An Allergic Reaction in Contrast-enhanced Ultrasound Lymphography for Lymphovenous Bypass Surgery Article Swipe
Jess D. Rames
,
Nho V. Tran
,
Gina K. Hesley
,
Vahe Fahradyan
,
Christine U. Lee
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1097/gox.0000000000005908
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1097/gox.0000000000005908
Summary: Lymphedema following oncologic intervention can cause significant lifelong morbidity for patients in whom conservative management fails. The associated swelling, discomfort, pain, and recurrent cellulitis greatly diminish quality of life. Surgical procedures, including suction-assisted lipectomy, lymphovenous anastomosis (LVA), and vascularized lymph node transfers, show effectiveness in both volume reduction in affected extremities and symptom relief. However, the success of procedures like LVA is dependent on effective preoperative lymphatic mapping to identify suitable vessels for anastomosis. Traditional superficial lymphatic mapping uses near infrared fluorescence indocyanine green (ICG) imaging. Moreover, recent advances in contrast-enhanced ultrasound (CEUS) lymphography increased lymphovenous bypass target identification for LVA in the extremities. 7 CEUS lymphography uses microbubbles as a contrast-enhancing agent injected intradermally into the affected extremity with subsequent identification of superficial collecting lymphatic vessels using ultrasound. Although a recent report noted an uptick in severe and critical adverse drug reactions to an ultrasound contrast agent injected intravenously in stress echocardiography, adverse drug reactions associated with ultrasound contrast-enhancing agents in body ultrasound are rare. The safety profile and potential complications from CEUS lymphography in the lymphedema population have yet to be fully characterized. In this case report, the authors present the first cutaneous adverse drug event following a secondary exposure to the contrast used for CEUS imaging. Mechanisms and justifications for an immune-mediated process are explored, and a review of similar manifestations in other related contrast applications is discussed.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/gox.0000000000005908
- OA Status
- gold
- Cited By
- 4
- References
- 6
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399740654
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4399740654Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/gox.0000000000005908Digital Object Identifier
- Title
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An Allergic Reaction in Contrast-enhanced Ultrasound Lymphography for Lymphovenous Bypass SurgeryWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-06-01Full publication date if available
- Authors
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Jess D. Rames, Nho V. Tran, Gina K. Hesley, Vahe Fahradyan, Christine U. LeeList of authors in order
- Landing page
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https://doi.org/10.1097/gox.0000000000005908Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1097/gox.0000000000005908Direct OA link when available
- Concepts
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Medicine, Lymphedema, Lymphatic system, Radiology, Ultrasound, Indocyanine green, Anastomosis, Contrast-enhanced ultrasound, Adverse effect, Lymph node, Surgery, Pathology, Internal medicine, Cancer, Breast cancerTop concepts (fields/topics) attached by OpenAlex
- Cited by
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4Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4Per-year citation counts (last 5 years)
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6Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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