{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T20:50:12Z","timestamp":1765486212645},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T00:00:00Z","timestamp":1648944000000},"content-version":"vor","delay-in-days":1433,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2018,5,15]],"date-time":"2018-05-15T00:00:00Z","timestamp":1526342400000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:p>Chronic lymphedema is caused by an impairment of the lymphatic system due to primary or secondary causes. Vascularized lymph node transplantation (VLNT) is currently the most promising and frequently used technique besides lymphaticovenous anastomosis. However, the vessel anatomy in the lateral thoracic region is sometimes quite variable. Based on our experiences with vascular anatomical inconstancy in the lateral thoracic region, we planned a lateral intercostal artery perforator flap for VLNT in a female patient with chronic stage II lymphedema of both legs after cervical cancer treatment. After surgery, the patient reported significant improvement in limb volume and the accompanying symptoms. The limb circumference was reduced by an average of 19.2% at 6 months postoperatively. Despite having a short pedicle and small vessel caliber, the lateral intercostal artery perforator flap can safely be used for VLNT in lymphedema patients with anatomical variants.<\/jats:p>","DOI":"10.5999\/aps.2017.01354","type":"journal-article","created":{"date-parts":[[2018,5,17]],"date-time":"2018-05-17T08:17:28Z","timestamp":1526545048000},"page":"275-279","update-policy":"http:\/\/dx.doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation"],"prefix":"10.1055","volume":"45","author":[{"given":"Min-Seok Daniel","family":"Kwak","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans-Guenther","family":"Machens","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,4,3]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/01.sla.0000201258.10304.16","article-title":"Postmastectomy lymphedema: long-term results following microsurgical lymph node transplantation","volume":"243","author":"C Becker","year":"2006","journal-title":"Ann Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1016\/j.ejvs.2012.11.026","article-title":"Complications of autologous lymph-node transplantation for limb lymphoedema","volume":"45","author":"S Vignes","year":"2013","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1002\/jso.24351","article-title":"The use of supraclavicular free flap with vascularized lymph node transfer for treatment of lymphedema: a prospective study of 100 consecutive cases","volume":"115","author":"AA Mardonado","year":"2017","journal-title":"J Surg Oncol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1002\/jso.24379","article-title":"Long-term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema","volume":"115","author":"AT Nguyen","year":"2017","journal-title":"J Surg Oncol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1097\/SAP.0000000000000582","article-title":"Hilar vessels of the submandibular and upper jugular neck lymph nodes: anatomical study for vascularized lymph node transfer to extremity lymphedema","volume":"76","author":"PW Tan","year":"2016","journal-title":"Ann Plast Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1002\/jso.24350","article-title":"Platysma-sparing vascularized submental lymph node flap transfer for extremity lymphedema","volume":"115","author":"I Poccia","year":"2017","journal-title":"J Surg Oncol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1002\/jso.24170","article-title":"Lymphedema surgery: patient selection and an overview of surgical techniques","volume":"113","author":"RJ Allen Jr","year":"2016","journal-title":"J Surg Oncol"},{"key":"ref9","first-page":"28","article-title":"Autologous lymph node transfers","volume":"32","author":"C Becker","year":"2016","journal-title":"J Reconstr Microsurg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1055\/s-2006-947150","article-title":"Supermicrosurgical lymphaticovenular anastomosis for the treatment of lymphedema in the upper extremities","volume":"16","author":"I Koshima","year":"2000","journal-title":"J Reconstr Microsurg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1055\/s-0035-1544182","article-title":"Combined surgical treatment in breast cancer-related lymphedema","volume":"32","author":"J Masia","year":"2016","journal-title":"J Reconstr Microsurg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1097\/SAP.0b013e3182610b2f","article-title":"Use of lateral intercostal artery perforator free flaps for resurfacing lower extremities","volume":"71","author":"KT Hwang","year":"2013","journal-title":"Ann Plast Surg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/SAP.0b013e3182115126","article-title":"Lateral intercostal artery perforator-based reversed thoracodorsal artery flap for reconstruction of a chronic radiation ulcer of the lower back wall","volume":"67","author":"M Narushima","year":"2011","journal-title":"Ann Plast Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1016\/j.bjps.2014.01.001","article-title":"Supermicrosurgical free sensate intercostal artery perforator flap based on the lateral cutaneous branch for plantar reconstruction","volume":"67","author":"T Iida","year":"2014","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"S184","DOI":"10.1097\/SAP.0000000000000752","article-title":"Lateral intercostal artery perforator flap in breast reconstruction: a simplified pedicle permits an expanded role","volume":"76 Suppl 3","author":"CS Hakakian","year":"2016","journal-title":"Ann Plast Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-aps.org\/upload\/pdf\/aps-2017-01354.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-aps.org\/journal\/view.php?doi=10.5999\/aps.2017.01354","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2017.01354.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T06:53:06Z","timestamp":1717743186000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2017.01354"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5]]},"references-count":14,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,4,3]]},"published-print":{"date-parts":[[2018,5]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2017.01354","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5]]},"assertion":[{"value":"2017-08-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-15","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}