Document Detail


Segmental blood flow and hemodynamic state of lymphedematous and nonlymphedematous arms.
MedLine Citation:
PMID:  21417765     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Findings regarding the influence hemodynamic factors, such as increased arterial blood flow or venous abnormalities, on breast cancer treatment-related lymphedema are mixed. The purpose of this study was to compare segmental arterial blood flow, venous blood return, and blood volumes between breast cancer survivors with treatment-related lymphedema and healthy normal individuals without lymphedema.
METHODS AND RESULTS: A Tetrapolar High Resolution Impedance Monitor and Cardiotachometer were used to compare segmental arterial blood flow, venous blood return, and blood volumes between breast cancer survivors with treatment-related lymphedema and healthy normal volunteers. Average arterial blood flow in lymphedema-affected arms was higher than that in arms of healthy normal volunteers or in contralateral nonlymphedema affected arms. Time of venous outflow period of blood flow pulse was lower in lymphedema-affected arms than in healthy normal or lymphedema nonaffected arms. Amplitude of the venous component of blood flow pulse signal was lower in lymphedema-affected arms than in healthy or lymphedema nonaffected arms. Index of venular tone was also lower in lymphedema-affected arms than healthy or lymphedema nonaffected arms.
CONCLUSIONS: Both arterial and venous components may be altered in the lymphedema-affected arms when compared to healthy normal arms and contralateral arms in the breast cancer survivors.
Authors:
Leslie D Montgomery; Mary S Dietrich; Jane M Armer; B R Stewart; Sheila H Ridner
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Lymphatic research and biology     Volume:  9     ISSN:  1557-8585     ISO Abbreviation:  Lymphat Res Biol     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-22     Completed Date:  2011-08-11     Revised Date:  2012-03-01    
Medline Journal Info:
Nlm Unique ID:  101163587     Medline TA:  Lymphat Res Biol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-42     Citation Subset:  IM    
Affiliation:
LDM Associates, San Jose, California, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arm / blood supply*,  physiopathology*
Arteries / physiopathology
Breast Neoplasms / complications
Female
Hemodynamics*
Humans
Lymphedema / etiology,  physiopathology*
Middle Aged
Regional Blood Flow*
Veins / physiopathology
Grant Support
ID/Acronym/Agency:
1 R01 NR05342-01/NR/NINR NIH HHS; 1 R43 HL074524-01/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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