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Semin intervent Radiol 2015; 32(01): 010-013
DOI: 10.1055/s-0034-1396957
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cerebral Embolization of Ethiodized Oil following Intranodal Lymphangiography

Arman Sheybani
1   Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Ron C. Gaba
1   Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
,
Jeet Minocha
1   Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois
› Author Affiliations
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Publication Date:
02 March 2015 (online)

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Abstract

Intranodal lymphangiography (IL) has supplanted pedal lymphangiography (PL) as an easier and more practical approach to opacifying lymphatic vessels for interventional radiologists treating refractory chyle leaks. As more interventional radiologists—many of who are not trained in or have not performed PL—incorporate IL into their practice, it is imperative that they be familiar with the risks of lymphangiography, including pulmonary and systemic embolization of oily contrast material. Herein, the authors report a devastating case of cerebral embolization of ethiodized oil following IL and review the literature regarding systemic embolization following lymphangiography.

Keywords

interventional radiology - stroke - complication - lymphangiogram