通过开创性的植入物治疗乳腺癌相关淋巴水肿,促进女性健康。

IF 5.9 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
L. Mazzolai , V. Triacca , M.J. Brochu-Vez , V. Boucard , M. Aberle , V. Chaplet , V. Ferrari , S. Déglise , M. Pisano , S. Staubli
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引用次数: 0

摘要

淋巴水肿(LE)是全球公认的高患病率慢性致残性疾病。目前,LE没有治愈的治疗方法,管理选择主要局限于保守方法。为了解决这一未满足的需求,我们开发了一种创新的植入式装置,这是同类设备中第一个设计用于复制患肢淋巴管功能的装置。这种新颖的设备利用皮下导管和微泵系统来主动管理淋巴液,代表了传统治疗的重大偏离。为了评估这种新型设备的可行性、初步安全性和有效性,我们进行了首次人体试验。9例单侧乳腺癌相关LE (BCRL)患者接受了该装置的植入,并停止了常规LE治疗。该装置植入8周,期间评估其安全性和有效性。结果显示没有安全问题,并且在不需要手动淋巴引流或压迫治疗的情况下,肢体体积显著减少。这些有希望的发现突出了这种创新方法的潜力,并强调需要进一步研究其作为当前LE管理策略的替代方案的长期使用。这一开创性的发展为LE治疗的变革带来了希望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancing women's health with a pioneering implant to treat breast cancer related lymphedema
Lymphedema (LE) is a globally recognized chronic and disabling condition with a high prevalence. At present, there is no curative treatment for LE, and management options are primarily limited to conservative approaches. To address this unmet need, we developed an innovative implantable device – the first-of-its-kind designed to replicate the function of lymphatic vessels in the affected limb. This novel device utilizes subcutaneous catheters and a micropump system to actively manage lymphatic fluid, representing a significant departure from traditional treatments. To evaluate feasibility, preliminary safety, and efficacy of this novel device, we conducted the first-in-human pilot study LymphoPilot. Nine patients with unilateral breast cancer-related LE (BCRL) underwent implantation of the device and discontinued conventional LE treatment. The device remained implanted for 8 weeks, during which its safety and efficacy were assessed. Results demonstrated no safety concerns and showed significant reductions in limb volume without the need for manual lymphatic drainage or compression treatment. These promising findings highlight the potential of this innovative approach and emphasize the need for further research into its long-term use as an alternative to current LE management strategies. This pioneering development offers hope for a transformative shift in LE treatment.
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来源期刊
European Journal of Internal Medicine
European Journal of Internal Medicine 医学-医学:内科
CiteScore
9.60
自引率
6.20%
发文量
364
审稿时长
20 days
期刊介绍: The European Journal of Internal Medicine serves as the official journal of the European Federation of Internal Medicine and is the primary scientific reference for European academic and non-academic internists. It is dedicated to advancing science and practice in internal medicine across Europe. The journal publishes original articles, editorials, reviews, internal medicine flashcards, and other relevant information in the field. Both translational medicine and clinical studies are emphasized. EJIM aspires to be a leading platform for excellent clinical studies, with a focus on enhancing the quality of healthcare in European hospitals.
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