RSS-Feed abonnieren

DOI: 10.4103/AJIR.AJIR_26_20
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
Financial support and sponsorship Nil.
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.
Publikationsverlauf
Eingereicht: 09. Juni 2020
Eingereicht: 21. Juni 2020
Angenommen: 04. Juli 2020
Artikel online veröffentlicht:
26. März 2021
© 2020. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. https://creativecommons.org/licenses/by-nc-nd/4.0/.
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Nadolski GJ, Itkin M. Feasibility of ultrasound-guided intranodal lymphangiogram for thoracic duct embolization. J Vasc Interv Radiol 2012;23:613-6.
- 2 Kuyumcu G, Gordon R, Ott H, Ganguli S. CT-guided thoracic duct embolization. J Vasc Interv Radiol 2016;27:1753-5.
- 3 Gillen BC, Bowser BA, Hegg RM, Friese JL. Thoracic duct embolization: Technique and applications. In: Dieter R, editors. Endovascular Interventions. New York, NY: Springer; 2014. p. 1215-21.
- 4 Arslan B, Masrani A, Tasse JC, Stenson K, Turba ÜC. Superselective retrograde lymphatic duct embolization for management of postoperative lymphatic leak. Diagn Interv Radiol 2017;23:379-80.
- 5 Guevara CJ, Rialon KL, Ramaswamy RS, Kim SK, Darcy MD. US-guided, direct puncture retrograde thoracic duct access, lymphangiography, and embolization: Feasibility and efficacy. J Vasc Interv Radiol 2016;27:1890-6.
- 6 Bundy JJ, Chick JF, Jiao A, Cline MR, Srinivasa RN, Khayat M, et al. Percutaneous fluoroscopically-guided transcervical retrograde access facilitates successful thoracic duct embolization after failed antegrade transabdominal access. Lymphology 2019;52:52-60.
- 7 Tanaka T, Arai Y, Inaba Y, Inoue M, Nishiofuku H, Anai H, et al. Current role of hybrid CT/angiography system compared with C-arm cone beam CT for interventional oncology. Br J Radiol 2014;87:20140126.
- 8 Chen E, Itkin M. Thoracic duct embolization for chylous leaks. Semin Intervent Radiol 2011;28:63-74.
- 9 Bundy JJ, Srinivasa RN, Srinivasa RN, Gemmete JJ, Hage AN, Chick JFB. Vascular and lymphatic complications after thoracic duct cannulation. J Vasc Surg Venous Lymphat Disord 2018;6:730-6.
- 10 Feuerlein S, Kreuzer G, Schmidt SA, Muche R, Juchems MS, Aschoff AJ, et al. The cisterna chyli: Prevalence, characteristics and predisposing factors. Eur Radiol 2009;19:73-8.