Evidence map›Paper›PMID 40083619›Full record

ArticleArchives of plastic surgery2025

A Proposed Role for Lymphatic Supermicrosurgery in the Management of Alzheimer's Disease: A Primer for Reconstructive Microsurgeons.

Joon Pio Hong, Wei F Chen, Dung H Nguyen, Qingping Xie

Registry-linked trialAbstract read
In one paragraph

Article in Archives of plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07458620 (Prospective Single-Arm Safety Study of Cervical Lymphaticovenular Anastomosis), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07458620 phase1not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Prospective Single-Arm Safety Study of Cervical Lymphaticovenular Anastomosis (LVA) in Patients With Alzheimer's Disease

TypeinterventionalSponsorChang Gung Memorial HospitalRan2026 to 2028Enrolled35ConditionsAlzheimer's Disease (AD)ArmsSupermicrosurgical Lymphaticovenular Anastomosis (LVA)
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
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  6. Review
  7. Article
  8. Review
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  10. Article
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  12. Review
  13. Advancements in Therapy for Alzheimer's Disease Based on the Cerebral Lymphatic System.Degenerative neurological and neuromuscular disease · 2026
    Article
  14. Article
  15. Deep cervical lymphaticovenous anastomosis for Alzheimer's disease: A narrative review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Review
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Joon Pio HongDepartment of Plastic Surgery, Asan Medical Center, University of Ulsan, Seoul, Korea.ORCID 0000-0002-6208-9704
Wei F ChenCleveland Clinic, Center for Lymphedema Research and Reconstruction, Cleveland, Ohio.ORCID 0000-0002-4163-6641
Dung H NguyenStanford Women's Cancer Center, Palo Alto, California.ORCID 0000-0002-9494-7523
Qingping XieQiushi Hospital Hangzhou, Hangzhou, People's Republic of China.ORCID 0009-0009-5980-2431

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The relatively recent discovery of a novel lymphatic system within the brain meninges has spurred interest in how waste products generated by neurons and glial cells-including proteins associated with Alzheimer's disease (AD) pathology such as amyloid beta (Aβ) and tau-are disposed of. Evidence is building that suggests disease progression in AD and other cognitive impairments could be explained by dysfunction in the brain's lymphatic system or obstruction of drainage. An interesting implication of this hypothesis is that, by relieving the obstruction of flow, lymphatic reconstruction along the drainage pathway could serve as a potential novel treatment. Should this concept prove true, it could represent a surgical solution to a problem for which only medical solutions have thus far been considered. This study is meant to serve as a primer for reconstructive microsurgeons, introducing the topic and current hypotheses about the potential role of lymphatic drainage in AD. A preview of current research evaluating the feasibility of lymphatic reconstruction as a surgical approach to improving Aβ clearance is provided, with the aim of inspiring others to design robust preclinical and clinical investigations into this intriguing hypothesis.

Indexed as

Alzheimer's diseaseglymphatic systemintramural periarterial drainagelymphatic reconstructionlymphovenous anastomosismeningeal lymphatic systemsupermicrosurgery

Identifiers

PMID40083619
PMCPMC11896717

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.