Advertisement

Lymphedema pp 191-197 | Cite as

Fluorescent Microlymphangiography

  • Claudio Allegra
  • Michelangelo Bartolo
  • Anita Carlizza
Chapter

Abstract

Like the blood capillaries, the lymphatic microvessels are formed by a thin layer of endothelial cells resting on a delicate basal membrane. This structure, particularly at the initial segment, is widely fenestrated. The cells are anchored to filaments which, as interstitial pressure increases, are believed to open the fenestrations and allow the lymph to enter the lymphatic microvessel.

Keywords

Lymphatic Vessel Lymphatic System Pulsate Flow Lymphatic Flow Granular Flow 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Bollinger A, Fagrell B. Clinical Capillaroscopy. Toronto: Hogrefe & Huber Publishers; 1990.Google Scholar
  2. 2.
    Pratesi F. Sistema microvasculotessutale:morfologia funzionale. In: Microcircolazione e Microangiologia. Torino: Ed.Min. Med; 1990:17-30.Google Scholar
  3. 3.
    Allegra C, Carlizza A. Oedema in chronic venous insufficiency: physiopathology and investigation. Phlebology. 2000;15:122-125.CrossRefGoogle Scholar
  4. 4.
    Allegra C. Endotelio Come Organo. Milano: Pragma Ed.; 1991.Google Scholar
  5. 5.
    Allegra C, Carioti B. Diffusione endoteliale capillare in vivo. Minerva Angiol. 1993;18(1 suppl 1):245-251.Google Scholar
  6. 6.
    Allegra C, Carlizza A. Rheopletysmography and laser-Doppler velocimetry in the study of microcirculatory flow variability. In: Allegra C, Intaglietta M, Messmer K, eds. Vasomotion and Flowmotion. Progress in Applied Microcirculation, vol. 20. Basel: Karger; 1991.Google Scholar
  7. 7.
    Allegra C. Appunti di Flebologia. Arti Grafiche Istaco Ed.1991;15-19.Google Scholar
  8. 8.
    Allegra C, Carlizza A. Constitutional functional venopathy. Adv. Vasc Pathol. Int Congress Series 1150. 1997:123-129.Google Scholar
  9. 9.
    Spiegel M, Vesti B, Shore A, Franzeck UK, Bollinger A. Pressure of lymphatic capillaries in human skin. Am J Physiol. 1992;262:H1208-H1210.PubMedGoogle Scholar
  10. 10.
    Speicer DE, Bollinger A. Microangiopathy in mild chronic venous incompetence: morphological alterations and increased transcapillary diffusion detected by fluorescence videomicroscopy. Int J Microcirc Clin Exp. 1991;10:55-66.Google Scholar
  11. 11.
    Allegra C. The role of the microcirculation in venous ulcers. Phlebolymphology. 1994;2:3.Google Scholar
  12. 12.
    Husmann MJ, Barton M, Vesti BR, Franzeck UK. Postural effects on interstitial fluid pressure in humans. J Vasc Res. 2006;43(4):321-326.PubMedCrossRefGoogle Scholar
  13. 13.
    Agus GB, Allegra C. Guidelines for diagnosis and therapy of diseases of the veins and lymphatic vessels. Int Ang. 2001;2(suppl. 2):53-64.Google Scholar
  14. 14.
    Gretener SB, Lauchli S, Franzeck UK. Effect of venous and lymphatic congestion on lymph capillary pressure of the skin in healthy volunteers and patients with lymphedema. J Vasc Res. 2000;37(1):61-67.PubMedCrossRefGoogle Scholar
  15. 15.
    Guyton AC. Interstitial fluid pressure. Physiol Rev. 1971;51:527-532.PubMedGoogle Scholar
  16. 16.
    Bartolo M Jr, Allegra C. Image: can we see lymphatics? Int J Microcirc Clin Exp. 1994;14(suppl 1):191.Google Scholar
  17. 17.
    Allegra C. Microcirculatory techniques and assessment of chronic venous insufficiency. Medicographia. 1996;18:30.Google Scholar
  18. 18.
    Lauchli S, Haldimann L, Leu AJ, Franzeck UK. Fluorescence microlymphography of the upper extremities. Evaluation with a new computer programme. Int Angiol. 1999;18(2):145-148.PubMedGoogle Scholar
  19. 19.
    Bartolo M Jr, Carioti B, Cassiani D, Allegra C. Lymphatic capillary pressure in human skin of patients with chronic venous insufficiency. Int J Microcirc Clin Exp. 1994;14(suppl 1):191.Google Scholar
  20. 20.
    Allegra C, Bartolo M Jr. Haemodynamic modifications induced by elastic compression therapy in CVI evaluated. by microlymphography. Phlebology ’95. 1995;1:9-17.Google Scholar
  21. 21.
    Fischer M, Costanzo U, Hoffmann U, Bollinger A, Franzeck UK. Flow velocity of cutaneous lymphatic capillaries in patients with primary lymphedema. Int J Microcirc Clin Exp. 1997;17(3):143-149.PubMedCrossRefGoogle Scholar
  22. 22.
    Allegra C. Lymphatics of the skin in primary lymphoedemas. Int J Microcirc Clin Exp. 1996;16(suppl 1):114.Google Scholar
  23. 23.
    Allegra C, Bartolo M Jr, Sarcinella R. Morphologic and functional changes of the microlymphatic network in patients with advanced stages of primary lymphedema. Lymphology. 2002;35:114-120.PubMedGoogle Scholar
  24. 24.
    Wunderlich P, Scherman J. Continuous recording of hydrostatic pressure in renal tubules and blood capillaries by use of a new pressure transducer. Pflugers Arch. 1969;313:89-94.PubMedCrossRefGoogle Scholar
  25. 25.
    Intaglietta M. Pressure measurements in the microcirculation with active and passive transducers. Microvasc Res. 1973;5:317-323.PubMedCrossRefGoogle Scholar
  26. 26.
    Intaglietta M, Tompkins WR. Simplified micropressure measurements via bridge current feedback. Microvasc Res. 1990;39:386-389.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Claudio Allegra
    • 1
  • Michelangelo Bartolo
  • Anita Carlizza
  1. 1.Angiology DepartmentSan Giovanni HospitalRomeItaly

Personalised recommendations