Diagnosis and Management of Lymphatic Vascular Disease

Diagnosis and Management of Lymphatic Vascular Disease Stanley G. Rockson In health, the lymphatic vasculature possesses the requisite transport capacity to accommodate the fluid load placed upon it. The most readily recognizable attribute of lymphatic vascular incompetence is the presence of lymphe...

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Veröffentlicht in:Journal of the American College of Cardiology 2008-09, Vol.52 (10), p.799-806
1. Verfasser: Rockson, Stanley G., MD
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creator Rockson, Stanley G., MD
description Diagnosis and Management of Lymphatic Vascular Disease Stanley G. Rockson In health, the lymphatic vasculature possesses the requisite transport capacity to accommodate the fluid load placed upon it. The most readily recognizable attribute of lymphatic vascular incompetence is the presence of lymphedema, which arises as a consequence of insufficient lymph transport. The diagnosis of lymphatic disease relies heavily upon the physical examination. The state-of-the-art therapeutic approach to lymphedema relies upon physiotherapeutic techniques. The application of pharmacological therapies has been notably absent from the management strategies for lymphatic vascular insufficiency states. In the future, specifically engineered molecular therapeutics may facilitate the controlled regrowth of damaged, dysfunctional, or obliterated lymphatic vasculature.
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Rockson In health, the lymphatic vasculature possesses the requisite transport capacity to accommodate the fluid load placed upon it. The most readily recognizable attribute of lymphatic vascular incompetence is the presence of lymphedema, which arises as a consequence of insufficient lymph transport. The diagnosis of lymphatic disease relies heavily upon the physical examination. The state-of-the-art therapeutic approach to lymphedema relies upon physiotherapeutic techniques. The application of pharmacological therapies has been notably absent from the management strategies for lymphatic vascular insufficiency states. In the future, specifically engineered molecular therapeutics may facilitate the controlled regrowth of damaged, dysfunctional, or obliterated lymphatic vasculature.</description><subject>Biological and medical sciences</subject><subject>Breast cancer</subject><subject>Cancer therapies</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular</subject><subject>Cardiovascular Diseases - diagnosis</subject><subject>Cardiovascular Diseases - drug therapy</subject><subject>Cardiovascular Diseases - metabolism</subject><subject>Cardiovascular Diseases - therapy</subject><subject>edema</subject><subject>Fluids</subject><subject>Gene therapy</subject><subject>Homeostasis</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Internal Medicine</subject><subject>Ligands</subject><subject>Lymphangiogenesis</subject><subject>lymphatic</subject><subject>Lymphatic Diseases - diagnosis</subject><subject>Lymphatic Diseases - drug therapy</subject><subject>Lymphatic Diseases - metabolism</subject><subject>Lymphatic Diseases - therapy</subject><subject>Lymphatic system</subject><subject>lymphatic vascular disease</subject><subject>lymphedema</subject><subject>Lymphedema - diagnosis</subject><subject>Lymphedema - therapy</subject><subject>Medical sciences</subject><subject>Pain</subject><subject>Physical Therapy Modalities</subject><subject>Proteins</subject><subject>Receptors, Vascular Endothelial Growth Factor - metabolism</subject><subject>Rodents</subject><subject>Vascular endothelial growth factor</subject><subject>Vascular Endothelial Growth Factor A - metabolism</subject><subject>vascular insufficiency</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksuL1EAQhxtR3NnVf8CDBMS9JVZ30o-ACLLrC0Y8-Lg2lU5l7ZhJZrsTYf57O8zgwh70VJfvV4-PYuwZh4IDV6_6okfnCgFgClAFgHzANlxKk5ey1g_ZBnQpcw61PmPnMfYAoAyvH7MzbrSUZcU3TF17vBmn6GOGY5t9xhFvaEfjnE1dtj3s9j9x9i77gdEtA4bs2kfCSE_Yow6HSE9P9YJ9f__u29XHfPvlw6ert9vcSa3nXNVdw0sUSnal4NygdiQEyaZqoEPNW1WjxppQVa422JBWvOGNdMK4qq5UecEuj333YbpdKM5256OjYcCRpiVaVVemqvn_QQFClSBNAl_cA_tpCWM6wnJVyeTVKJEocaRcmGIM1Nl98DsMB8vBrvJtb1f5dpVvQdkkP4Wen1ovzY7au8jJdgJenoCkE4cu4Oh8_MsJSJOV0ol7feQoqf3tKdjoPI2OWh_Izbad_L_3eHMv7gY_-jTxFx0o3t1ro7Bgv65vsn4JGBAcgJd_AHt-tJo</recordid><startdate>20080902</startdate><enddate>20080902</enddate><creator>Rockson, Stanley