Subscribe to RSS
DOI: 10.1055/s-0044-1791715
Novel Use of Obsidio Conformable Embolic in Thoracic Duct Embolization
Funding None.Abstract
Chylothorax is a potentially serious condition resulting from thoracic duct injury. When chyle output remains high despite medical management, invasive interventions such as surgical ligation or percutaneous thoracic duct embolization (TDE) may be necessary. Obsidio is a novel conformable embolic agent that shares properties of both coil and liquid embolic agents. A 37-year-old man presented with left-sided chylothorax, refractory to medical management, following a high-speed motorcycle collision. The thoracic duct was successfully embolized using Obsidio placed between coil packs with fibered coils. This case report demonstrates the first successful use of Obsidio for TDE in a patient with traumatic chylothorax.
Publication History
Article published online:
24 October 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Doerr CH, Allen MS, Nichols III FC, Ryu JH. Etiology of chylothorax in 203 patients. Mayo Clin Proc 2005; 80 (07) 867-870
- 2 Agrawal A, Chaddha U, Kaul V, Desai A, Gillaspie E, Maldonado F. Multidisciplinary management of chylothorax. Chest 2022; 162 (06) 1402-1412
- 3 Itkin M, Kucharczuk JC, Kwak A, Trerotola SO, Kaiser LR. Nonoperative thoracic duct embolization for traumatic thoracic duct leak: experience in 109 patients. J Thorac Cardiovasc Surg 2010; 139 (03) 584-589 , discussion 589–590
- 4 Boston Scientific. About Obsidio™ Comformable Embolic. Accessed September 21, 2024 at: https://www.bostonscientific.com/en-US/medical-specialties/interventional-radiology/interventional-oncology/obsidio-conformable-embolic/about-obsidio.html
- 5 Mathis JM, Evans AJ, DeNardo AJ. et al. Hydrophilic coatings diminish adhesion of glue to catheter: an in vitro simulation of NBCA embolization. AJNR Am J Neuroradiol 1997; 18 (06) 1087-1091
- 6 Pamarthi V, Stecker MS, Schenker MP. et al. Thoracic duct embolization and disruption for treatment of chylous effusions: experience with 105 patients. J Vasc Interv Radiol 2014; 25 (09) 1398-1404
- 7 Cope C, Kaiser LR. Management of unremitting chylothorax by percutaneous embolization and blockage of retroperitoneal lymphatic vessels in 42 patients. J Vasc Interv Radiol 2002; 13 (11) 1139-1148
- 8 Lee EW, Shin JH, Ko HK, Park J, Kim SH, Sung KB. Lymphangiography to treat postoperative lymphatic leakage: a technical review. Korean J Radiol 2014; 15 (06) 724-732