secondary to Cancer TreatmentPlastic and Reconstructive Surgery, 2011
- Indocyanine Green–Enhanced Lymphography for Upper Extremity LymphedemaPlastic and Reconstructive Surgery, 2011
- Lambda-Shaped Anastomosis with Intravascular Stenting Method for Safe and Effective Lymphaticovenular AnastomosisPlastic and Reconstructive Surgery, 2011
- Characteristic Indocyanine Green Lymphography Findings in Lower Extremity Lymphedema: The Generation of a Novel Lymphedema Severity Staging System Using Dermal Backflow PatternsPlastic and Reconstructive Surgery, 2011
- Lymphaticovenular Bypass for Lymphedema Management in Breast Cancer Patients: A Prospective StudyPlastic and Reconstructive Surgery, 2010
- Types of lymphoscintigraphy and indications for lymphaticovenous anastomosisMicrosurgery, 2010
- The Intravascular Stenting Method for Treatment of Extremity Lymphedema with Multiconfiguration Lymphaticovenous AnastomosesPlastic and Reconstructive Surgery, 2010
- Intravascular Stenting (IVaS) for Safe and Precise SupermicrosurgeryAnnals of Plastic Surgery, 2008
- Supermicrosurgical Lymphaticovenular Anastomosis for the Treatment of Lymphedema in the Upper ExtremitiesJournal of Reconstructive Microsurgery, 2000