G., MD</creator><general>Elsevier Inc</general><general>Elsevier Science</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20080902</creationdate><title>Diagnosis and Management of Lymphatic Vascular Disease</title><author>Rockson, Stanley G., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c577t-69fb13a265f32118a7ce22e5b4b0fa71d69a7a9ea64c98abe761b1b5c28c49463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Biological and medical sciences</topic><topic>Breast cancer</topic><topic>Cancer therapies</topic><topic>Cardiology</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular</topic><topic>Cardiovascular Diseases - diagnosis</topic><topic>Cardiovascular Diseases - drug therapy</topic><topic>Cardiovascular Diseases - metabolism</topic><topic>Cardiovascular Diseases - therapy</topic><topic>edema</topic><topic>Fluids</topic><topic>Gene therapy</topic><topic>Homeostasis</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Internal Medicine</topic><topic>Ligands</topic><topic>Lymphangiogenesis</topic><topic>lymphatic</topic><topic>Lymphatic Diseases - diagnosis</topic><topic>Lymphatic Diseases - drug therapy</topic><topic>Lymphatic Diseases - metabolism</topic><topic>Lymphatic Diseases - therapy</topic><topic>Lymphatic system</topic><topic>lymphatic vascular disease</topic><topic>lymphedema</topic><topic>Lymphedema - diagnosis</topic><topic>Lymphedema - therapy</topic><topic>Medical sciences</topic><topic>Pain</topic><topic>Physical Therapy Modalities</topic><topic>Proteins</topic><topic>Receptors, Vascular Endothelial Growth Factor - metabolism</topic><topic>Rodents</topic><topic>Vascular endothelial growth factor</topic><topic>Vascular Endothelial Growth Factor A - metabolism</topic><topic>vascular insufficiency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rockson, Stanley G., MD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rockson, Stanley G., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis and Management of Lymphatic Vascular Disease</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2008-09-02</date><risdate>2008</risdate><volume>52</volume><issue>10</issue><spage>799</spage><epage>806</epage><pages>799-806</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>Diagnosis and Management of Lymphatic Vascular Disease Stanley G. Rockson In health, the lymphatic vasculature possesses the requisite transport capacity to accommodate the fluid load placed upon it. The most readily recognizable attribute of lymphatic vascular incompetence is the presence of lymphedema, which arises as a consequence of insufficient lymph transport. The diagnosis of lymphatic disease relies heavily upon the physical examination. The state-of-the-art therapeutic approach to lymphedema relies upon physiotherapeutic techniques. The application of pharmacological therapies has been notably absent from the management strategies for lymphatic vascular insufficiency states. In the future, specifically engineered molecular therapeutics may facilitate the controlled regrowth of damaged, dysfunctional, or obliterated lymphatic vasculature.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18755341</pmid><doi>10.1016/j.jacc.2008.06.005</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; ScienceDirect Journals (5 years ago - present); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Biological and medical sciences
Breast cancer
Cancer therapies
Cardiology
Cardiology. Vascular system
Cardiovascular
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - drug therapy
Cardiovascular Diseases - metabolism
Cardiovascular Diseases - therapy
edema
Fluids
Gene therapy
Homeostasis
Humans
Hypertension
Internal Medicine
Ligands
Lymphangiogenesis
lymphatic
Lymphatic Diseases - diagnosis
Lymphatic Diseases - drug therapy
Lymphatic Diseases - metabolism
Lymphatic Diseases - therapy
Lymphatic system
lymphatic vascular disease
lymphedema
Lymphedema - diagnosis
Lymphedema - therapy
Medical sciences
Pain
Physical Therapy Modalities
Proteins
Receptors, Vascular Endothelial Growth Factor - metabolism
Rodents
Vascular endothelial growth factor
Vascular Endothelial Growth Factor A - metabolism
vascular insufficiency
title Diagnosis and Management of Lymphatic Vascular Disease
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