title: Comparison of indocyanine green lymphographic findings with the conditions of collecting lymphatic vessels of limbs in patients with lymphedema.
abstract: BACKGROUND
  The authors investigated the relationship between findings from indocyanine green lymphography and the condition of lymphatics according to the Normal, Ectasis, Contraction, Sclerosis Type classifications observed in each area during surgery.
  
  
  METHODS
  The authors examined 43 limbs of 25 patients who had undergone lymphaticovenous anastomosis from April to July of 2012 at the Department of Plastic and Reconstructive Surgery, University of Tokyo Hospital. After the injection of indocyanine green, linear, splash, stardust, and diffuse patterns were determined. Visual findings of the collecting lymph vessels during the anastomosis at each incision site were evaluated using the Normal, Ectasis, Contraction, Sclerosis Type classifications.
  
  
  RESULTS
  Lymphaticovenous anastomosis was conducted on 164 collecting lymph vessels within 43 limbs of 25 people. Normal-type lymph vessels were observed in 36, ectasis type in 43, contraction type in 52, and sclerosis type in 33. Many normal vessels were found in the linear region, but the proportion of this type declined in the more severe stardust and diffuse regions. In contrast, no sclerosis-type vessels were found in the linear region, while the proportion of this type increased with lymphedema severity.
  
  
  CONCLUSIONS
  Indocyanine green lymphography findings and the Normal, Ectasis, Contraction, Sclerosis Type classification of collecting lymph vessels seem to have a relationship. An increase in the severity of lymphedema according to the indocyanine green lymphography findings indicated an increase in the stage of lymphedema according to the Normal, Ectasis, Contraction, Sclerosis Type classification.
  
  
  METHODS
  Diagnostic, IV.
authors.affiliation: Tokyo, Japan From the Department of Plastic and Reconstructive Surgery, University of Tokyo Hospital.
authors.forename: Hisako
authors.initials: H
authors.lastname: Hara
authors.forename: Makoto
authors.initials: M
authors.lastname: Mihara
authors.forename: Yukio
authors.initials: Y
authors.lastname: Seki
authors.forename: Takeshi
authors.initials: T
authors.lastname: Todokoro
authors.forename: Takuya
authors.initials: T
authors.lastname: Iida
authors.forename: Isao
authors.initials: I
authors.lastname: Koshima
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D001132:Arm / Q000000981:diagnostic imaging / Q000601:surgery; D004396:Coloring Agents; D005260:Female; D006801:Humans; D007208:Indocyanine Green; D007866:Leg / Q000000981:diagnostic imaging / Q000601:surgery; D042601:Lymphatic Vessels / Q000000981:diagnostic imaging* / Q000601:surgery*; D008209:Lymphedema / Q000000981:diagnostic imaging* / Q000601:surgery*; D008220:Lymphography / Q000379:methods*; D008297:Male; D008875:Middle Aged
chemical_list: D004396:Coloring Agents; D007208:Indocyanine Green