Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck Dissection

Karan Nijhawan; Divya Kumari; Brian Funaki; Osman Ahmed

doi:10.4103/AJIR.AJIR_26_20

The Arab Journal of Interventional Radiology, Table of Contents

CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2020; 4(02): 121-123
DOI: 10.4103/AJIR.AJIR_26_20

Case Report

Thoracic Duct Embolization Using Direct Hybrid Angiography/Computed Tomography‑Guided Cisterna Chyli Access for the Treatment of Chylous Leak Secondary to Partial Glossectomy and Neck Dissection

Karan Nijhawan

Department of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USA

,

Divya Kumari

Department of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USA

,

Brian Funaki

Department of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USA

,

Osman Ahmed

Department of Radiology, Section of Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, IL, USA

› Author Affiliations

Abstract

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Thoracic duct embolization (TDE) is a minimally invasive alternative to surgery for the treatment of postoperative chylous leaks that fail conventional medical management. TDE can be a technically challenging procedure that requires real-time image guidance to visualize the thoracic duct. This case report describes using hybrid angiography/computed tomography technology to perform TDE through direct access of the cisterna chyli, potentially eliminating the need for intranodal lymphangiography, and reducing procedure length.

Chylous leak - cisterna chyli - hybrid angiography/computed tomography - thoracic duct embolization

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References

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