Use of axillary vascular grafts in prophylactic lymphovenous bypass: technical challenges and lessons learned - Report - MDSpire

Use of axillary vascular grafts in prophylactic lymphovenous bypass: technical challenges and lessons learned

  • By

  • Jorge Flores Garcia

  • J. Michael Smith

  • Ramin Rajaii

  • Emily L. Geisler

  • Roman J. Skoracki

  • Min-Jeong Cho

  • May 8, 2026

  • 0 min

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Clinical Report: Application of Axillary Vascular Grafts in Preventive Lymphovenous Bypass

Overview

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Background

Breast cancer-related lymphedema (BCRL) is a significant complication affecting approximately 20% of patients post-ALND, leading to substantial morbidity. Preventive strategies like pLVB have shown promise in reducing BCRL risk, yet technical challenges often limit their success. This study explores the innovative use of axillary vascular grafts to facilitate pLVB in patients with limited venous options.

Data Highlights

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Key Findings

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Clinical Implications

{'expand': 'Include comparison with existing preventive techniques.'}

Conclusion

{'expand': 'Detail specific areas for optimizing patient selection.'}

Related Resources & Content

  1. The ASCO Post, 2020 -- Reducing the Risk of Lymphedema in Patients With Cancer
  2. Springer, 2023 -- Innovative Techniques for Creating Percutaneous Endovascular Arteriovenous Fistulas Using the Ellipsys® Vascular Access System: Initial Outcomes from a Study of 16 Patients
  3. Springer, 2021 -- Surgical Techniques for Totally Implantable Venous Access Ports: A Comprehensive Strategy to Mitigate Complications Associated with Percutaneous Approaches
  4. Springer, 2009 -- Outcomes of Axillofemoral Bypass Surgery: A Retrospective Study Involving 45 Patients
  5. LNNI, 2024 -- Lymphovenous anastomosis during axillary or inguinal node dissection for preventing secondary lymphoedema
  6. ScienceDirect, 2024 -- The efficacy of immediate lymphatic reconstruction after axillary lymph node dissection – A meta-analysis
  7. Bidmc, 2024 -- Immediate lymphatic reconstruction: Lessons learned over eight years
  8. Lymphovenous anastomosis during axillary or inguinal node dissection for preventing secondary lymphoedema
  9. The efficacy of immediate lymphatic reconstruction after axillary lymph node dissection – A meta-analysis - ScienceDirect
  10. Immediate lymphatic reconstruction_ Lessons learned over eight years

Original Source(s)

Use of axillary vascular grafts in prophylactic lymphovenous bypass: technical challenges and lessons learned

  • by Jorge Flores Garcia, J. Michael Smith, Ramin Rajaii, Emily L. Geisler, Roman J. Skoracki, Min-Jeong Cho

  • May 8, 2026

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