Evidence map›Paper›PMID 42631247›Full record

ArticleArchives of plastic surgery2026

The Use of Dynamic Neck Lymphaticovenous Anastomosis in the Adjunctive Treatment of Alzheimer's Disease: A Retrospective Case Series.

Xuhui Chen, Johnson Boey, Kou Wei, Chen Ding, Paloma Malagón, J P Hong, Zhegang Zhou

Abstract read
In one paragraph

Article in Archives of plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

7 authors.

Xuhui ChenDepartment of Neurology, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.ORCID 0009-0004-3876-2462
Johnson BoeyDepartment of Podiatry, SingHealth Duke-NUS Academic Medical Centre, Singapore, Singapore, Singapore.ORCID 0000-0001-9466-7241
Kou WeiDepartment of Hand Foot and Microsurgery Reconstruction Surgery, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, China.ORCID 0009-0007-4135-3645
Chen DingDepartment of Neurology, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.ORCID 0000-0002-3228-8585
Paloma MalagónDepartment of Plastic Surgery, Hospital Germans Trias I Pujol, Universitat Aut noma de Barcelona, Badalona, Barcelona, Spain.ORCID 0000-0002-9797-4789
J P HongAsan Medical Center, Department of Plastic Surgery, University of Ulsan, Seoul, Seoul, Korea.ORCID 0000-0002-6208-9704
Zhegang ZhouHand and Microsurgery Department, Peking University Shenzhen Hospital, Shenzhen, China.ORCID 0009-0009-4402-581X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lymphovenous anastomosis (LVA) has recently emerged as a potential method for the symptomatic management of Alzheimer's disease (AD). Building on this, we conceptualize the "dynamic neck lymphovenous anastomosis" (DN-LVA) to illustrate the versatility of our technique. DN-LVA utilizes a vein graft that traverses through the sternocleidomastoid muscle to facilitate the drainage of lymphatic fluid from the deep cervical lymphatic vessels to the external jugular vein. Methods: This study presents a retrospective analysis of patients who underwent DN-LVA between November 2024 and January 2025. The clinical outcome was evaluated through positron emission tomography/computed tomography (PET/CT) imaging and cognitive assessment tools, which included Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Neuropsychiatric Inventory (NPI), and Clinical Dementia Rating (CDR). The vein graft was harvested from the lower limb. Results: Five subjects were recruited into this study. Postoperative PET/CT scans revealed up to a 6.9% increase in glucose metabolism in patient 3, a decrease of 12.3% in amyloid deposits, and a 4.7% reduction in tau deposits in patient 5 and patient 4, respectively. Clinically, MMSE and MoCA scores were improved by 1.8 and 1.4, respectively. NPI scores decreased by 5.8 across five overall, and the CDR remained unchanged in all subjects. All grafts demonstrated vessel patency, and no postoperative complications were observed. Conclusion: DN-LVA appears to be a safe, minimally invasive procedure with potential cognitive and metabolic benefits in AD. Further studies with larger cohorts and longer follow-up are warranted to confirm these preliminary findings.

Indexed as

Alzheimer's diseasecervical lymphatic vesselsdementiahead and necklymphaticovenous anastomosislymphedemaneurodegenerativeothersResearch

Identifiers

PMID42631247
PMCPMC13496215

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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.