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Artículo
Changes in Indocyanine Green Lymphography Patterns after Physical Treatment in Secondary Upper Limb Lymphedema
Autor/es | Medina Rodríguez, María Elena
Casa Almeida, María de la González Martín, Jesús Hermida Anllo, María Medrano Sánchez, Esther Mª |
Departamento | Universidad de Sevilla. Departamento de Fisioterapia |
Fecha de publicación | 2020 |
Fecha de depósito | 2020-08-24 |
Publicado en |
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Resumen | Indocyanine green (ICG) lymphography is used to evaluate the lymphatic function before
and after pneumatic compression or post-manual lymphatic drainage. The aim of this study was
to ascertain the changes in the fluoroscopic ... Indocyanine green (ICG) lymphography is used to evaluate the lymphatic function before and after pneumatic compression or post-manual lymphatic drainage. The aim of this study was to ascertain the changes in the fluoroscopic pattern produced by the provision of complex physical therapy. This prospective analytic (pretest-posttest) study was conducted in 19 patients with upper lymphedema secondary to breast cancer. Nine patients were excluded due to ICG found after 3 weeks. The ICG patterns were analyzed under basal conditions and after three weeks of treatment. After the treatment, 45% of the patients presented tracer remains in the affected limb, and this finding was significantly related to time of the lymphedema development. In one subject, the patterns remain unchanged or cannot be defined. Three of the ten patients observed present the worsening of at least 1 of the patterns and in the rest of the subjects, six cases, the improvement of the patterns is observed. In 60% of the cases, the most severe pattern reversed towards slight (splash) cases, and moderate cases reversed towards a slight case in 70% of cases. Therefore, after treatment with complex physical therapy, the pathological patterns observed in the pretest, which evolved positively, reverted their severity toward milder disease patterns or towards normality |
Cita | Medina Rodríguez, M.E., Casa Almeida, M.d.l., González Martín, J., Hermida Anllo, M. y Medrano Sánchez, E.M. (2020). Changes in Indocyanine Green Lymphography Patterns after Physical Treatment in Secondary Upper Limb Lymphedema. Journal of Clinical Medicine, 9 (306), 1-15. |
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